Research Article
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Information and Assistance Needs and Expectations of Senior Residents in a Nursing Home in Singapore: Semi-structured Interviews With Senior Residents and Staff

Year 2022, Volume: 5 Issue: 3, 59 - 78, 31.12.2022
https://doi.org/10.51819/jaltc.2022.1180679

Abstract

Singapore, a young multi-racial and multi-religious city-state in Southeast Asia, is facing a demographic challenge—that of a rapidly falling birth rate and an increasingly aging population. By 2030, Singapore is expected to be a “super-aged” society, where more than 21% of its population will be 65 years of age or older, as defined by the Organization for Economic Cooperation and Development (OECD). Hence, the urban landscape in Singapore is also set to evolve. We expect to see more acute care hospitals, community hospitals, nursing homes, senior care centers, and senior activity spaces. As infrastructure and spaces for older persons, or seniors, become an increasingly more significant part of the built environment in Singapore, there is a need to explore how the design of the physical environment can improve the well-being of seniors and that staff, caregivers, family members as well as the larger community. In this paper, a brief look into nursing homes in Singapore is done, followed by the data and findings of a small-scale study involving semi-structured interviews that were carried out to explore the needs and expectations of senior residents in a nursing home in Singapore. In essence, this study found significant outcomes concerning the needs and expectations of nursing home residents, such as the desire for sustained social interaction, the preference for human-based assistance (rather than technology-based aid), and the penchant for independence (such as for food choices or having a variety of preferred daily activities) by seniors in their everyday lives. These inputs can be insightful and instrumental for the effective and user-centered design of new nursing homes in this rapidly aging city-state or other locales with similar demographics and settings.

Supporting Institution

Singapore Institute of Technology

Project Number

R-MOE-A402-G015

Thanks

This study was funded by the Singapore Institute of Technology Seed Grant, R-MOE-A402-G015.

