It's More Than Fur And Feathers: Process And Impact Of Implementing The Eden Alternative

2.50
Hdl Handle:
http://hdl.handle.net/10755/166057
Category:
Abstract
Type:
Presentation
Title:
It's More Than Fur And Feathers: Process And Impact Of Implementing The Eden Alternative
Author(s):
Barba, Beth
Author Details:
Beth Barba, PhD, Assistant Professor, University of North Carolina at Greensboro, Greensboro, North Carolina, USA, email: beth_barba@uncg.edu
Abstract:
Many residents of skilled care nursing facilities suffer from boredom, loneliness, hopelessness, and declining health. Life expectancy after admission to such facilities is typically under 5 years. Facilities are plagued by high rates of staff turnover and absenteeism. Families often experience guilt at placing elders in nursing homes. The Eden Alternative, conceived by Dr. William Thomas, is an alternative model of care. The Eden Alternative seeks to humanize nursing homes by reorganizing care delivery and altering the environment. Hallmarks of an Edenizing Home are the presence of plants, animals, and children in the Home, and a decentralized team approach to decision making and care delivery. Although preliminary results from other states indicate the Eden Alternative may have numerous beneficial effects, the impact of Edenizing on residents, agencies, and the community are largely unexplored. Several facilities in North Carolina (NC) are either Edenizing or planning to Edenize. The purpose of this pilot study is to lay the foundation for systematic, comprehensive evaluation of the process and impact of Edenizing on residents, agencies, families, and communities in NC. The study will be comprised of two components: an ex post factor component and a prospective component. EX POST FACTO COMPONENT: Three agencies in NC consider themselves to be following the Eden Alternative. The extent to which each agency is implementing the Ten Principles of an Edenizing Home will be evaluated. Selected outcome indicators will be obtained through retrospective review of archival records. We will compare indicators from one year before the agency began Edenizing to current data. We will examine outcome indicators which address residents' physical and emotional well-being, the impact on agencies, and the impact on the community. These outcomes will be compared to data collected at comparable non-Edenizing facilities. PROSPECTIVE COMPONENT: The Friends' Homes in Greensboro is planning to begin Edenizing with the year. We will follow this agency, and a comparison agency (Presbyterian Homes) longitudinally, and make comparisons before and after Edenizing. In addition to the data described in the Ex Post Facto component above, we will collect data on psychosocial states of residents and staff, and additional data on impact on families and the community. By February 1988 we will have completed analysis of data from the Ex Post Facto component; and will have preliminary data from the prospective component of the study.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleIt's More Than Fur And Feathers: Process And Impact Of Implementing The Eden Alternativeen_GB
dc.contributor.authorBarba, Bethen_US
dc.author.detailsBeth Barba, PhD, Assistant Professor, University of North Carolina at Greensboro, Greensboro, North Carolina, USA, email: beth_barba@uncg.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/166057-
dc.description.abstractMany residents of skilled care nursing facilities suffer from boredom, loneliness, hopelessness, and declining health. Life expectancy after admission to such facilities is typically under 5 years. Facilities are plagued by high rates of staff turnover and absenteeism. Families often experience guilt at placing elders in nursing homes. The Eden Alternative, conceived by Dr. William Thomas, is an alternative model of care. The Eden Alternative seeks to humanize nursing homes by reorganizing care delivery and altering the environment. Hallmarks of an Edenizing Home are the presence of plants, animals, and children in the Home, and a decentralized team approach to decision making and care delivery. Although preliminary results from other states indicate the Eden Alternative may have numerous beneficial effects, the impact of Edenizing on residents, agencies, and the community are largely unexplored. Several facilities in North Carolina (NC) are either Edenizing or planning to Edenize. The purpose of this pilot study is to lay the foundation for systematic, comprehensive evaluation of the process and impact of Edenizing on residents, agencies, families, and communities in NC. The study will be comprised of two components: an ex post factor component and a prospective component. EX POST FACTO COMPONENT: Three agencies in NC consider themselves to be following the Eden Alternative. The extent to which each agency is implementing the Ten Principles of an Edenizing Home will be evaluated. Selected outcome indicators will be obtained through retrospective review of archival records. We will compare indicators from one year before the agency began Edenizing to current data. We will examine outcome indicators which address residents' physical and emotional well-being, the impact on agencies, and the impact on the community. These outcomes will be compared to data collected at comparable non-Edenizing facilities. PROSPECTIVE COMPONENT: The Friends' Homes in Greensboro is planning to begin Edenizing with the year. We will follow this agency, and a comparison agency (Presbyterian Homes) longitudinally, and make comparisons before and after Edenizing. In addition to the data described in the Ex Post Facto component above, we will collect data on psychosocial states of residents and staff, and additional data on impact on families and the community. By February 1988 we will have completed analysis of data from the Ex Post Facto component; and will have preliminary data from the prospective component of the study.en_GB
dc.date.available2011-10-27T14:39:20Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:39:20Z-
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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