Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-31T17:29:51.312Z Has data issue: false hasContentIssue false
  • English
  • Français

Characteristics of the built environment for people with dementia in East and Southeast Asian nursing homes: a scoping review

Published online by Cambridge University Press:  02 November 2017

Joanna Sun  and
Richard Fleming
Joanna Sun*
Affiliation:
Faculty of Science Medicine and Health, School of Nursing, University of Wollongong, New South Wales, Australia
Richard Fleming
Affiliation:
Faculty of Science Medicine and Health, University of Wollongong, New South Wales, Australia
*
Correspondence should be addressed to: Joanna Sun, Faculty of Science Medicine and Health, School of Nursing, University of Wollongong, Room 114, ITAMS Building, UOW Innovation Campus, New South Wales 2522, Australia. Phone: +61-488022328. Email: [email protected].
Get access

Abstract

Background:

This scoping review explores the characteristics of the current built environment used to accommodate people with dementia in East and Southeast Asia. It is structured around the eight principles of design found in the Environmental Audit Tool High-Care. In addition, the review examines the level of knowledge and other influences contributing to the development of nursing homes in the region.

Methods:

The review was carried out utilizing the methodological framework recommended by Arksey and O'Malley. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses provided an overarching structural framework for the reporting process and the Population, Intervention, Comparison, Outcomes, and Context framework defined the scope of the review and focused on the research question. Six databases were accessed for the search, and 1,846 publications between 2001 and 2015 were retrieved.

Results:

A total of 48 articles from 9 countries met the inclusion criteria. All articles presented discussions that fundamentally included at least one principle of design and with some including all principles. The most prevailing principle discussed, found in 59% of all the articles was the need for familiarity for residents in the environmental design of facilities.

Conclusions:

The review found that the eight principles of design, when applied with cultural sensitivity in countries in East and Southeast Asia can identify gaps in knowledge of the design for dementia enabling environments and suggest areas for improvement. An assessment tool based on the principles of design will be able to provide a guide for stakeholders in the design, development, or modification of nursing home environments.

Keywords

dementiabuilt environmentenablingEast AsiaSoutheast Asia
Type
Review Article
Information
International Psychogeriatrics , Volume 30 , Issue 4: Issue Theme: Delirium , April 2018 , pp. 469 - 480
Copyright
Copyright © International Psychogeriatric Association 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

