• Journal of the Korean Home Economics Association
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• v.40 no.9
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• pp.191-205
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• 2002

The purpose of this study is to identify the homelike design characteristics of elderly housing facility. To investigate what the preference of physical design characteristics are, interview was done by unstructured questionnaire to 30 middle aged and middle income group housewives living in Seoul. It was identified that preferred homelike physical characteristics of the houses were composed of 4 themes, housing types, building appearences and garden, floor plan and natural and social environments of its location. Their desirable housing standard was amenity which is the highest level of home environment. In their later life, they wanted to live in vicinity of Seoul to enjoy cultural benefits of the city and active outdoor activities in sunny, natural suburban environment. They liked a spacious, clean and bright color with natural material furnishings. Each architectural design expression of 4 themes was suggested.

• Architectural research
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• v.23 no.2
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• pp.19-28
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• 2021

Reduction in competence makes older adults with dementia more sensitive to the influence of the physical environment. The aim of the longitudinal study was to examine whether residents with dementia in long-term facilities with variability in physical environmental characteristics in Vancouver (N= 11), Canada and Stockholm (N=13), Sweden had a difference in their quality of life (QoL). QoL was assessed using Dementia Care Mapping tool three times over one year for the reliability of data. The results of the study demonstrated that the residents with dementia living in a homelike and positive stimulating setting showed less withdrawn behaviors and a higher level of well-being compared to those in a large-scale institutional setting. This study also found that the residents living in a large-scale institutional environment spent more monotonous times than the other groups, which may be to provision of fewer structured activity programs or less social interaction with neighbors or staff members. Residents living in a large-scale institutional setting in Canada showed so far as five times more agitated/ distressed behaviors and twice more withdrawal compared to the ones living in a small-scale homelike setting in Sweden. The study supports that the large-scale institutional environment was considerably associated with levels of lower quality of life among the residents with dementia.

• Architectural research
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• v.9 no.1
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• pp.9-18
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• 2007

The objective of this research study was twofold; 1) to explore and identify health supportive design factors in Swedish elderly care homes and 2) to understand their usefulness and suggest implication in Korean elderly care settings. A descriptive and explorative method was applied using a combination of field studies and semi-structured interviews. Three study trips were carried out during Sept. $14^{th}$ and Oct. $12^{th}$ 2005; two facilities situated in Stockholm suburbs and one in the south of Sweden. According to this research, the valuable factors to support health and well-being for the elderly are as follows; 1) Community integration: These elderly care homes are generally places close to a residential area center or a city center. Services are often shared between residents and community members at large, consequently there is a flow of "visitors" of all ages connecting with the facility on a daily basis. 2) Homelike environment: A noteworthy aspect of Swedish elderly care homes is keeping the facility appearance as homelike as possible. The associations with home may be explored through the appearance and configuration of both the exterior and interior of the building. These homes seemed to be designed with a conscious aim to create a homelike setting. 3) Small scale approach: Clustering of resident rooms is one method through which the small scale approach can be achieved in larger facilities. With unit clusters, the facility can foster opportunities for social interactions among resident. 4) Accessibility to garden and nature: The courtyard is a well developed concept in planning elderly care homes in Sweden. They are generally safe and easily accessible to the residents. Studying Swedish models may provide practical knowledge of how the physical setting may improve resident's health in Korean elderly care homes.

• Journal of the Korean housing association
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• v.17 no.1
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• pp.19-27
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• 2006

This research deals with the residential environment for the elderly and describes characteristics to give a positive effect on elderly's health and quality of life in Sweden. Five elderly care home recommended by a municipality staff in Stockholm are surveyed on $01\~03$ October 2003. The results of this study are as follows: 1) homelike atmosphere is regarded as a basic design concept and is applied to size, materials, scale, color, and furniture of elderly housing in Sweden, 2) regarding of the exterior features, it is similar to the ordinary house rather than institution building, 3) arrangement of spaces is planned for several small groups consisting of 6-8 residents, 4) open-space planning on public kitchen and dinning room allows residents to feel comfortable when they can hear a sound and smell a meal, 5) private flat is to provide amenities for sleeping, rest, storage, social interaction, meals, hygiene and other every activities

• Journal of the Korean Home Economics Association
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• v.39 no.12
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• pp.141-158
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• 2001

The purpose of this study was identifying the essential concept of home of middle class and aged housewives by using a critical incident methodology. All 30 subjects participated in structured interviews designed to elicit statements describing the attributes of home and non-home environment. The qualities of comfort, place-attachment, self-expression, fundamental values and personal identity, social relationships, economic value, and a suitable physical structure were associated with home environments, and were absent in residences which were not regarded as homes.

