Legislating home : the impact of the regulation of small house settings for long term care residents in Nova Scotia, Canada

摘要: In May 2006, the Province of Nova Scotia, Canada announced a Continuing Care Strategy (CCS) in which issues home care and long term were addressed. The strategy is 10-year plan to enhance expand Scotia’s continuing system. CCS covers which include health care, adult day support, respite improved access to services, as well as funds build 1320 new (LTC) beds. As result CCS, Provincial government has built 11 LTC facilities support vision “living in place you can call home” (CCS, 2006). A key feature within guidelines that all LTC facilities be model small house (SH) community, with multiple households (cottages) 12-15 residents each. Each cottage required have living room, dining room, residentially scaled kitchen, private bedrooms. addition, implementation person centered are given choices daily activities an operational requirement facilities. order gain better understanding implications a LTC system where resident choice empowerment provided for regulated by legislated policy, qualitative case study was conducted early 2012 two in Nova Scotia. first facility designed prior 2006 regulations (n=48). The second opened 2009 one new guidelines (n=49). Observations took eight weeks at both interviews were conducted residents, family members, staff, providers, legislators. Through theory and ecological theoretical framework, themes emerged relating philosophy behind the SH include need shared goals, expectations consistency in leadership; frontline staff through strength teamwork; balance of choice, risk autonomy setting. physical environment had direct impact on social communities while actuality ‘home’ a very personal distinction based history past preferences each individual, shared themes between related core elements LTC: need for provision care.