Auckland University of Technology, Auckland, New Zealand.
Te Pukenga New Zealand Institute of Skills and Technology, Hamilton, New Zealand.
Int J Older People Nurs. 2024 Sep;19(5):e12632. doi: 10.1111/opn.12632.
Many older people who cannot live independently live in aged residential care facilities to obtain support with social and healthcare needs. Despite old age being a precious time for people to live well, many facility residents have limited access to activities that promote their well-being and connectedness. In New Zealand, one provider of aged residential care developed a village inspired by de Hogeweyk in the Netherlands, where resident engagement in valued activities supports continuing lifelong identities.
The study aimed to explain the transition from a traditional Aged Residential Care facility to a clustered domestic model of care. A critical realist theoretical perspective underpinned case study research. Data comprised transcripts of interviews with key informants, facility staff, residents and their families, records of observation of residents' daily lives, organisational documents, photographs and the first author's study journal.
The intersection of philosophical workplace change to support delivery of person-centred care and a change in the physical environment enabled realisation of the organisational vision of residents living normal lives.
Policy makers and practitioners must be aware that while a domestic-scale environment provides cues to normal living, staff who know residents and what is important to them enable participation in community and valued activities.
Innovative living arrangements are a synthesis of philosophical aspirations, architectural and design vision, dedicated leadership and committed teamwork.
许多无法独立生活的老年人居住在养老院，以获得社会和医疗需求的支持。尽管老年是人们生活得美好的宝贵时期，但许多设施居民获得促进其福祉和联系的活动的机会有限。在新西兰，一家养老院的供应商受到荷兰德豪吉威克的启发，开发了一个村庄，在这里，居民参与有价值的活动支持他们继续保持终身身份。
本研究旨在解释从传统的养老院向集群式家庭护理模式的转变。案例研究的理论基础是批判现实主义理论。数据包括对主要信息提供者、设施工作人员、居民及其家属的访谈记录、居民日常生活观察记录、组织文件、照片以及第一作者的研究日记。
哲学上改变工作场所以支持提供以患者为中心的护理以及物理环境的改变的交汇点，使组织实现了让居民过上正常生活的愿景。
政策制定者和从业者必须意识到，虽然家庭规模的环境提供了正常生活的线索，但了解居民和对他们重要的事情的工作人员使他们能够参与社区和有价值的活动。
创新的生活安排是哲学愿望、建筑和设计愿景、专注的领导力和坚定的团队合作的综合体现。