AIHW. (2012). Dementia in Australia. Canberra: Australian Institute of Health and Welfare.Google Scholar
Alzheimer's Disease International (2014). Dementia in the Asia Pacific Region: The Epidemic is Here. London: Alzheimer's Disease International.Google Scholar
Alzheimer's Disease International (2015). World Alzheimer Report 2015: The Global Impact of Dementia - An Analysis of Prevalence, Incidence, Cost and Trends. London: Alzheimer's Disease International.Google Scholar
Arksey, H. and O'Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8, 19–32.CrossRefGoogle Scholar
Booth, A., Papaioannou, D. and Sutton, A. (2012). The literature review: its role within research. In Systematic Approaches to a Successful Literature Review (pp. 1–16). Singapore: Sage Publications.Google Scholar
Chang, S. J. (2013). Lived experiences of nursing home residents in Korea. Asian Nursing Research, 7, 83–90.CrossRefGoogle ScholarPubMed
Chen, Y. M. and Li, Y. P. (2014). Motivators for physical activity among ambulatory nursing home older residents. The Scientific World Journal, 2014, 329–397.Google ScholarPubMed
Cheng, Y., Rosenberg, M. W., Wang, W., Yang, L. and Li, H. (2011). Aging, health and place in residential care facilities in Beijing, China. Social Science and Medicine, 72, 365–372.CrossRefGoogle ScholarPubMed
Chu, M. T., Khosla, R., Khaksar, S. M. S. and Nguyen, K. (2017). Service innovation through social robot engagement to improve dementia care quality. Assistive Technology, 29, 8–18.CrossRefGoogle ScholarPubMed
Chuang, Y. H. and Abbey, J. (2009). The culture of a Taiwanese nursing home. Journal of Clinical Nursing, 18, 1640–1648.CrossRefGoogle ScholarPubMed
de Guzman, A. B. et al. (2012). Who says there is no life after abandonment? A grounded theory on the coping of abandoned Filipino elderly in nursing homes. Educational Gerontology, 38, 890–901.CrossRefGoogle Scholar
Fleming, R. (2011). An environmental audit tool suitable for use in homelike facilities for people with dementia. Australasian Journal on Ageing, 30, 108–112.CrossRefGoogle ScholarPubMed
Fleming, R. and Bennett, K. (2014). Environments that enhance dementia care: issues and challenges. In Nay, R., Garratt, S. and Fetherstonhaugh, D. (eds.), Older People: Issues and Innovations in Care (pp. 411–431). Chatswood, NSW: Elsevier Australia.Google Scholar
Fleming, R. and Bennett, K. (2015a). Assessing the quality of environmental design of nursing homes for people with dementia: development of a new tool. Australasian Journal on Ageing, 34, 191–194.CrossRefGoogle ScholarPubMed
Fleming, R. and Bennett, K. (2015b). The Environmental Audit - High Care. Wollongong: Dementia Training and Study Centre.Google Scholar
Fleming, R. and Purandare, N. (2010). Long-term care for people with dementia: environmental design guidelines. International Psychogeriatrics, 22, 1084–1096.CrossRefGoogle ScholarPubMed
Fleming, R. and Sum, S. (2014). Empirical studies on the effectiveness of assistive technology in the care of people with dementia: a systematic review. Journal of Assistive Technologies, 8, 14–34.CrossRefGoogle Scholar
Global Burden of Disease Study 2013 Collaborators (2015). Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the global burden of disease study 2013. The Lancet, 386, 743–800.CrossRefGoogle Scholar
Hsieh, Y. P., Lin, C. C., and Huang, Y. C. (2012). Exploration of long-term care institution managers’ perceptions of institutional indoor environment quality and ease of administration. Care Management Journals, 13, 121–133.CrossRefGoogle ScholarPubMed
Huang, H. L., Shyu, Y. L., Chen, M., Huang, C., Kuo, H., Chen, S. and Hsu, W. (2015). Family caregivers’ role implementation at different stages of dementia. Clinical Interventions in Aging, 10, 135–146.CrossRefGoogle ScholarPubMed
Hwang, H. L., Hsieh, P. F. and Wang, H. H. (2013). Taiwanese long-term care facility residents’ experiences of caring: a qualitative study. Scandinavian Journal of Caring Sciences, 27, 695–703.CrossRefGoogle ScholarPubMed
Ibrahim, S. A. S. and Dahlan, A. (2015). Engagement in occupational activities and purpose in life amongst older people in the community and institutions. Procedia – Social and Behavioral Sciences, 202, 263–272.CrossRefGoogle Scholar
Kasai, M., Meguro, K., Akanuma, K. and Yamaguchi, S. (2015). Alzheimer's disease patients institutionalized in group homes run by long-term care insurance exhibit fewer symptoms of behavioural problems as evaluated by the behavioural pathology in Alzheimer's disease rating scale. Psychogeriatrics, 15, 102–108.CrossRefGoogle ScholarPubMed
