Gao Michelle C, Rajabali Saima, Wagg Adrian
Division of Geriatric Medicine, Department of Medicine, University of Alberta, Edmonton, AB.
McMaster University, Hamilton, ON.
Can Geriatr J. 2025 Mar 1;28(1):53-66. doi: 10.5770/cgj.28.783. eCollection 2025 Mar.
Nursing homes and supportive living facilities (continuing care homes [CCH]) are often regarded as separate from their communities. Although occasional studies highlight volunteering or intergenerational activities, there is little systematic evaluation of the existence of activities in CCH that may promote community integration.
Study Design: The study utilized a sequential quantitative-qualitative approach: cross-sectional survey followed by semi-structured interviews. Setting: All registered long-term care (nursing home) and supportive living facilities (Levels 3, 4, and 4 Dementia) within Alberta. Subjects: The survey and interviews were conducted with directors of care. The survey was distributed to 334 facilities. Data saturation in the interviews was reached with seven participants.
140 responses were received; 116 were analyzable (34.7% response rate). The range of activities varied widely. Prior to Covid-19, the most common were spiritual activities entering CCH (96.5%) and volunteers entering CCH (93.0%); CCH rarely had activities such as child daycare (5.2%). 12.9% of spiritual activities entering CCH had not been restarted following the pandemic, but homes were planning to restart this activity (16) or start it as a new activity (1). There was no statistically significant relationship between any activity and facility owner-operator model, size, type, or geography (urban/rural) at any survey time category. Four themes emerged from the interviews: resident quality of life and well-being, home's capacity and openness, sources of support, and planning and programming for implementation.
This study addresses a knowledge gap regarding community integration in CCH and provides insight on the types of community-integrated activities occurring in Alberta's CCH.
养老院和支持性生活设施（持续护理之家 [CCH]）通常被认为与所在社区相分离。尽管偶尔有研究强调志愿服务或代际活动，但对于CCH中可能促进社区融合的活动的存在情况，几乎没有系统的评估。
研究设计：本研究采用了定量-定性的顺序研究方法：先进行横断面调查，然后进行半结构化访谈。研究地点：艾伯塔省内所有注册的长期护理机构（养老院）和支持性生活设施（3级、4级和4级痴呆症护理机构）。研究对象：调查和访谈对象为护理主任。调查问卷分发至334家机构。访谈中7名参与者达到了数据饱和。
共收到140份回复；其中116份可用于分析（回复率为34.7%）。活动范围差异很大。在新冠疫情之前，最常见的活动是宗教活动进入CCH（96.5%）和志愿者进入CCH（93.0%）；CCH很少开展诸如儿童日托等活动（5.2%）。疫情过后，12.9%的宗教活动进入CCH尚未恢复，但各机构正计划恢复此项活动（16家）或将其作为新活动开展（1家）。在任何调查时间类别中，任何活动与机构所有者-运营模式、规模、类型或地理位置（城市/农村）之间均无统计学上的显著关联。访谈中出现了四个主题：居民的生活质量和幸福感、机构的能力和开放性、支持来源以及实施的规划和方案制定。
本研究填补了CCH社区融合方面的知识空白，并提供了有关艾伯塔省CCH中发生的社区融合活动类型的见解。
