Journal of Education and Health Promotion

Status of observance of structural standards in rehabilitation centers and nursing homes

Document Type : Original Article

Authors

. Malihe Foruoghi
. Mahrokh Keshvari 1
. Saeeid Sadeghi 2
. Parvaneh Abazari 3

1 PHD in Nursing, Assistant Professor, Isfahan University of Medical Sciences, Isfahan, Iran

2 PHD in General Psychology, Director General of Welfare Organization of Isfahan Province

3 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
INTRODUCTION: The purpose of this study was to determine the status of observance of structural
standards in rehabilitation centers and nursing homes.
MATERIALS AND METHODS: This cross‑sectional descriptive study was carried out on 12 centers
of the nursing homes of Isfahan city during 2016–2017. The tool was a check. To complete the
checklist, the direct observation of the environment and the review of existing documents were used.
Data were analyzed by descriptive statistics and frequency distribution.
RESULTS:  The findings of this study shows that of 11 standards ofworkforce standards regarding
to health expert presence, nurse presence, therapist and extracurricular instructor presence, have
been observed innone of the centers, and the presence of social worker/psychologist in 50% of the
centers. Of the 21 standards relating to the physical environment, eight standards have not been met
in any of the centers. Of the 25 standards relating to the general conditions of building, 4 standards
have not been met in any of the centers. Of the 10 standard relating to the equipment and supplies
which are needed, 3 were not observed in any of the centers. Of the 10 standards relating to the
required services, except one, standards have been met in all centers. Of the 10 standards relating
to the general provisions, 7 are met in all centers of both types.
CONCLUSION: According to the findings, a significant percentage of standards have not been met
in any of the aging centers or just met in some of these centers. It is hoped that the results of this
study will enable authorities to promote standardization of nursing homes and rehabilitation centers.

Keywords

Elderly
nursing homes
rehabilitation centers
1. Sabharwal S, Wilson H, Reilly P, Gupte CM. Heterogeneity of
the definition of elderly age in current orthopaedic research.
Springerplus 2015;4:516.
2. VermaR, KhannaP. National program of health‑care for the elderly
in India: A hope for healthy ageing. Int J Prev Med 2013;4:1103‑7.
3. Nabavi SH, Hatami ST, Norouzi F, Gerivani Z, Hatami SE,
Monadi Ziarat H. Prevalence of fall and Its related factors among
older people in Bojnurd in 2015. Iran J Ageing 2016;11:466‑73.
4. Shahnazi H, Sobhani A. Study and comparison of different aspects
healthy lifestyle of the elderly people residing in nursing homes,
Isfahan, Iran. Iran J Ageing 2015;10:192‑201.
5. Nasiri M, Foroughan M, Rashedi V, Makarem A, Jafari Mourjan B.
Compliance to universal design criteria in nursing homes of
Tehran. Iran J Ageing 2016;11:340‑7.
6. Nazari SH, Rashedi V, Mohammadi H, Yousefi M. Relationship
between cognitive status and activities of daily living among
the elderly of nursing homes. J Kermanshah Univ Med Sci
2015;18:744‑6.
7. Sheykhi MT. Elder Sociology. Tehran: Harir Publications; 2010.
8. Darvishpoor Kakhki A, Abed Saeedi J. 8. Adv Nurs Midwifery
2013;23:8‑16. doi: 10.22037/anm.v23i82.6066.
9. Ahangarzadeh Rezaee S, Khalilzadeh H. Survey on teacher’s idea
about taking care of elder parents in Urmia in 2004. Urmia Nurs
Midwifery Fac 2005;3:4.
10. Beyrami M, Alizadeh Goradel J, Ansarhosein S ,
Ghahraman Moharrampour N. Comparing sleep quality and
general health among the elderly living at home and at nursing
home. SIJA 2014;8:47‑55.
11. Panah Ali A. Comparison between the level of happiness among
the elderly living at home and that of senior home residents. SIJA
2011;6:49‑55.
12. Ghaderi D, Mostafae A. A study on the relationship between
religious orientations and quality of life among elderly men living
in nursing homes and those living with their families in Tabriz.
Salmand 2014;9:14‑21.
13. Schüssler S, Lohrmann C. Change in care dependency and nursing
care problems in nursing home residents with and without
dementia: A 2‑year panel study. PLoS One 2015;10:e0141653.
14. Aka J. Prons and cons of putting your aging parents in nursing
home. Jachsonvill Home Care Elder 2013;30:45‑63.
15. Bell SP, Patel N, Patel N, Sonani R, Badheka A, Forman DE, et al.
Care of older adults. J Geriatr Cardiol 2016;13:1‑7.
16. Farzanegan S, Fadaye Vatan R, Mobasheri M, Seraj R,
Mansourian Y. Explanation people and their family care
explanation of them. SIJA 2012;6 Suppl 1:52‑7.
17. Heydari H, Shahsavari H, Hazini A, Nikbakht Nasrabadi A.
Exploring the barriers of home care services in Iran:
A qualitative study. Scientifica 2016;6 pages: 2056470. doi:
10.1155/2016/2056470.
18. Imani S, Torki Y, Zamani R, Ebrahimi SM. Elders’ general
self‑efficacy and its affecting factors in Iran. Iran J Public Health
2014;43:1163‑4.
19. AlizadehM, Fakhrzadeh H, Sharifi F, Mohamadiazar M, Nazari N.
Analytical performance of administrations in charge of ageing
program in Iran. IJDLD 2013;13:74‑81.
20. Larijani M, Tajmazinani AA. A study of factors influencing social
exclusion of the elderly in Varamin city. J Appl Sociol 2015;26:1516.
21. SafdariR, AlizadehM, MohamadiazarM, Sharifi F, Fakhrzadeh H.
Comparative study of home care program in Iran with other
developed countries. IJDLD 2014;13:439‑46.
22. RazzaghiZ, Karimloo M, Rahgozar M, Aghamohammadzadeh N,
Mahdizadeh A. Prediction of Vitamin D deficiency among Tabriz
elderly and nursing home residents using stereotype regression
model. SIJA 2011;6:31-7.
23. Khanlary Z, Maarefvand M, Heravi Karimoo M, Biglarian A.
Study of the effect of social work intervention on the elderly abuse
reduction. SIJA 2016;10:102‑11.
24. Shrivastava SR, Shrivastava PS, Ramasamy J. Health‑care
of elderly: Determinants, needs and services. Int J Prev Med
2013;4:1224‑5.
25. Heidari M, Ghodusi Borujeni M, Naseh L. Comparison of
self‑efficacy and loneliness between community‑dwelling and
institutionalized older people. Iran J Ageing 2016;11:142‑51.
26. Ungar A, Rafanelli M, Iacomelli I, Brunetti MA, Ceccofiglio A,
Tesi F, et al. Fall prevention in the elderly. Clin Cases Miner Bone
Metab 2013;10:91‑5.
27. Chaves C, Santos M. Patient satisfaction in relation to nursing
care at home. Procedia Soc Behav Sci 2016;217:1124‑32.
28. Bowles KH, Dykes P, Demiris G. The use of health information
technology to improve care and outcomes for older adults. Res
Gerontol Nurs 2015;8:5‑10.
Journal of Education and Health Promotion
Volume 8, Issue 7
July 2018
Pages 1-12

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