Koh, G. (2004). Nursing homes: what parametres should be audited? The Singapore Family Physician, 30, 1–6.Google Scholar
Komatsu, M., Hamahata, A. and Magilvy, J. K. (2007). Coping with the changes in living environment faced by older persons who relocate to a health-care facility in Japan. Japan Journal of Nursing Science, 4, 27–38.CrossRefGoogle Scholar
Kong, E. H. and Evans, L. K. (2012). Nursing staff views of barriers to physical restraint reduction in nursing homes. Asian Nursing Research, 6, 173–180.CrossRefGoogle ScholarPubMed
Lee, M., Choi, J., Lim, J. and Kim, Y. S. (2013). Relationship between staff-reported culture change and occupancy rate and organizational commitment among nursing homes in South Korea. Gerontologist, 53, 235– 245.CrossRefGoogle ScholarPubMed
Li, P. L. and Khan, T. H. (2012). Designing long term care accommodation for senior citizens: the need for a design code in Malaysia. British Journals of Arts and Social Sciences, 8, 45–56.Google Scholar
Long, S. O. (2012). Bodies, technologies, and aging in Japan: thinking about old people and their silver products. Journal of Cross-Cultural Gerontology, 27, 119–137.CrossRefGoogle ScholarPubMed
Marshall, M., Judd, S. and Phippen, P. (1998). Design for Dementia. London: Hawker Publications, Ltd.Google Scholar
McCuskey-Shepley, M. and Song, Y. (2014). Design research and the globalization of healthcare environments. Health Environments Research and Design Journal, 8,158–198.CrossRefGoogle Scholar
Ministry of Health, Malaysia (2009). Management of Dementia: Clinical Practice Guidelines, 2nd edn. Putrajaya: Secretariat, CPG.Google Scholar
Ministry of Health Singapore (2002). A Guidebook on Nursing Homes. Singapore: Ministry of Health Singapore.Google Scholar
Moher, D., Liberati, A., Tetzlaff, J. and Altman, D. G., The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine, 6, e1000097.CrossRefGoogle ScholarPubMed
Normala, R., Azlini, C., Nurul, M. J. and Lukman, Z. M. (2014). The prevalence of depression and its risk factors among Malay elderly in residential care. American Journal of Applied Sciences, 11, 1456–1462.CrossRefGoogle Scholar
Othman, A. R. and Fadzil, F. (2015). Influence of outdoor space to the elderly wellbeing in a typical care centre. Procedia – Social and Behavioral Sciences, 170, 320–329.CrossRefGoogle Scholar
Otsuka, S., Hamahata, A., Komatsu, M., Suishu, C. and Osuka, K. (2010). Prospects for introducing the Eden alternative to Japan. Journal of Gerontological Nursing, 36, 47–55.CrossRefGoogle ScholarPubMed
Petticrew, M. and Roberts, H. (2006). Systematic Reviews in the Social Sciences: A Practical Guide. Oxford: Blackwell Publishing.CrossRefGoogle Scholar
Risseeuw, C. (2012). Institutional care provisions for the aged in Sri Lanka and some reflections on issues of “care” and “company.” International Journal of Sociology and Social Policy, 32, 695–707.CrossRefGoogle Scholar
Srithamrongsawat, S., Bundhamcharoen, K., Sasat, S., Odton, P. and Ratkjaroenkhajorn, S. (2009). Projection of Demand and Expenditure for Institutional Long Term Care in Thailand. Bangkok: Health Insurance System Research Office.Google Scholar
Traphagan, J. W. and Nagasawa, T. (2008). Group homes for elders with dementia in Japan. The Journal of Long Term Home Health Care, 9, 89–96.CrossRefGoogle ScholarPubMed
Tsai, H. H. and Tsai, Y. F. (2008). A temporary home to nurture health: lived experiences of older nursing home residents in Taiwan. Journal of Clinical Nursing, 17, 1915–1922.CrossRefGoogle ScholarPubMed
Wee, S. L., Hu, A. J., Yong, J., Chong, W. F., Raman, P. and Chan, A. (2015). Singaporeans’ perceptions of and attitudes toward long-term care services. Qualitative Health Research, 25, 218–227.CrossRefGoogle ScholarPubMed
World Health Organization (2012). Dementia: A Public Health Priority. United Kingdom: World Health Organisation.Google Scholar
Wu, B., Mao, Z. and Xu, Q., (2008). Institutional care for elders in rural China. Journal of Aging and Social Policy, 20, 218–239.CrossRefGoogle ScholarPubMed
Wu, S., White, A., Cash, K. and Foster, S. (2009). Nursing home care for older people in Taiwan: a process of forced choice. Journal of Clinical Nursing, 18, 1986–1993.CrossRefGoogle ScholarPubMed
Yap, L. K. P., Lau, S. Y., Ang, Y. H., Kwan, K. Y., Ng, S. C. and Jin, E. H. C. (2003). Who are the residents of a nursing home in Singapore? Singapore Medical Journal, 44, 65–73.Google ScholarPubMed
Zulkifli, N. D. F. and Khan, T. H. (2014). Perception of middle class retirees towards old folks home: a case study on the Malays in Malaysia. British Journal of Humanities and Social Sciences, 11, 56–64.Google Scholar