ABSTRACT Background: A number of long-term care homes in Nova Scotia, Canada, have been built or redesigned with new models of care with expanded care aide scope of practice and neighborhood-style layouts. Our objective was to examine what physical characteristics (bed size, owner-operator), model of care, and relational (family–staff relationship, perceived staff–resident relationship) factors were associated with increased family-member perception of homelikeness in long-term care homes. Methods: We analyzed surveys collected from 273 family members from 23 long-term care homes in Nova Scotia, Canada. We conducted a multivariate linear regression to assess variables associated with increased family-member perception of homelikeness. Results: We found that relationships between family and staff, perceived resident-to-resident relationships, and family involvement in decision making were positively associated with increased family perception of homelikeness. We found no significant associations between model of care or physical characteristics and increased family perception of homelikeness. Conclusion: Relationships among family members, residents, and staff are integral to family members feeling at home in their loved one's long-term care home. Feeling at home in long-term care is largely related to family-member perception of meaningful social interactions between family and staff, and between residents.

中文翻译：

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影响家庭成员对长期护理院“居家感”感知的因素

摘要背景：加拿大新斯科舍省的许多长期护理院已经建造或重新设计，采用新的护理模式，扩大护理助手的实践范围和邻里式布局。我们的目标是检查哪些身体特征（床的大小、业主-经营者）、护理模式和关系（家庭-员工关系、感知的员工-居民关系）因素与家庭成员对家的感觉的长期增加有关护理院。方法：我们分析了从加拿大新斯科舍省 23 家长期护理院的 273 名家庭成员收集的调查。我们进行了多元线性回归来评估与增加家庭成员对家的感觉相关的变量。结果：我们发现家庭和员工之间的关系、感知的居民与居民之间的关系、家庭参与决策与家庭对家的感觉的增加呈正相关。我们发现护理模式或身体特征与家庭对居家感的增加之间没有显着关联。结论：家庭成员、居民和工作人员之间的关系是家庭成员在其亲人的长期护理院感到宾至如归的必要条件。在长期护理中感到宾至如归在很大程度上与家庭成员对家庭与员工之间以及居民之间有意义的社交互动的看法有关。家庭成员、居民和工作人员之间的关系对于家庭成员在亲人的长期护理院中感到宾至如归是不可或缺的。在长期护理中感到宾至如归在很大程度上与家庭成员对家庭与员工之间以及居民之间有意义的社交互动的看法有关。家庭成员、居民和工作人员之间的关系对于家庭成员在亲人的长期护理院中感到宾至如归是不可或缺的。在长期护理中感到宾至如归在很大程度上与家庭成员对家庭与员工之间以及居民之间有意义的社交互动的看法有关。