Resident Quality Research Articles

Compact Urban Design and Its Role in Sustainable Housing Development in Seoul

This paper explores the implementation of compact urban design in Seoul, South Korea, and its effects on sustainable housing development. It discusses how the integration of high-density housing, mixed-use developments, and transit-oriented designs has enhanced land use efficiency, environmental sustainability, and resident quality of life. Additionally, the study highlights challenges such as infrastructure strain, cultural shifts, gentrification, and public acceptance. By examining Seoul’s urban planning efforts, the research offers insights into the complexities of applying compact urban design in a densely populated city, provides lessons for other urban areas, and proposes strategies to address these challenges effectively.

Resident-led improvement project to screen for primary hyperaldosteronism in patients with resistant hypertension in an outpatient clinic

Clinical practice guidelines recommend screening for primary hyperaldosteronism (PH) in patients with resistant hypertension. However, screening rates are low in the outpatient setting. We sought to increase screening rates for...

Personalized Tablets for Residents in Long-Term Care to Support Recreation and Mitigate Isolation

ObjectivesThere is a digital divide in long-term care homes (LTCHs), with few residents having regular access to internet-connected devices. In this study, we provided long-term care residents with personalized and adapted tablets. We aimed to understand what factors influenced tablet use and the impact of tablet access on opportunities for social connection and recreation. DesignA pragmatic, mixed-methods multicenter, open-label, uncontrolled interventional study with assessment of outcomes at baseline and 3 months. Setting and ParticipantsA total of 58 resident-care partner dyads were recruited across 7 LTCHs in Ontario, Canada. The main inclusion criterion was having a care partner willing to participate, and we excluded residents who already had an internet-connected device. MethodsResident demographics, functional status assessments, and recreational engagement were captured using items from the Resident Assessment Instrument/Minimum Data Set. Care partners completed a questionnaire about relational closeness and site leads assessed resident quality of life before and approximately 3 months after tablet distribution. Interviews with 23 care partners and 7 residents post-implementation were completed and analyzed. ResultsThe median tablet use by participants was 7 minutes (interquartile range 27) per day on average over the study period. Predictors of higher tablet use were younger age, higher cognitive functioning, absence of hearing impairment, and having a care partner who lives farther away. There was no improvement on quantitative measures of quality of life, recreation, or relational closeness. In interviews, participants identified many different opportunities afforded by access to personalized tablets. Conclusions and ImplicationsSome LTCH residents without current access to the internet benefit from being provided a personal tablet and use it in a variety of ways to enrich their lives. There is a critical need to bridge the digital divide for this population.

Risk Factors for Eating Disorders in University Students: The RUNEAT Study.

The purpose of the study is to assess the risk of developing general eating disorders (ED), anorexia nervosa (AN), and bulimia nervosa (BN), as well as to examine the effects of gender, academic year, place of residence, faculty, and diet quality on that risk. Over two academic years, 129 first- and fourth-year Uneatlántico students were included in an observational descriptive study. The self-administered tests SCOFF, EAT-26, and BITE were used to determine the participants' risk of developing ED. The degree of adherence to the Mediterranean diet (MD) was used to evaluate the quality of the diet. Data were collected at the beginning (T1) and at the end (T2) of the academic year. The main results were that at T1, 34.9% of participants were at risk of developing general ED, AN 3.9%, and BN 16.3%. At T2, these percentages were 37.2%, 14.7%, and 8.5%, respectively. At T2, the frequency of general ED in the female group was 2.5 times higher (OR: 2.55, 95% CI: 1.22-5.32, p = 0.012). The low-moderate adherence to the MD students' group was 0.92 times less frequent than general ED at T2 (OR: 0.921, 95%CI: 0.385-2.20, p < 0.001). The most significant risk factor for developing ED is being a female in the first year of university. Moreover, it appears that the likelihood of developing ED generally increases during the academic year.

Understanding the Disparities of PM2.5 Air Pollution in Urban Areas via Deep Support Vector Regression.

In densely populated urban areas, PM2.5 has a direct impact on the health and quality of residents' life. Thus, understanding the disparities of PM2.5 is crucial for ensuring urban sustainability and public health. Traditional prediction models often overlook the spillover effects within urban areas and the complexity of the data, leading to inaccurate spatial predictions of PM2.5. We propose Deep Support Vector Regression (DSVR) that models the urban areas as a graph, with grid center points as the nodes and the connections between grids as the edges. Nature and human activity features of each grid are initialized as the representation of each node. Based on the graph, DSVR uses random diffusion-based deep learning to quantify the spillover effects of PM2.5. It leverages random walk to uncover more extensive spillover relationships between nodes, thereby capturing both the local and nonlocal spillover effects of PM2.5. And then it engages in predictive learning using the feature vectors that encapsulate spillover effects, enhancing the understanding of PM2.5 disparities and connections across different regions. By applying our proposed model in the northern region of New York for predictive performance analysis, we found that DSVR consistently outperforms other models. During periods of PM2.5 surges, the R-square of DSVR reaches as high as 0.729, outperforming non-spillover models by 2.5 to 5.7 times and traditional spatial metric models by 2.2 to 4.6 times. Therefore, our proposed model holds significant importance for understanding disparities of PM2.5 air pollution in urban areas, taking the first steps toward a new method that considers both the spillover effects and nonlinear feature of data for prediction.

