Factors influencing residents' satisfaction in nursing homes, Isfahan province, Iran: Structural Equation Modeling (SEM)
الموضوعات :
Space Ontology International Journal
Marzieh Rajabian
1
(Department of Architecture, Advancement in Architecture and Urban Planning Research Centre, Najafabad Branch, Islamic Azad University, Najafabad, Iran.)
Narges Dehghan
2
(Department of Architecture, Advancement in Architecture and Urban Planning Research Centre, Najafabad Branch, Islamic Azad University, Najafabad, Iran.)
تاريخ الإرسال : 24 الأربعاء , شوال, 1443
تاريخ التأكيد : 14 الإثنين , ربيع الأول, 1444
تاريخ الإصدار : 05 الخميس , صفر, 1444
الکلمات المفتاحية:
Service Quality,
Residential satisfaction,
Individual characteristics,
physical environment,
Elderlies,
ملخص المقالة :
Most older adults nowadays live alone, without the help of their children, prompting higher demand for nursing homes than ever before. Thus, this study aimed to identify the factors affecting resident satisfaction in Isfahan province nursing homes through a collaborative approach and based on residents’ comments and quantify the type of relationship between these factors. This study employed a mixed qualitative-quantitative approach to evaluate the data gathered through article reviews, in-depth interviews, observation in Sadeghiyeh and Ehsan nursing homes, and the Likert scale questionnaire. The variables affecting older adult satisfaction in nursing homes were identified using MAXQDA software analysis. Subsequently, SPSS 22 and AMOS 26 software were employed to obtain the Pearson test, confirmatory factor analysis, and structural equation model (SEM). According to the results, in nursing homes, elderly satisfaction is affected by three factors. Results from the SEM revealed a direct connection between individual characteristics, the physical environment, and service quality factors: (1) gender, previous habitation status, education, length of residence, and health status affected the physical environment; (2) physical environment components predicted service quality; (3) gender, previous habitation status, education, length of residence, and health status influenced service quality. For enhancement of residential satisfaction in nursing homes, it is suggested that women's outdoor spaces be private and colored cool and warm, respectively, for men and women. The nursing stations are recommended to be designed to be open; so senior residents have visual access. Increased natural light and green space in nursing homes to improve the social environment.
المصادر:
Abass, z. I. & tucker, r. 2018. Residential satisfaction in low-density australian suburbs: the impact of social and physical context on neighbourhood contentment. Journal of environmental psychology, 56, 36-45.
Barnes, s. 2006. Space, choice and control, and quality of life in care settings for older people. Environment and behavior, 38, 589-604.
Biedenweg, k., scott, r. P. & scott, t. A. 2017. How does engaging with nature relate to life satisfaction? Demonstrating the link between environment-specific social experiences and life satisfaction. Journal of environmental psychology, 50, 112-124.
Browne, m. W. & cudeck, r. 1992. Alternative ways of assessing model fit. Sociological methods & research, 21, 230-258.
Castle, n., engberg, j. & men, a. 2018. Satisfaction of discharged nursing home residents. Journal of applied gerontology, 37, 1225-1243.
Cloutier-fisher, d. & harvey, j. 2009. Home beyond the house: experiences of place in an evolving retirement community. Journal of environmental psychology, 29, 246-255.
Colón-emeric, c. S., ammarell, n., bailey, d., corazzini, k., lekan-rutledge, d., piven, m. L., utley-smith, q. & anderson, r. A. 2006. Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science. Qualitative health research, 16, 173-188.
Coulombe, s., jutras, s., labbé, d. & jutras, d. 2016. Residential experience of people with disabilities: a positive psychology perspective. Journal of environmental psychology, 46, 42-54.
Eijkelenboom, a., verbeek, h., felix, e. & van hoof, j. 2017. Architectural factors influencing the sense of home in nursing homes: an operationalization for practice. Frontiers of architectural research, 6, 111-122.
Fernández-portero, c., alarcón, d. & padura, á. B. 2017. Dwelling conditions and life satisfaction of older people through residential satisfaction. Journal of environmental psychology, 49, 1-7.
Gallagher, p. & carey, k. 2012. Connecting with the well-elderly through reminiscence: analysis of lived experience. Educational gerontology, 38, 576-582.
Ghadampour, e., heidaryani, l. & radmehr, f. 2018. Investigating the relationship between the meaning of life and self-esteem with the quality of life of the elderly living in the home and living in the nursing home. Avicenna journal of nursing and midwifery care, 26, 315-322.[in persian]
Groat l., w. D. 2013. Architectural research methods, wiley.
