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Assessing the quality of environmental design of nursing homes for people with dementia: development of a new tool

Journal Article


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Abstract


  • Objective

    To develop an environmental audit tool suitable for use across the spectrum of people with dementia.

    Method

    The existing Environmental Audit Tool was supplemented with items describing the environmental needs of people in the final stages of dementia. Two independent raters assessed 30 aged care homes using this draft tool and the Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH). The Environmental Audit Tool-High Care, comprising eight sub-scales with acceptable levels of internal reliability, was constructed. Validity was assessed against the TESS-NH and the EAT-HC's ability to differentiate units specifically for people with dementia from other residential care units.

    Results

    The EAT-HC sub-scales' inter-rater reliability (ICC) ranged from 0.52 to 0.92. Correlations with the TESS-NH were highly significant. The EAT-HC total score differentiated between dementia-specific homes and others.

    Conclusion

    The EAT-HC can validly and reliably assess environmental features required by a wide range of people with dementia.

Publication Date


  • 2015

Citation


  • Fleming, R. & Bennett, K. (2015). Assessing the quality of environmental design of nursing homes for people with dementia: development of a new tool. Australasian Journal on Ageing, 34 (3), 191-194.

Scopus Eid


  • 2-s2.0-84940941828

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=4155&context=smhpapers

Ro Metadata Url


  • http://ro.uow.edu.au/smhpapers/3132

Number Of Pages


  • 3

Start Page


  • 191

End Page


  • 194

Volume


  • 34

Issue


  • 3

Abstract


  • Objective

    To develop an environmental audit tool suitable for use across the spectrum of people with dementia.

    Method

    The existing Environmental Audit Tool was supplemented with items describing the environmental needs of people in the final stages of dementia. Two independent raters assessed 30 aged care homes using this draft tool and the Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH). The Environmental Audit Tool-High Care, comprising eight sub-scales with acceptable levels of internal reliability, was constructed. Validity was assessed against the TESS-NH and the EAT-HC's ability to differentiate units specifically for people with dementia from other residential care units.

    Results

    The EAT-HC sub-scales' inter-rater reliability (ICC) ranged from 0.52 to 0.92. Correlations with the TESS-NH were highly significant. The EAT-HC total score differentiated between dementia-specific homes and others.

    Conclusion

    The EAT-HC can validly and reliably assess environmental features required by a wide range of people with dementia.

Publication Date


  • 2015

Citation


  • Fleming, R. & Bennett, K. (2015). Assessing the quality of environmental design of nursing homes for people with dementia: development of a new tool. Australasian Journal on Ageing, 34 (3), 191-194.

Scopus Eid


  • 2-s2.0-84940941828

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=4155&context=smhpapers

Ro Metadata Url


  • http://ro.uow.edu.au/smhpapers/3132

Number Of Pages


  • 3

Start Page


  • 191

End Page


  • 194

Volume


  • 34

Issue


  • 3