Pywell Elizabeth, Ottley Katherine M, Dolatabadi Azin, Maza Joshua, Lawrenz Kayley, Hutchinson Jim, Ward Heather, Wickson-Griffiths Abigail, Hunter Paulette V
Department of Psychology and Health Studies, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Innov Aging. 2025 Mar 27;9(5):igaf034. doi: 10.1093/geroni/igaf034. eCollection 2025.
As people live to late older adulthood, their reliance on disability supports and services increases. While these supports and services can often be provided at home, many people spend a period of their lives in long-term care, and the quality of long-term care environments is of great significance to those who make this transition and to those who support it. The objective of this study was to survey the range of design innovations in long-term care and to consider outcomes for residents, family caregivers, employees, and healthcare organizations.
To achieve these goals, we conducted a systematic scoping review and analyzed results using a convergent segregated mixed-methods approach. We summarized 75 articles on the topic of long-term care home building design by classifying structural design features and associated outcomes.
We identified 3 innovative design types (, , and ). A wide range of potential positive outcomes were identified for residents, families, and staff. These outcomes included outcomes of central significance for long-term care, including improved quality of life, improved family satisfaction, and improved staff engagement in work.
Based on these results, environmental design is a critical contributor to long-term care quality.
随着人们步入老年晚期，他们对残疾支持和服务的依赖增加。虽然这些支持和服务通常可以在家中提供，但许多人在其人生的某个阶段会接受长期护理，长期护理环境的质量对于经历这种转变的人和提供支持的人来说都具有重要意义。本研究的目的是调查长期护理中的设计创新范围，并考虑对居民、家庭护理人员、员工和医疗保健组织的影响。
为实现这些目标，我们进行了系统的范围综述，并采用收敛性分离混合方法分析结果。我们通过对结构设计特征和相关结果进行分类，总结了75篇关于长期护理机构建筑设计主题的文章。
我们确定了3种创新设计类型（此处原文缺失具体类型）。为居民、家庭和工作人员确定了一系列潜在的积极结果。这些结果包括对长期护理至关重要的结果，包括改善生活质量、提高家庭满意度以及提高员工工作投入度。
基于这些结果，环境设计是长期护理质量的关键贡献因素。