Guéguen, n. & stefan, j. 2016. “green altruism” short immersion in natural green environments and helping behavior. Environment and behavior, 48, 324-342.
Gustafson, p. 2001. Roots and routes: exploring the relationship between place attachment and mobility. Environment and behavior, 33, 667-686.
Hadavi, s. 2017. Direct and indirect effects of the physical aspects of the environment on mental well-being. Environment and behavior, 49, 1071-1104.
Haywood, a., barnes, s., marsh, h. & parker, s. G. 2018. Does the design of settings where acute care is delivered meet the needs of older people? Perspectives of patients, family carers, and staff. Herd: health environments research & design journal, 11, 177-188.
Hersch, g., spencer, j. & kapoor, t. 2003. Adaptation by elders to new living arrangements following hospitalization: a qualitative, retrospective analysis. Journal of applied gerontology, 22, 315-339.
Hsu, y.-c. & wang, j.-j. 2009. Physical, affective, and behavioral effects of group reminiscence on depressed institutionalized elders in taiwan. Nursing research, 58, 294-299.
Joseph, a., choi, y.-s. & quan, x. 2016. Impact of the physical environment of residential health, care, and support facilities (rhcsf) on staff and residents: a systematic review of the literature. Environment and behavior, 48, 1203-1241.
Kahana, e., lovegreen, l., kahana, b. & kahana, m. 2003. Person, environment, and person-environment fit as influences on residential satisfaction of elders. Environment and behavior, 35, 434-453.
Karimi, t., nouhi, e. & iranmanesh, s. 2014. Comparing life satisfaction of elderly between nursing home residents and seniors living in their own homes in isfahan. Journal of geriatric nursing, 1, 43-54. [in persian]
König, k., raue, m., d'ambrosio, l. A. & coughlin, j. F. 2019. Physical and emotional support of the neighborhood for older adults: a comparison of the united states and germany. Journal of environmental psychology, 62, 84-94.
Kylén, m., schmidt, s. M., iwarsson, s., haak, m. & ekström, h. 2017. Perceived home is associated with psychological well-being in a cohort aged 67–70 years. Journal of environmental psychology, 51, 239-247.
Lee, s.-w., choi, j.-s. & lee, m. 2020. Life satisfaction and depression in the oldest old: a longitudinal study. The international journal of aging and human development, 91, 37-59.
Lee, s. M., conway, t. L., frank, l. D., saelens, b. E., cain, k. L. & sallis, j. F. 2017. The relation of perceived and objective environment attributes to neighborhood satisfaction. Environment and behavior, 49, 136-160.
Liu, l.-j. & guo, q. 2008. Life satisfaction in a sample of empty-nest elderly: a survey in the rural area of a mountainous county in china. Quality of life research, 17, 823-830.
Lundgren, d., ernsth bravell, m., börjesson, u. & kåreholt, i. 2020. The association between psychosocial work environment and satisfaction with old age care among care recipients. Journal of applied gerontology, 39, 785-794.
Mansourhosseini, n. & javanforouzande, a. 2018. The role of physical-semantic components of residential public spaces in accommodating the elderly (case study: ekbatan residential complex). Hoviatshahr, 12, 61-74. [in persian]
Mcmullin, j. A. & cairney, j. 2004. Self-esteem and the intersection of age, class, and gender. Journal of aging studies, 18, 75-90.
Meyers, l. S., gamst, g. & guarino, a. J. 2016. Applied multivariate research: design and interpretation, sage publications.
Miller, s. C., miller, e. A., jung, h.-y., sterns, s., clark, m. & mor, v. 2010. Nursing home organizational change: the “culture change” movement as viewed by long-term care specialists. Medical care research and review, 67, 65s-81s.
Mollaoğlu, m., tuncay, f. Ö. & fertelli, t. K. 2010. Mobility disability and life satisfaction in elderly people. Archives of gerontology and geriatrics, 51, e115-e119.
Moreira, b. D. S., andrade, a. C. D. S., xavier, c. C., proietti, f. A., braga, l. D. S., friche, a. A. D. L. & caiaffa, w. T. 2020. Perceived neighborhood and fall history among community-dwelling older adults living in a large brazilian urban area: a multilevel approach. International journal of environmental health research, 1-13.
Nadash, p., hefele, j. G., miller, e. A., barooah, a. & wang, x. 2019. A national-level analysis of the relationship between nursing home satisfaction and quality. Research on aging, 41, 215-240.
Nelson, h. W., yang, b. K., carter, m. W., monahan, e. & engineer, c. 2020. Nursing home administrator’s job satisfaction, work stressors, and intent to leave. Journal of applied gerontology, 0733464819896572.