References

  • Agency for Integrated Care. (2022a). Introduction to Community Care Services. In https://www.aic.sg/care-services.
  • Agency for Integrated Care. (2022b). Introduction to Nursing Homes. In https://www.aic.sg/care-services/nursing-home.
  • Ball, M. M., Perkins, M. M., Whittington, F. J., Hollingsworth, C., King, S. V., & Combs, B. L. (2004). Independence in assisted living. Journal of Aging Studies, 18(4), 467-483. https://doi.org/10.1016/j.jaging.2004.06.002
  • Eveland, J., & Tng, S. (2022). Rethinking the design of nursing homes. Skyline, 12.
  • Fong, J. H., Mitchell, O. S., & Koh, B. S. (2015). Disaggregating activities of daily living limitations for predicting nursing home admission. Health Services Research, 50(2), 560-578. https://doi.org/10.1111/1475-6773.12235
  • Government of Singapore. (2021). Population in Brief 2021. https://www.population.gov.sg/files/media-centre/publications/population-in-brief-2021.pdf
  • Hartigan, I. (2007). A comparative review of the Katz ADL and the Barthel Index in assessing the activities of daily living of older people. International Journal of Older People Nursing, 2(3), 204-212. https://doi.org/10.1111/j.1748-3743.2007.00074.x
  • Havreng-Thery, C., Giner-Perot, J., Zawieja, P., Bertin-Hugault, F., Belmin, J., & Rothan-Tondeur, M. (2021). Expectations and Needs of Families in Nursing Homes: An Integrative Review. Medical Care Research and Review, 78(4), 311-325. https://doi.org/10.1177/1077558720907183
  • Heng, J. (2022). For better aged care: The gaps in Singapore's nursing home market and alternative models of care for the elderly.
  • Kemp, S. (2022). Digital 2022: Singapore. https://datareportal.com/reports/digital-2022-singapore#:~:text=Singapore's%20internet%20penetration%20rate%20stood,percent)%20between%202021%20and%202022
  • Khalik, S. (2021). Hospitals and clinics in S'pore desperate for nurses, offering 'finder's fee' to staff. https://www.straitstimes.com/singapore/health/hospitals-and-clinics-in-spore-desperate-for-nurses-offering-finders-fee-to-staff
  • Lim, E. S. (2009). Predictors of Nursing Home Admission: A Social Work Perspective. Australian Social Work, 62(1), 90-98. https://doi.org/10.1080/03124070802626901
  • McCabe, M., Byers, J., Busija, L., Mellor, D., Bennett, M., & Beattie, E. (2021). How Important Are Choice, Autonomy, and Relationships in Predicting the Quality of Life of Nursing Home Residents? Journal of Applied Gerontology, 40(12), 1743-1750. https://doi.org/10.1177/0733464820983972
  • Moyle, W., Fetherstonhaugh, D., Greben, M., Beattie, E., & AusQo, L. g. (2015). Influencers on quality of life as reported by people living with dementia in long-term care: a descriptive exploratory approach. BMC Geriatrics, 15(1), 50. https://doi.org/10.1186/s12877-015-0050-z
  • National Population and Talent Division. (2022). Ageing Population. https://www.population.gov.sg/our-population/population-trends/ageing-population
  • NTUC Income & Lien Foundation. (2016). Supporting Singaporeans' Aspirations For Aged Care. http://www.lienfoundation.org/sites/default/files/Media%20Release%20-%20Survey%20Reveals%20Singaporeans%E2%80%99%20Concerns%20and%20Aspirations%20of%20Aged%20Care.pdf
  • Organisation for Economic Cooperation and Development (OECD). (2022). Ageing. https://www.oecd-ilibrary.org/sites/1ad1c42a-en/index.html?itemId=/content/component/1ad1c42a-en
  • Perdana, A., & Mokhtar, I. A. (2022). Seniors' adoption of digital devices and virtual event platforms in Singapore during Covid-19. Technol Soc, 68, 101817. https://doi.org/10.1016/j.techsoc.2021.101817
  • Reuben, D. B., Siu, A. L., & Kimpau, S. (1992). The predictive validity of self-report and performance-based measures of function and health. Journal of Gerontology, 47(4), M106-110. https://doi.org/10.1093/geronj/47.4.m106
  • Sen, K., Prybutok, G., & Prybutok, V. (2022). The use of digital technology for social wellbeing reduces social isolation in older adults: A systematic review. SSM Popul Health, 17, 101020. https://doi.org/10.1016/j.ssmph.2021.101020
  • Singapore Ministry of Health. (2021a). Elderly Care. https://www.moh.gov.sg/hpp/all-healthcare-professionals/guidelines/GuidelineDetails/elderly-care
  • Singapore Ministry of Health. (2021b). Number of Nursing Homes and Beds. https://www.moh.gov.sg/news-highlights/details/number-of-nursing-homes-and-beds
  • Su, Z., Meyer, K., Li, Y., McDonnell, D., Joseph, N. M., Li, X., Du, Y., Advani, S., Cheshmehzangi, A., Ahmad, J., da Veiga, C. P., Chung, R. Y., Wang, J., & Hao, X. (2021). Technology-based interventions for nursing home residents: a systematic review protocol. BMJ Open, 11(12), e056142. https://doi.org/10.1136/bmjopen-2021-056142
  • Tay, L. H., Ang, E., & Hegney, D. (2012). Nurses' perceptions of the barriers in effective communication with inpatient cancer adults in Singapore. Journal of Clinical Nursing, 21(17-18), 2647-2658. https://doi.org/10.1111/j.1365-2702.2011.03977.x
  • Tiong, W. W., Yap, P., Huat Koh, G. C., Phoon Fong, N., & Luo, N. (2013). Prevalence and risk factors of depression in the elderly nursing home residents in Singapore. Aging & Mental Health, 17(6), 724-731. https://doi.org/10.1080/13607863.2013.775638
  • Wilson, R., Cochrane, D., Mihailidis, A., & Small, J. (2020). Mobile Apps to Support Caregiver-Resident Communication in Long-Term Care: Systematic Search and Content Analysis. JMIR Aging, 3(1), e17136. https://doi.org/10.2196/17136
  • World Health Organization. (2022). Ageing and Health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health#:~:text=By%202050%2C%20the%20world's%20population,2050%20to%20reach%20426%20million
  • Wu, B. (2020). Social isolation and loneliness among older adults in the context of COVID-19: a global challenge. Glob Health Res Policy, 5(1), 27. https://doi.org/10.1186/s41256-020-00154-3
  • Yap, L. K., Au, S. Y., Ang, Y. H., Kwan, K. Y., Ng, S. C., & Ee, C. H. (2003). Who are the residents of a nursing home in Singapore? Singapore Medical Journal, 44(2), 65-73. https://www.ncbi.nlm.nih.gov/pubmed/14503779
  • Zhang, M., Zhao, H., & Meng, F. P. (2020). Elderspeak to Resident Dementia Patients Increases Resistiveness to Care in Health Care Profession. Inquiry, 57, 46958020948668. https://doi.org/10.1177/0046958020948668
Year 2022, Volume: 5 Issue: 3, 59 - 78, 31.12.2022
https://doi.org/10.51819/jaltc.2022.1180679

