Research Article

In Their Voices: Client and Staff Perceptions of the Physical and Social Environments of Adult Day Services Centers in Taiwan

Table 1

Initial themes and subcategories reflecting participants’ views on ADS environment.

SubcategoriesThemes

Clients’ perceptions of the physical environment

Appropriate physical featuresOld style setting (Center A)
Cleanliness (Center A)

Inappropriate physical featureSmall, hospital-like space (Center B)

Staff’s perceptions of the physical environment

Appropriate physical featuresOld style setting matches the clients’ life experiences (Center A)
Open-space layout (Center A)

Inappropriate physical featureOpen-space layout (Center A)
Limited seating in the living room (Center A)
Hospital-like environment (Center B)
Small space with confusing floor patterns (Center B)

Clients’ perceptions of the social environment

Appropriate social featuresBeing treated with respect (Center A)
Being treated like family (Center A)
Having someone to watch over me (Center B)

Inappropriate social featuresCollectivist orientation neglects individual choice (Center A) (Center B)
Being at the center is like being at school (Center A)

Staff’s perceptions of the social environment

Appropriate social featuresA sense of collective life (Center A) (Center B)
Emotional suppression when working with elders (Center A)

Inappropriate social featuresConfining clients in wheelchairs (Center B)
Labelling the clients (Center A) (Center B)