Home‐ and community‐level predictors of social connection in nursing home residents: A scoping review

Abstract Background and Aims Social connection is associated with better physical and mental health and is an important aspect of the quality of care for nursing home residents. The primary objective of this scoping review was to answer the question: what nursing home and community characteristics h...

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Main Authors: Sara Clemens, Katelynn Aelick, Jessica Babineau, Monica Bretzlaff, Cathleen Edwards, Josie‐Lee Gibson, Debbie Hewitt Colborne, Andrea Iaboni, Dee Lender, Denise Schon, Ellen Snowball, Katherine S. McGilton, Jennifer Bethell
Format: Article
Language:English
Published: Wiley 2022-07-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.743
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author Sara Clemens
Katelynn Aelick
Jessica Babineau
Monica Bretzlaff
Cathleen Edwards
Josie‐Lee Gibson
Debbie Hewitt Colborne
Andrea Iaboni
Dee Lender
Denise Schon
Ellen Snowball
Katherine S. McGilton
Jennifer Bethell
author_facet Sara Clemens
Katelynn Aelick
Jessica Babineau
Monica Bretzlaff
Cathleen Edwards
Josie‐Lee Gibson
Debbie Hewitt Colborne
Andrea Iaboni
Dee Lender
Denise Schon
Ellen Snowball
Katherine S. McGilton
Jennifer Bethell
author_sort Sara Clemens
collection DOAJ
description Abstract Background and Aims Social connection is associated with better physical and mental health and is an important aspect of the quality of care for nursing home residents. The primary objective of this scoping review was to answer the question: what nursing home and community characteristics have been tested as predictors of social connection in nursing home residents? The secondary objective was to describe the measures of social connection used in these studies. Methods We searched MEDLINE(R) ALL (Ovid), CINAHL (EBSCO), APA PsycINFO (Ovid), Scopus, Sociological Abstracts (ProQuest), Embase and Embase Classic (Ovid), Emcare Nursing (Ovid), and AgeLine (EBSCO) for research that quantified associations between nursing home and/or community characteristics and resident social connection. Searches were limited to English‐language articles published from database inception to search date (July 2019) and update (January 2021). Results We found 45 studies that examined small‐scale home‐like settings (17 studies), facility characteristics (14 studies), staffing characteristics (11 studies), care philosophy (nine studies), and community characteristics (five studies). Eight studies assessed multiple home or community‐level exposures. The most frequent measures of social connection were study‐specific assessments of social engagement (11 studies), the Index of Social Engagement (eight studies) and Qualidem social relations (six studies), and/or social isolation (five studies) subscales. Ten studies assessed multiple social connection outcomes. Conclusion Research has assessed small‐scale home‐like settings, facility characteristics, staffing characteristics, care philosophy, and community characteristics as predictors of social connection in nursing home residents. In these studies, there was no broad consensus on best approach(es) to the measurement of social connection. Further research is needed to build an evidence‐base on how modifiable built environment, staffing and care philosophy characteristics—and the interactions between these factors—impact residents' social connection.
