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Relationships among person-centered care, nursing home adjustment, and life satisfaction: a cross-sectional survey study

Published online by Cambridge University Press:  02 April 2018

Ju Young Yoon Open the ORCID record for Ju Young Yoon [Opens in a new window]
Ju Young Yoon*
Affiliation:
Research Institute of Nursing Science and College of Nursing, Seoul National University, Seoul, 03080, South Korea
*
Correspondence should be addressed to: Ju Young Yoon, Assistant Professor, Research Institute of Nursing Science and College of Nursing, Seoul National University, 03 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea. Phone: +82-2-740-8817; Fax: +82-2-741-5244. Email: yoon26@snu.ac.kr.
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Abstract

Background:

The purpose of this study was to examine whether a perceived person-centered nursing home environment has a direct relationship with nursing home adjustment and life satisfaction, and whether a perceived person-centered nursing home environment has an indirect relationship with life satisfaction through improved nursing home adjustment.

Methods:

203 nursing home residents who were able to read and speak English and were physically and cognitively able to respond to questionnaires were included in this study. Data were collected from six nursing homes in the Midwestern US.

Results:

Higher levels of a perceived person-centered nursing home environment had a significantly direct relationship with increased life satisfaction of residents (β = 0.35), and this relationship was mediated by residents’ improved nursing home adjustment (β = 0.10). In-depth exploration using sub-domains of the main variables demonstrated that “safety” and “everydayness” of a person-centered nursing home environment were directly related to higher levels of life satisfaction (β = 0.15 and β = 0.16, respectively); and “everydayness” was related to three sub-domains of nursing home adjustment: better “relationship development,” “acceptance of the new residence” (β = 0.32 and β = 0.24, respectively), and lower “depressed mood” (β = 0.05). The positive relationship between “everydayness” and life satisfaction was partially mediated by the “relationship development” sub-domain of nursing home adjustment (β = 0.07).

Conclusions:

The findings provide new evidence for the positive association between person-centered care and nursing home adjustment. The findings also provide insights into the mechanism through which the specific sub-domains of person-centered care and nursing home adjustment operate in the path model.

Keywords

person-centered carenursing home adjustmentlife satisfactionnursing homerelationship developmentpath analysis
Type
Original Research Article
Information
International Psychogeriatrics , Volume 30 , Issue 10: Issue Theme: Mild Cognitive Impairment , October 2018 , pp. 1519 - 1530
Copyright
Copyright © International Psychogeriatric Association 2018 

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