Exploring resident thriving in relation to the nursing home environment: A cross‐sectional study

Aim To explore the extent to which environmental factors are associated with resident thriving. Background Thriving is a concept that denotes experiences of well‐being in relation to the living environment. Although there is a substantial body of research into quality of life in nursing homes, less is known about what contributes to thriving among residents. Recent research on resident thriving has focused mainly on resident characteristics and activities associated with thriving. Less attention has been given to explore associations with the physical and psychosocial environment of the nursing home. This study explores facility‐ and unit‐level factors associated with resident thriving. Design A cross‐sectional national survey. Methods Data on 4,205 residents, 3,509 staff, and environment of 147 nursing home facilities collected in 2013–2014 were analysed using descriptive statistics, multilevel simple, and multiple linear regression to explore resident thriving in relation to environmental factors. Results Multilevel analysis revealed that residents’ thriving varied significantly across nursing home units. Several environmental factors were associated with thriving in univariate analyses. However, a positive psychosocial climate of units, having access to newspapers, living in a special care unit, and living in an unlocked facility showed significant positive associations with resident thriving when controlling for resident characteristics. The psychosocial climate showed the strongest association of the environment variables with resident thriving. Conclusions Nursing home environments may have an impact on residents’ thriving. A positive psychosocial climate of units seems to have an important role in facilitating thriving in nursing home residents. 目的 探讨环境因素与居民增长的关联程度。 背景 蓬勃发展是一个概念,表示与生活环境相关的幸福感。尽管对护理院的生活质量进行了大量研究,但对于促进居民增长的因素知之甚少。关于居民增长的最新研究主要集中在患者特征和与发展相关的活动上。较少关注探讨与护理院物质和心理社会环境的关联。本研究探讨了与居民增长相关的设施级和科室级因素。 设计 全国横向调查。 方法 采用描述统计学、多层次简单、多元线性回归分析2013‐2014年收集的关于4,205名患者、3,509名护理人员和147家护理院设施环境的数据,以探讨与环境因素相关的居民增长情况。 结果 多层次分析显示,居民增长在不同的护理院有明显差异。一些环境因素与单变量分析中的增长有关。 然而,在控制居民特征时,护理院的积极心理社会气氛,可获取报纸,住在特殊护理室,以及生活在封闭式设施内,显示与居民增长呈明显的正相关。社会心理气氛显示了环境变量与居民增长的关联最强。 结论 护理院的环境可能会影响居民的增长。 积极的社会心理气氛似乎在促进护理院居民的增长方面发挥着重要作用。