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spelling doaj.art-de183dede32d4290a5d405423acabf022022-12-22T02:52:31ZengWileyHealth Science Reports2398-88352022-07-0154n/an/a10.1002/hsr2.743Home‐ and community‐level predictors of social connection in nursing home residents: A scoping reviewSara Clemens0Katelynn Aelick1Jessica Babineau2Monica Bretzlaff3Cathleen Edwards4Josie‐Lee Gibson5Debbie Hewitt Colborne6Andrea Iaboni7Dee Lender8Denise Schon9Ellen Snowball10Katherine S. McGilton11Jennifer Bethell12KITE Research Institute Toronto Rehabilitation Institute‐University Health Network Toronto Ontario CanadaBehavioural Supports Ontario Provincial Coordinating Office North Bay Regional Health Centre North Bay Ontario CanadaLibrary and Information Services University Health Network Toronto Ontario CanadaBehavioural Supports Ontario Provincial Coordinating Office North Bay Regional Health Centre North Bay Ontario CanadaFamily Councils Ontario Toronto Ontario CanadaOntario Association of Residents' Councils Newmarket Ontario CanadaBehavioural Supports Ontario Provincial Coordinating Office North Bay Regional Health Centre North Bay Ontario CanadaKITE Research Institute Toronto Rehabilitation Institute‐University Health Network Toronto Ontario CanadaOntario Association of Residents' Councils Newmarket Ontario CanadaLakeside Long‐Term Care Centre Family Council Toronto Ontario CanadaKITE Research Institute Toronto Rehabilitation Institute‐University Health Network Toronto Ontario CanadaKITE Research Institute Toronto Rehabilitation Institute‐University Health Network Toronto Ontario CanadaKITE Research Institute Toronto Rehabilitation Institute‐University Health Network Toronto Ontario CanadaAbstract Background and Aims Social connection is associated with better physical and mental health and is an important aspect of the quality of care for nursing home residents. The primary objective of this scoping review was to answer the question: what nursing home and community characteristics have been tested as predictors of social connection in nursing home residents? The secondary objective was to describe the measures of social connection used in these studies. Methods We searched MEDLINE(R) ALL (Ovid), CINAHL (EBSCO), APA PsycINFO (Ovid), Scopus, Sociological Abstracts (ProQuest), Embase and Embase Classic (Ovid), Emcare Nursing (Ovid), and AgeLine (EBSCO) for research that quantified associations between nursing home and/or community characteristics and resident social connection. Searches were limited to English‐language articles published from database inception to search date (July 2019) and update (January 2021). Results We found 45 studies that examined small‐scale home‐like settings (17 studies), facility characteristics (14 studies), staffing characteristics (11 studies), care philosophy (nine studies), and community characteristics (five studies). Eight studies assessed multiple home or community‐level exposures. The most frequent measures of social connection were study‐specific assessments of social engagement (11 studies), the Index of Social Engagement (eight studies) and Qualidem social relations (six studies), and/or social isolation (five studies) subscales. Ten studies assessed multiple social connection outcomes. Conclusion Research has assessed small‐scale home‐like settings, facility characteristics, staffing characteristics, care philosophy, and community characteristics as predictors of social connection in nursing home residents. In these studies, there was no broad consensus on best approach(es) to the measurement of social connection. Further research is needed to build an evidence‐base on how modifiable built environment, staffing and care philosophy characteristics—and the interactions between these factors—impact residents' social connection.https://doi.org/10.1002/hsr2.743nursing home design and constructionpersonnel staffing and schedulingsocial behaviorsocial isolation
spellingShingle Sara Clemens
Katelynn Aelick
Jessica Babineau
Monica Bretzlaff
Cathleen Edwards
Josie‐Lee Gibson
Debbie Hewitt Colborne
Andrea Iaboni
Dee Lender
Denise Schon
Ellen Snowball
Katherine S. McGilton
Jennifer Bethell
Home‐ and community‐level predictors of social connection in nursing home residents: A scoping review
Health Science Reports
nursing home design and construction
personnel staffing and scheduling
social behavior
social isolation
title Home‐ and community‐level predictors of social connection in nursing home residents: A scoping review
title_full Home‐ and community‐level predictors of social connection in nursing home residents: A scoping review
title_fullStr Home‐ and community‐level predictors of social connection in nursing home residents: A scoping review
title_full_unstemmed Home‐ and community‐level predictors of social connection in nursing home residents: A scoping review
title_short Home‐ and community‐level predictors of social connection in nursing home residents: A scoping review
title_sort home and community level predictors of social connection in nursing home residents a scoping review
topic nursing home design and construction
personnel staffing and scheduling
social behavior
social isolation
url https://doi.org/10.1002/hsr2.743
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