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

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

doi:10.1002/hsr2.743

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

Health Sci Rep. 2022 Jul 20;5(4):e743. doi: 10.1002/hsr2.743. eCollection 2022 Jul.

Authors

Sara Clemens¹, Katelynn Aelick², Jessica Babineau^{3

4}, Monica Bretzlaff², Cathleen Edwards⁵, Josie-Lee Gibson⁶, Debbie Hewitt Colborne², Andrea Iaboni^{1

7}, Dee Lender⁶, Denise Schon⁸, Ellen Snowball¹, Katherine S McGilton^{1

9}, Jennifer Bethell^{1

10}

Affiliations

¹ KITE Research Institute Toronto Rehabilitation Institute-University Health Network Toronto Ontario Canada.
² Behavioural Supports Ontario Provincial Coordinating Office North Bay Regional Health Centre North Bay Ontario Canada.
³ Library and Information Services University Health Network Toronto Ontario Canada.
⁴ The Institute for Education Research University Health Network Toronto Ontario Canada.
⁵ Family Councils Ontario Toronto Ontario Canada.
⁶ Ontario Association of Residents' Councils Newmarket Ontario Canada.
⁷ Department of Psychiatry University of Toronto Toronto Ontario Canada.
⁸ Lakeside Long-Term Care Centre Family Council Toronto Ontario Canada.
⁹ Lawrence S. Bloomberg Faculty of Nursing University of Toronto Toronto Ontario Canada.
¹⁰ Institute of Health Policy, Management and Evaluation University of Toronto Toronto Ontario Canada.

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.

Keywords: nursing home design and construction; personnel staffing and scheduling; social behavior; social isolation.

Publication types

Review