Review Article

The Factors Influencing the Sense of Home in Nursing Homes: A Systematic Review from the Perspective of Residents

Table 1

Characteristics of the 17 reviewed articles.

Author (year) [reference]Design and number of participantsSettingGoal of studyNotes

Bland (2005) [12]Interview ().Nursing home, psychogeriatric ward in New Zealand.To provide insight into how people in New Zealand feel at home in a nursing home.

Carboni (1990) [19]Hybrid model of field observations and theoretical analysis. Unstructured interviews (). Nursing home with 120 beds in the USA.To study if residents feel “at home” (and how this is defined for the participants) and if this has a specific meaning. It is hard to differentiate between the field observations and theoretical analysis. It is not clear if any of the residents have a psychogeriatric background.

Cooney (2012) [15]Unstructured interviews with residents ().Public and private long-term care settings in Ireland.To understand older people’s perceptions of “being at home” in long-term care settings and the factors that influence these perceptions.

de Veer and Kerkstra (2001) [20]Quantitative study with 686 residents (with both mental and physical health problems) or significant others of residents.36 nursing homes in the Netherlands.To examine the determinants of “feeling at home” in nursing homes

Falk et al. (2013) [21]Qualitative study comprised of interviews ().Several care institutions in Sweden. To understand the strategies creating a sense of home.

Fleming et al. (2015) [22]Focus groups (FG) with family caregivers of people with dementia (FG1) and people with dementia and family caregivers of people with dementia (FG2) and practitioners caring for people with dementia nearing or at the end of their lives (FG3) ().Focus groups were conducted among people suffering from dementia in three big cities in NSW, Australia.To explore the views of people with dementia, family caregivers, and professionals on what aspects of the physical environment would be important to support a good quality of life to the very end.There is no clear distinction if participants of focus groups 1 and 2 lived at home or in a nursing home. Focus group 3 included a care home manager, a dementia care educator, and a palliative care nurse researcher. Their work experience could be obtained at home or in the nursing home.

Hauge and Heggen (2008) [23]Participant observation and interviewing ().Two Norway based long-stay units with 12 residents in each unit. To study how and to what extent the ideas of a nursing home as a home have been realized.

Jonsson et al. (2014) [24]Interviews ().Three nursing homes in Stockholm, Sweden. To explore the relationship between furniture and people.

Klaassens and Meijering (2015) [25]Observations, in-depth interviews, and diaries. Study includes both caregivers and residents. All 20 residents were observed. Interviews were held with 5 residents and 3 caregivers.Korsakov ward of within larger nursing home in the Netherlands. To gain insight into () the features of home and institution as experienced by residents and caregivers of a secured ward in a nursing home and () how interventions implemented on the ward can contribute to a more homelike environment.

Lewinson et al. (2012) [26]Qualitative, photovoice method ().A large assisted living facility in Atlanta, GA, USA. To explore home through residents’ eyes.

Molony et al. (2011) [27]Mixed-methods study, nursing home residents.100-bed nursing home in USA. A descriptive, longitudinal mixed-methods design with four waves of repeated measures was used to achieve study aims. Interviews were conducted after residents made the decision to stay or move (baseline) and at 1, 3, and 6 months after the person relocated to the small-scale nursing home.To examine trajectories of at-homeness over time in two groups of older adults who were given a choice to move to a small house nursing home or stay in their existing residence, a usual care nursing home to provide insight into the complex relationships between individual needs and desires, the LTC environment, at-homeness, and health.The qualitative examples illustrate the individualized nature of at-homeness and the necessity of smooth integration of both the “social model” and the “medical model” of care.

Nakrem et al. (2013) [28]Interview with 15 residents.4 small-, medium-, and large-sized nursing homes in both urban and rural areas in Norway. The nursing homes had mixed populations according to medical diagnosis, physical and cognitive functioning, and age.To study life in nursing homes in relationship to quality of care.

Robinson et al. (2010) [29]Interviews and focus groups with 29 family caregivers.2 nursing homes in USA.To study the meaning of home according to family of people with dementia.

van Dijck-Heinen et al. (2014) [2]Interviews and focus group session (, of which permanent residents and temporary residents).One nursing home organization in the Netherlands.To investigate the sense of home and its constituent factors among both permanent and temporary residents.Study included 6 temporary residents (rehabilitation).

van Hoof et al. (2016) [16]Interviews with 27 residents.5 nursing homes in the NetherlandsTo find out which personal possessions were most important and if they contribute to a sense of home.

van Hoof et al. (2015) [30]A photo production study. Interviews with 12 residents.2 wards of 1 nursing home in the Netherlands for residents with physical limitations and gerontopsychiatric health problems.To investigate which factors in the physical and social environment correlate with the sense of home of the residents and which environmental factors are most meaningful.

van Zadelhoff et al. (2011) [31]Observations and interviews with residents, their family, and nursing staff ().Two group living units, located on the grounds of a traditional large-scale nursing in the Netherlands. To investigate experiences of residents, their family caregivers, and nursing staff in group living homes for older people with dementia and their perception of the care process.