Abstract

Project Number

R-MOE-A402-G015

References

  • Agency for Integrated Care. (2022a). Introduction to Community Care Services. In https://www.aic.sg/care-services.
  • Agency for Integrated Care. (2022b). Introduction to Nursing Homes. In https://www.aic.sg/care-services/nursing-home.
  • Ball, M. M., Perkins, M. M., Whittington, F. J., Hollingsworth, C., King, S. V., & Combs, B. L. (2004). Independence in assisted living. Journal of Aging Studies, 18(4), 467-483. https://doi.org/10.1016/j.jaging.2004.06.002
  • Eveland, J., & Tng, S. (2022). Rethinking the design of nursing homes. Skyline, 12.
  • Fong, J. H., Mitchell, O. S., & Koh, B. S. (2015). Disaggregating activities of daily living limitations for predicting nursing home admission. Health Services Research, 50(2), 560-578. https://doi.org/10.1111/1475-6773.12235
  • Government of Singapore. (2021). Population in Brief 2021. https://www.population.gov.sg/files/media-centre/publications/population-in-brief-2021.pdf
  • Hartigan, I. (2007). A comparative review of the Katz ADL and the Barthel Index in assessing the activities of daily living of older people. International Journal of Older People Nursing, 2(3), 204-212. https://doi.org/10.1111/j.1748-3743.2007.00074.x
  • Havreng-Thery, C., Giner-Perot, J., Zawieja, P., Bertin-Hugault, F., Belmin, J., & Rothan-Tondeur, M. (2021). Expectations and Needs of Families in Nursing Homes: An Integrative Review. Medical Care Research and Review, 78(4), 311-325. https://doi.org/10.1177/1077558720907183
  • Heng, J. (2022). For better aged care: The gaps in Singapore's nursing home market and alternative models of care for the elderly.
  • Kemp, S. (2022). Digital 2022: Singapore. https://datareportal.com/reports/digital-2022-singapore#:~:text=Singapore's%20internet%20penetration%20rate%20stood,percent)%20between%202021%20and%202022
  • Khalik, S. (2021). Hospitals and clinics in S'pore desperate for nurses, offering 'finder's fee' to staff. https://www.straitstimes.com/singapore/health/hospitals-and-clinics-in-spore-desperate-for-nurses-offering-finders-fee-to-staff
  • Lim, E. S. (2009). Predictors of Nursing Home Admission: A Social Work Perspective. Australian Social Work, 62(1), 90-98. https://doi.org/10.1080/03124070802626901
  • McCabe, M., Byers, J., Busija, L., Mellor, D., Bennett, M., & Beattie, E. (2021). How Important Are Choice, Autonomy, and Relationships in Predicting the Quality of Life of Nursing Home Residents? Journal of Applied Gerontology, 40(12), 1743-1750. https://doi.org/10.1177/0733464820983972
  • Moyle, W., Fetherstonhaugh, D., Greben, M., Beattie, E., & AusQo, L. g. (2015). Influencers on quality of life as reported by people living with dementia in long-term care: a descriptive exploratory approach. BMC Geriatrics, 15(1), 50. https://doi.org/10.1186/s12877-015-0050-z
  • National Population and Talent Division. (2022). Ageing Population. https://www.population.gov.sg/our-population/population-trends/ageing-population
  • NTUC Income & Lien Foundation. (2016). Supporting Singaporeans' Aspirations For Aged Care. http://www.lienfoundation.org/sites/default/files/Media%20Release%20-%20Survey%20Reveals%20Singaporeans%E2%80%99%20Concerns%20and%20Aspirations%20of%20Aged%20Care.pdf
  • Organisation for Economic Cooperation and Development (OECD). (2022). Ageing. https://www.oecd-ilibrary.org/sites/1ad1c42a-en/index.html?itemId=/content/component/1ad1c42a-en
  • Perdana, A., & Mokhtar, I. A. (2022). Seniors' adoption of digital devices and virtual event platforms in Singapore during Covid-19. Technol Soc, 68, 101817. https://doi.org/10.1016/j.techsoc.2021.101817
  • Reuben, D. B., Siu, A. L., & Kimpau, S. (1992). The predictive validity of self-report and performance-based measures of function and health. Journal of Gerontology, 47(4), M106-110. https://doi.org/10.1093/geronj/47.4.m106