Nordin, s., mckee, k., wijk, h. & elf, m. 2017. Exploring environmental variation in residential care facilities for older people. Herd: health environments research & design journal, 10, 49-65.
Noroozian, m. 2012. The elderly population in iran: an ever growing concern in the health system. Iranian journal of psychiatry and behavioral sciences, 6, 1.
Palmer, j. A., parker, v. A., berlowitz, d., snow, a. L. & hartmann, c. W. 2018. Resident choice: a nursing home staff perspective on tensions and resolutions. Geriatric nursing, 39, 271-278.
Park, s., kim, b., amano, t. & chen, q. 2019. Home environment, living alone, and trajectories of cognitive function among older adults with functional limitations. Environment and behavior, 0013916519879772.
Park, s., kim, b., amano, t. & chen, q. 2021. Home environment, living alone, and trajectories of cognitive function among older adults with functional limitations. Environment and behavior, 53, 252-276.
Paudel, a., resnick, b. & galik, e. 2020. The quality of interactions between staff and residents with cognitive impairment in nursing homes. American journal of alzheimer's disease & other dementias®, 35, 1533317519863259.
Phillips, d. R., cheng, k. H., yeh, a. G. & siu, o.-l. 2010. Person—environment (p—e) fit models and psychological well-being among older persons in hong kong. Environment and behavior, 42, 221-242.
Poey, j. L., hermer, l., cornelison, l., kaup, m. L., drake, p., stone, r. I. & doll, g. 2017. Does person-centered care improve residents' satisfaction with nursing home quality? Journal of the american medical directors association, 18, 974-979.
Randall, w. L., prior, s. M. & skarborn, m. 2006. How listeners shape what tellers tell: patterns of interaction in lifestory interviews and their impact on reminiscence by elderly interviewees. Journal of aging studies, 20, 381-396.
Rioux, l. 2005. The well-being of aging people living in their own homes. Journal of environmental psychology, 25, 231-243.
Rioux, l. & werner, c. 2011. Residential satisfaction among aging people living in place. Journal of environmental psychology, 31, 158-169.
Sajadi, h. & biglarian, a. 2006. The quality of life of elderly women in khairizak charity nursing home. Payesh, 5, 105-108.[in persian]
Scannell, l. & gifford, r. 2017. Place attachment enhances psychological need satisfaction. Environment and behavior, 49, 359-389.
Schlomann, a., seifert, a., zank, s. & rietz, c. 2020. Assistive technology and mobile ict usage among oldest-old cohorts: comparison of the oldest-old in private homes and in long-term care facilities. Research on aging, 42, 163-173.
Shin, j.-h. 2014. Making home in the age of globalization: a comparative analysis of elderly homes in the us and korea. Journal of environmental psychology, 37, 80-93.
Subaşı, f. & hayran, o. 2005. Evaluation of life satisfaction index of the elderly people living in nursing homes. Archives of gerontology and geriatrics, 41, 23-29.
Sugiyama, t., thompson, c. W. & alves, s. 2009. Associations between neighborhood open space attributes and quality of life for older people in britain. Environment and behavior, 41, 3-21.
Tajvar, m., arab, m. & montazeri, a. 2008. Determinants of health-related quality of life in elderly in tehran, iran. Bmc public health, 8, 1-8.
Tuominen, l., leino-kilpi, h. & suhonen, r. 2016. Older people’s experiences of their free will in nursing homes. Nursing ethics, 23, 22-35.
Tyler, d. A. & parker, v. A. 2011. Nursing home culture, teamwork, and culture change. Journal of research in nursing, 16, 37-49.
Van den berg, t. I., landeweerd, j. A., tummers, g. E. & van merode, g. G. 2006. A comparative study of organisational characteristics, work characteristics and nurses’ psychological work reactions in a hospital and nursing home setting. International journal of nursing studies, 43, 491-505.
Weenig, m. W. & staats, h. 2010. The impact of a refurbishment of two communal spaces in a care home on residents’ subjective well-being. Journal of environmental psychology, 30, 542-552.
White, d. L., tunalilar, o., hasworth, s. & winfree, j. 2019. The resident view in nursing homes. Gerontology and geriatric medicine, 5, 2333721419877975.
Who. 2017. World health organization [online]. World health organization. Available: https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults [accessed july, 30, 2020 2020].
Worldbank. 2019. World development indicators [online]. Available: https://data.worldbank.org/indicator/sp.pop.65up.to?locations=ir [accessed september, 10, 2020 2019].
Xie, h., zhong, b. & liu, c. 2020. Sound environment quality in nursing units in chinese nursing homes: a pilot study. Building acoustics, 1351010x20914237.
