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Wandering and the physical environment

By D.L. Algase, E. Beattie, C. Antonakos, C.A. Beel-Bates and L. Yao


Background/Rationale\ud \ud Guided by the need-driven dementia-compromised behavior (NDB) model, this study examined influences of the physical environment on wandering behavior. \ud \ud Methods\ud \ud Using a descriptive, cross-sectional design, 122 wanderers from 28 long-term care (LTC) facilities were videotaped 10 to 12 times; data on wandering, light, sound, temperature and humidity levels, location, ambiance, and crowding were obtained. Associations between environmental variables and wandering were evaluated with chi-square and t tests; the model was evaluated using logistic regression. \ud \ud Results\ud \ud In all, 80% of wandering occurred in the resident’s own room, dayrooms, hallways, or dining rooms. When observed in other residents’ rooms, hallways, shower/baths, or off-unit locations, wanderers were likely (60%-92% of observations) to wander. The data were a good fit to the model overall (LR [logistic regression] χ2 (5) = 50.38, P < .0001) and by wandering type. \ud \ud Conclusions\ud \ud Location, light, sound, proximity of others, and ambiance are associated with wandering and may serve to inform environmental designs and care practices

Topics: 111000 NURSING, dimentia, model testing, wandering, observational methods, physical environment, NDB model
Publisher: Sage Publications, Inc.
Year: 2010
DOI identifier: 10.1177/1533317510365342
OAI identifier: oai:eprints.qut.edu.au:37270
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