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Evaluating physical environments for older people-Validation of the Swedish version of the Sheffield Care Environment Assessment Matrix for use in Finnish long-term care

Stolt Minna; Nordin Susanna; Suhonen Riitta; Wahlroos Niina

dc.contributor.authorStolt Minna
dc.contributor.authorNordin Susanna
dc.contributor.authorSuhonen Riitta
dc.contributor.authorWahlroos Niina
dc.date.accessioned2022-10-28T13:37:51Z
dc.date.available2022-10-28T13:37:51Z
dc.identifier.urihttps://www.utupub.fi/handle/10024/166318
dc.description.abstractAim: To validate a Finnish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM) instrument for assessing the physical environment of long-term care settings and to describe the current status of the environmental quality of long-term care settings for older people in Finland.Background: The importance of providing a well-designed physical environment for older people is supported by the research literature. There is limited research of the physical environments of long-term care settings from the perspective of nursing science and nor is there much research into the instruments for assessing them.Design: A descriptive, correlational and observational study.Methods: Forward and back translation process was used followed by structured observations with S-SCEAM-Fin in 20 long-term care units in intensive residential care facilities for older people with 24-h nursing assistance and with extensive support for daily activities. Spearman's rho correlation, Cohen's kappa, percentage of agreement and Kuder-Richardson formula coefficients were calculated to assess psychometric properties of the translated S-SCEAM-Fin. S-SCEAM-Fin standardised scores were calculated to describe the current status of the environmental quality.Results: Inter-scale (domain) correlations showed low to moderate correlations between the domains. Consistency was acceptable in four of the domains. Cohen's kappa values indicated good (0.796 and 0.648) intra-rater and inter-rater (0.910 and 0.553) reliability. The overall mean of the standardised scores was 57.00, but there was variation between domains. Small units received the highest scores in the six domains.Conclusions: S-SCEAM-Fin was useful in assessing environmental quality. Assessment of the environmental quality disclosed deficiencies in ensuring settings adequate for older people.Implications for practice: The increasing numbers of older people with health conditions are residing in long-term care settings. It is essential to create supportive physical environments. The instrument can be useful when planning new facilities or proposing new recommendations for institutional living environments.
dc.language.isoen
dc.publisherWILEY
dc.titleEvaluating physical environments for older people-Validation of the Swedish version of the Sheffield Care Environment Assessment Matrix for use in Finnish long-term care
dc.identifier.urlhttps://doi.org/10.1111/opn.12383
dc.identifier.urnURN:NBN:fi-fe2021093048702
dc.contributor.organizationfi=tyks, vsshp|en=tyks, vsshp|
dc.contributor.organizationfi=hoitotieteen laitos|en=Department of Nursing Science|
dc.contributor.organization-code2607400
dc.converis.publication-id62083202
dc.converis.urlhttps://research.utu.fi/converis/portal/Publication/62083202
dc.identifier.eissn1748-3743
dc.identifier.jour-issn1748-3735
dc.okm.affiliatedauthorWahlroos, Niina
dc.okm.affiliatedauthorStolt, Minna
dc.okm.affiliatedauthorDataimport, tyks, vsshp
dc.okm.affiliatedauthorSuhonen, Riitta
dc.okm.discipline316 Nursingen_GB
dc.okm.discipline316 Hoitotiedefi_FI
dc.okm.internationalcopublicationinternational co-publication
dc.okm.internationalityInternational publication
dc.okm.typeJournal article
dc.publisher.countryBritanniafi_FI
dc.publisher.countryUnited Kingdomen_GB
dc.publisher.country-codeGB
dc.relation.articlenumberARTN e12383
dc.relation.doi10.1111/opn.12383
dc.relation.ispartofjournalInternational Journal of Older People Nursing
dc.year.issued2021


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