Suchergebnisse

Physical environment is an important component in the acute care setting that can affect nursing and medication accuracies, as any inadequacy in physical environment would contribute to staff fatigue, stress, and burnout and result in errors. The article discusses a study conducted involving an extensive review and analysis of the literature on this topic and focus groups with various categories of staff members at three hospitals. The review demonstrates that the following environmental variables can contribute to errors in acute care settings: noise levels, ergonomics/furniture/equipment, lighting, and design/layout. Focus groups address the role of the physical environment on medication ordering, storage, delivery, dispensation, preparation, administration, and possible design responses to reduce errors. Integrating the major issues identified and the key findings from the focus groups, four design-related principles are recommended: balance between patient accessibility and reduction of disruptions, automation, minimize staff fatigue, and promoting a culture of safety.

Private patient rooms have become the industry standard in the United States based on the assumption that they reduce the rate of hospital-acquired infections, facilitate patient care and management, and afford greater therapeutic benefits for patients. The objective of this article is to reviewand analyze the existing literature to identify the empirical evidence related to the advantages and disadvantages of single versus multiple-occupancy patient rooms in hospitals. Three substantive areas were identified for synthesis of the review: (a) first and operating cost of hospitals, (b) infection control, and (c) health care facility management and hospital design and therapeutic impacts. The analysis reveals that private patient rooms reduce the risk of hospital-acquired infections, allow for greater flexibility in operation and management, and have positive therapeutic impacts on patients. This review highlights the need to consider room occupancy issues along with other patient care issues and environmental and management policies.

Evidence of widening inequalities in later life raises concerns about the ways in which older adults might experience forms of social exclusion. Such concerns are evident in all societies as they seek to come to terms with the unprecedented ageing of their populations. Taking a broad international perspective, this highly topical book casts light on patterns and processes that either place groups of older adults at risk of exclusion or are conducive to their inclusion. Leading international experts challenge traditional understandings of exclusion in relation to ageing in From Exclusion to Inclusion in Old Age. They also present new evidence of the interplay between social institutions, policy processes, personal resources and the contexts within which ageing individuals live to show how this shapes inclusion or exclusion in later life. Dealing with topics such as globalisation, age discrimination and human rights, intergenerational relationships, poverty, and migration, the book is essential reading for anyone interested in ageing issues

Giving voice to the lived experiences of people with dementia across the globe, including Australia, Canada, Sweden and the UK, this critical and evidence-based collection engages with the realities of life for people living with dementia at home and within their neighbourhoods. This insightful text addresses the fundamental social aspects of environment, including place attachment, belonging and connectivity. The chapters reveal the potential and expose the challenges for practitioners and researchers as dementia care shifts to a neighbourhood setting. The unique 'neighbourhood-centred' perspective provides an innovative guide for policy and practice and calls for a new place-based culture of care and support in the neighbourhood

How well do the places where we live support the wellbeing of older adults? The Canadian population is growing older and is reshaping the nation's economic, social and cultural future. However, the built and social environments of many communities, neighbourhoods and cities have not been designed to help Canadians age well. Bringing together academic research, practitioner reflections and personal narratives from older adults across Canada, this cutting-edge text provides a rare spotlight on the local implications of aging in Canadian cities and communities. It explores employment, housing, transportation, cultural safety, health, planning and more, to provide a wide-ranging and comprehensive discussion of how to build supportive communities for Canadians of all ages