• Journal of Families and Better Life
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• v.23 no.4 s.76
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• pp.67-77
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• 2005

The purpose of this study was to identify housing attributes that make residents feel 'at home' in ALFs in Southwest Virginia. For this purpose, residents' needs, experiences, and opinions of the physical environment, the social environment and the organizational environments such as policies and programs of ALFs were identified. As a multi-case study, five ALFs in Southwest Virginia were studied using constant comparative methods of data analysis. In addition to face-to-face interviews with 25 residents and 5 administrators of five ALFs, observations were conducted with personal journal. Each facility was designed to be a single-family house or multi-family dwelling in outside appearance. Most of the respondents were satisfied with their current dwelling as a 'home' in terms of homelike attributes such as 'autonomy/ privacy', personalization,' safety and security,' services and care,' independence,' social interaction/friendship,' family support,' and 'rules and regulations.' In spite of high satisfaction with the facility, however, many people did not think of their current dwelling as a real 'home'. As the biggest difference between living in their own homes and living in the ALF, people feinted out a lack of independence and social interaction. Residents of ALFs may have reordered their priorities in their current life situation so that safety, security, and caie were more important to them than fooling "at home."

• Journal of Korean Academy of Nursing
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• v.38 no.3
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• pp.474-482
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• 2008

Purpose: The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz's Observable Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes. Methods: The study employed a three-phase methodological research design. 1) The original instrument of Rantz's. ONHQ was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested.in 98 nursing homes. Results: Seven factors were extracted through factor analysis: 'communication', 'care delivery', 'grooming', 'odor, 'environment-basics', 'environment-access', and 'environment-homelike'. These factors explained 86.07% of the total variance. Cronbach's alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range of quality level. Conclusion: The Korean version of the ONHQ was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2002.11a
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• pp.137-142
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• 2002

The purpose of this study was to examine the features that make residents feel “at home” in ALFs in Southwest Virginia and to suggest further policy and design guidelines for better Quality of ALFs as a “home.” For this purpose, residents' needs, experiences, and opinions of the physical environment, the social environment, and the organizational environments such as policies and programs of ALFs were identified. As a multi-case study, five ALFs in Southwest Virginia were studied using constant comparative methos of data analysis. In addition to face-to-face interviews with 25 residents and five administrators of five ALFs, observations were conducted with personal journal. Overall, the five sites selected presented homelike features showing the philosophy of assisted living which combines housing and services. Each facility was designed to be a single-family house or multi-family dwelling in outside appearance. As a whole, residents felt isolation and loneliness and they did not have active interaction with other residents because of diverse background among the residents. However, all of them had close relationships with the staff. The staff's attitude and behavior seemed to influence greatly the residents' feeling “at home.” Despite the provision of diverse activities by the facilities, many residents did not participate in the programs. Most of the residents agreed that the rule and regulations were fair. In spite of high satisfaction with the facility, many people did not think of their current dwelling as a real ‘home.’ As the biggest difference between living in their own homes and living in the ALF, people pointed out a lack of independence, freedom, and autonomy. Residents of ALFs may have reordered their priorities in their current life situation so that safety, security, and care were more important to them than feeling “at home.” Among the three factors --physical, social, and organizational-- that affect the residents' perception of ALFs as a “home, ” many emphasized the importance of social factors such as relationships with the staff and residents, and social support from their family or friends.

• Journal of the Korean housing association
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• v.12 no.4
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• pp.73-81
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• 2001

The purpose of this study was to carry out POE of assisted living housing and suggest the design guidelines for the housing complex for the elderly. The subjects were residents(old persons) and staff who lived or worked in three assisted living housing in Cincinnati, Ohio. Interview and survey method using questionnaire were used. The design guidelines for the housing for the elderly were suggested as follows: 1) the location of the housing for the elderly should be in or near the existing housing area, 2) the arrangement of spaces of the housing for the elderly should consist of small groupings rather than large and long corridor pattern, 3) the number of the housing units for the elderly should be small, under 100 units, 4) the housing units should be used by one older persons so that she/he could have the chance of privacy and personalization, 5) various common spaces such as art and craft room or game room should be provided, 6) accessibility should be considered, 7) the color and patterns of interior finishes should be differentiated according to floors or spaces and familiar ones should be used to make a homelike environment.

• Journal of Korean Critical Care Nursing
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• v.12 no.2
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• pp.61-72
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• 2019

Purpose : The aim of this study was to explore the attributes, antecedents, and consequences of patient-centered care (PCC) for older adults with multimorbidity in acute care hospitals. Methods : The concept analysis performed by Walker and Avant was used to analyze PCC. Fifteen studies from the literature related to PCC appear in systematic literature reviews in the fields of theology, medicine, psychology, and nursing. Results : PCC in acute care hospitals was defined according to the five attributes of 'maintaining patient autonomy', 'empowering self-care', 'individualized and relationship-based care', 'shared decision-making', and 'creating a homelike environment'. Antecedents of PCC were found to be a respect for patients' preferences, qualifications of the nursing staff, care coordination and integration, and organizational support. Consequences of effective PCC were a functional status; health-related quality of life; satisfaction with care, mortality, and medical costs from the perspective of the patient and family; and quality of care and therapeutic relationships from nurses' viewpoints. Conclusion : PCC as defined by the results of this study will contribute to the foundation of institutionalization and the creation of a safe and healthy acute care hospital culture focused on patients' preferences and values.