  • Sen, K., Prybutok, G., & Prybutok, V. (2022). The use of digital technology for social wellbeing reduces social isolation in older adults: A systematic review. SSM Popul Health, 17, 101020. https://doi.org/10.1016/j.ssmph.2021.101020
  • Singapore Ministry of Health. (2021a). Elderly Care. https://www.moh.gov.sg/hpp/all-healthcare-professionals/guidelines/GuidelineDetails/elderly-care
  • Singapore Ministry of Health. (2021b). Number of Nursing Homes and Beds. https://www.moh.gov.sg/news-highlights/details/number-of-nursing-homes-and-beds
  • Su, Z., Meyer, K., Li, Y., McDonnell, D., Joseph, N. M., Li, X., Du, Y., Advani, S., Cheshmehzangi, A., Ahmad, J., da Veiga, C. P., Chung, R. Y., Wang, J., & Hao, X. (2021). Technology-based interventions for nursing home residents: a systematic review protocol. BMJ Open, 11(12), e056142. https://doi.org/10.1136/bmjopen-2021-056142
  • Tay, L. H., Ang, E., & Hegney, D. (2012). Nurses' perceptions of the barriers in effective communication with inpatient cancer adults in Singapore. Journal of Clinical Nursing, 21(17-18), 2647-2658. https://doi.org/10.1111/j.1365-2702.2011.03977.x
  • Tiong, W. W., Yap, P., Huat Koh, G. C., Phoon Fong, N., & Luo, N. (2013). Prevalence and risk factors of depression in the elderly nursing home residents in Singapore. Aging & Mental Health, 17(6), 724-731. https://doi.org/10.1080/13607863.2013.775638
  • Wilson, R., Cochrane, D., Mihailidis, A., & Small, J. (2020). Mobile Apps to Support Caregiver-Resident Communication in Long-Term Care: Systematic Search and Content Analysis. JMIR Aging, 3(1), e17136. https://doi.org/10.2196/17136
  • World Health Organization. (2022). Ageing and Health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health#:~:text=By%202050%2C%20the%20world's%20population,2050%20to%20reach%20426%20million
  • Wu, B. (2020). Social isolation and loneliness among older adults in the context of COVID-19: a global challenge. Glob Health Res Policy, 5(1), 27. https://doi.org/10.1186/s41256-020-00154-3
  • Yap, L. K., Au, S. Y., Ang, Y. H., Kwan, K. Y., Ng, S. C., & Ee, C. H. (2003). Who are the residents of a nursing home in Singapore? Singapore Medical Journal, 44(2), 65-73. https://www.ncbi.nlm.nih.gov/pubmed/14503779
  • Zhang, M., Zhao, H., & Meng, F. P. (2020). Elderspeak to Resident Dementia Patients Increases Resistiveness to Care in Health Care Profession. Inquiry, 57, 46958020948668. https://doi.org/10.1177/0046958020948668
There are 30 citations in total.

Details

Primary Language English
Subjects Geriatrics and Gerontology, Demography
Journal Section Articles
Authors

Intan Azura Mokhtar 0000-0002-9131-8254

Project Number R-MOE-A402-G015
Publication Date December 31, 2022
Acceptance Date October 25, 2022
Published in Issue Year 2022 Volume: 5 Issue: 3

Cite

APA Mokhtar, I. A. (2022). Information and Assistance Needs and Expectations of Senior Residents in a Nursing Home in Singapore: Semi-structured Interviews With Senior Residents and Staff. Journal of Aging and Long-Term Care, 5(3), 59-78. https://doi.org/10.51819/jaltc.2022.1180679

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

The National and Applied Gerontology Association (NASAG) is a leading non-profit organization in Türkiye that promotes healthy and productive aging via evidence-based research. The utilization of multidisciplinary and interdisciplinary research in gerontology is crucial in integrating research, practice, and policy, given the need for evidence-based programming to improve the quality of life in old age. As an advocate for social action for older people, the NASAG is particularly concerned that public policies are strongly and genuinely focused on supporting and protecting the most vulnerable, marginalized, or disadvantaged older people.

The NASAG has been a member of the International Association of Gerontology and Geriatrics (IAGG) since 2007.