M.E. Nieboer

The Importance of Personal Possessions for the Development of a Sense of Home of Nursing Home Residents

ABSTRACT Personal possessions of nursing home residents can contribute to their sense of home. This study investigated which of the personal belongings were considered most important, and if these items indeed contributed to a sense of home. A qualitative research was conducted with 27 nursing home residents. Photographs, paintings, and pieces of furniture are objects with sentimental value. The television set is valued for its practical function. Residents of larger rooms have more flexibility in bringing along personal items, including pieces of furniture. The results of this study can be used for the design of nursing homes or for making informed choices during the process of institutionalization.

The Essential Elements for a Nursing Home According to Stakeholders from Healthcare and Technology: Perspectives from Multiple Simultaneous Monodisciplinary Workshops

Technology and architectural solutions are needed as a means of support in future nursing homes. This study investigated how various monodisciplinary groups of stakeholders from healthcare and technology envision the nursing home of the future and which elements are necessary for its creation. Moreover, differences in needs and interests between the various stakeholders were considered. This qualitative study gathered data via 10 simultaneous sticky note brainstorm sessions with 95 professional stakeholders, which resulted in 1459 quotes in five categories that were clustered into themes and processed into word clouds. The stakeholders prioritized the needs of the resident and placed the most importance on the fact that a nursing home is primarily a place to live in the final stages of ones life. A mix of factors related to the quality of care and the quality of the built environment and technology is needed. Given the fact that there are differences in what monodisciplinary groups of stakeholders see as an ideal nursing home, multidisciplinary approaches should be pursued in practice to incorporate as many new views and stakeholder needs as possible.

Innovations in multidisciplinary education in healthcare and technology

The growing importance of technology in health care calls for interdisciplinary study programmes in which students with various backgrounds work together in exploring and designing new solutions for real-life problems. The Centre of Healthcare and Technology of Fontys University of Applied Sciences (Fontys EGT), the Netherlands, is presented as an example of how new initiatives in the field of education at the crossroads of health care and technology can be shaped and implemented in practice. A case study illustrating one of the student projects is provided as an example of the approach to educational innovation and interdisciplinary collaboration.

Exploring innovative solutions for quality of life and care of bed-ridden nursing home residents through codesign sessions

Bed-ridden nursing home residents are in need of environments which are homelike and facilitate the provision of care. Design guidance for this group of older people is limited. This study concerned the exploration and generation of innovative environmental enrichment scenarios for bed-ridden residents. This exploration was conducted through a combination of participatory action research with user-centred design involving 56 professional stakeholders in interactive work sessions. This study identified numerous design solutions, both concepts and products that are available on the marketplace and that on a higher level relate to improvements in resident autonomy and the supply of technological items and architectural features. The methodology chosen can be used to explore the creative potential of stakeholders from the domain of healthcare in product innovation.

Origins and consequences of technology acquirement by independent-living seniors: towards an integrative model

BackgroundLiving independently can be challenging for seniors. Technologies are expected to help older adults age in place, yet little empirical research is available on how seniors develop a need for technologies, how they acquire these technologies, and how these subsequently affect their lives. Aging is complex, dynamic and personal. But how does this translate to seniors’ adoption and acceptance of technology? To better understand origins and consequences of technology acquirement by independent-living seniors, an explorative longitudinal qualitative field study was set up.MethodsHome visits were made to 33 community-dwelling seniors living in the Netherlands, on three occasions (2012–2014). Semi-structured interviews were conducted on the timeline of acquirements, and people and factors involved in acquirements. Additionally, participants were interviewed on experiences in using technologies since acquirement. Thematic analysis was employed to analyze interview transcripts, using a realist approach to better understand the contexts, mechanisms and outcomes of technology acquirements.ResultsFindings were accumulated in a new conceptual model: The Cycle of Technology Acquirement by Independent-Living Seniors (C-TAILS), which provides an integrative perspective on why and how technologies are acquired, and why these may or may not prove to be appropriate and effective, considering an independent-living senior’s needs and circumstances at a given point in time. We found that externally driven and purely desire-driven acquirements led to a higher risk of suboptimal use and low levels of need satisfaction.ConclusionsTechnology acquirement by independent-living seniors may be best characterized as a heterogeneous process with many different origins, pathways and consequences. Furthermore, technologies that are acquired in ways that are not congruent with seniors’ personal needs and circumstances run a higher risk of proving to be ineffective or inappropriate. Yet, these needs and circumstances are subject to change, and the C-TAILS model can be employed to better understand contexts and mechanisms that come into play.

Professional Values: The Use of Technology and the New Generation of Clinicians

For care professionals, the main drive and, related to that, their job satisfaction, is based on being able to satisfy the needs of those who receive their care. Furthermore, most professionals working in contexts in which chronic care is provided, value inter-collegial respect and appreciation of supervisors. Therefore, success and failure factors of implementation of technology in health-care situations are associated with the disruption or support of these values. Mostly, health-care professionals do not themselves think about technological solutions for clinical problems, and therefore, they need support in relating technological solutions to care recipients’ needs. In this chapter, a short overview of professional values is given. Next, we outline how technology can be seen as disrupting professional values but also how it can be supportive of professional values, sometimes unexpected, as practice examples show. The chapter is concluded by consequences for daily practice and education in health-care professions.

How to Guide the Use of Technology for Ageing-in-Place? An Evidence-Based Educational Module

Aim: Technology is suggested to support ageing-in-place. For care- and technology professionals working with older persons it is important to know how to facilitate the use of technology by older persons. This paper presents the translation of the results of a field study into multilevel and multidisciplinary educational material. Method: During home visits, community-dwelling seniors were interviewed regarding reasons for their level of technology use. All types of technology that could support activities of daily living, were included. Resulting themes formed the basis of the development of personas and scripts for education. Next, lecturers from vocational and higher technical and care education developed an evidence-based educational module from the perspective of professional service provision. Results: 53 older adults were interviewed. The level of technology use is influenced by six themes: challenges in the domain of independent living; behavioural options; personal thoughts on technology use; influence of the social network; influence of organisations; and the role of the physical environment. Four personas were developed, one of which was featured into a film, with twelve separate scenes. For each scene, lessons were developed that consisted of specific questions (first level), in-depth questions (second level) and suggestions for classes (for lecturers). Three personas were translated into case histories. Conclusion: Older adults’ perceptions and use of technology are embedded in their personal, social, and physical context. To improve successful technology use to support ageing-in-place, professionals from the domain of care and technology can be trained to be aware of these factors.