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Table 1 Physical, social and organizational characteristics: traditional nursing homes vs. small-scale living facilities.

From: The effects of small-scale, homelike facilities for older people with dementia on residents, family caregivers and staff: design of a longitudinal, quasi-experimental study

 

Traditional nursing home

Small-scale living facility

Physical

- Large-scale wards

(>20 residents)

- Long corridors

- Institutional character

- Small units

(6 – 8 residents)

- Homelike character, based on a archetype house

Social

- Many fellow residents and nursing staff working at one ward

- Emphasis on family situation

- Residents form a group

- Nursing staff is part of the household

Organizational

- more 'Top-down': organization/nursing home decides daily routine

- Task-differentiation: many different functions and staff

- more 'bottom-up': residents and family caregivers have a large influence on daily routine

- Nursing staff have integrated tasks: i.e. medical, personal care, activities and household