Creating financial inclusion in “Belt and Road” countries in Europe, Asia and Africa: regulation, technology and financial literacy

PurposeThis study aims to comparatively measure the impact factors of financial inclusion and their spillover effects for Belt and Road countries using panel data from 57 countries in 2011, 2014, 2017 and 2021 and relevant indicators from three dimensions: availability, usage and quality to construct a digital empowerment index of financial inclusion.Design/methodology/approachA spatial Durbin panel model is constructed to empirically test the impact mechanism of financial inclusion under digital empowerment.FindingsResults reveal that improving a country’s quality of regulation, technology and residents’ financial literacy significantly contributes to the development of its financial inclusion, while improving its neighboring countries’ financial literacy also boosts its financial inclusion development. This study provides theoretical support for evaluating the development level of inclusive finance in “Belt and Road” countries, promoting the development of inclusive finance and alleviating the problem of financial exclusion.Originality/valueThis study is original as it creates a research paradigm for “Belt and Road” countries, enabling systematic testing and comparative analysis of inclusive finance development. It incorporates traditional and digital services, evaluating them based on sharing, fairness, convenience and specific group benefits. An inclusive financial index is constructed using the coefficient of variation and arithmetic weighted average methods. Additionally, it introduces a more rational analysis approach for the influence mechanism and spatial effect, using an economic geography nested matrix and spatial Durbin model to explore spatial effects in inclusive finance.

Nursing Home Characteristics and Resident Quality of Care Outcomes: A Scoping Review

Nursing Home Characteristics and Resident Quality of Care Outcomes: A Scoping Review

Preferences and Quality of Life in Nursing Home Residents: A Mixed Methods Study.

Delivery of person-centered care (PCC) is the standard in nursing homes (NHs) and demonstrates a positive impact on resident quality of life (QOL). PCC inherently recognizes and prioritizes resident preferences; however, preferences, and their degree of importance among residents, demonstrate a variable relationship with QOL that remains underexplored. Therefore, the current study examined the association between preferences and QOL among NH residents. A mixed methods study incorporating surveys was conducted among 144 residents, with semi-structured follow-up interviews with 11 residents. Findings confirm a variable relationship between resident preferences and QOL. Higher order preferences not captured within the preference assessment may influence QOL. High numbers of unimportant and can't do/no choice preferences were linked to resident acclimatization to the NH. QOL was at risk if care was not consistent with preferences. In-depth assessments and robust measures of preferences and QOL should be integrated into care delivery and future research. [Journal of Gerontological Nursing, 50(5), 7-13.].

Research on Sports Public Service Supply in the Chengdu–Chongqing Twin-City Economic Circle under the Background of Regional Economic Development

Using literature, questionnaires, interviews, and mathematical statistics to investigate the current situation of sports public services in the Chengdu–Chongqing Twin-city Economic Circle. The results show that there are some problems in Chengdu–Chongqing sports public services, such as big difference in the development level of supply between urban and rural areas, low supply level, low efficiency, supply mechanism defect, lack of social sports instructors, an outstanding contradiction between the quality of sports public service and residents’ demand. To address the problems, government departments should accelerate the transformation of government functions, improve the relevant regulations and systems, increase the investment in sports public services, improve the quality of supply, cultivate the backbone team, integrate resources, and combine the national characteristics with regional characteristics, take into account the personalized needs of the residents, combine the sports public services with intelligence, and build the service system of “Internet + Fitness.”

Impact of the COVID-19 Pandemic on Surgical Residency Training: Time to Digitalization

Background: The COVID-19 pandemic has had a profound impact on medical education, particularly in surgical specialties. Surgical training, traditionally reliant on hands-on experience, has faced unprecedented challenges due to reduced clinical activities and elective surgeries. Aim: The primary aim of this study was to evaluate the effects of the COVID-19 pandemic on the clinical and surgical training of Tunisian surgical residents, along with their psychological well-being. Additionally, the study aimed to propose feasible and cost-effective measures for enhancing surgical training in low-income countries, like Tunisia, during and after the pandemic. Methods: A cross-sectional survey was conducted at a teaching hospital in Tunisia between December 1st and 30th, 2020. The survey, distributed to 36 surgical residents, included questions on demographic characteristics, training activities, and psychological impact using the GAD-7 and PHQ-9 questionnaires. Data on respondents' suggestions for training improvements were also collected. Results: Of the invited residents, 72% (26 participants) responded. The respondents reported a significant reduction in clinical and surgical training opportunities, with 85% believing the pandemic negatively impacted their training. Psychological assessment revealed increased stress and anxiety among all participants, with 77% showing signs of depression. The residents suggested increasing the frequency of teleconference-based college courses and clinical case discussion sessions. Additionally, the adoption of low-cost simulation-based training, free access to online surgical video libraries, and use of the Touch Surgery application were highlighted as valuable tools. Conclusion: The COVID-19 pandemic has significantly disrupted surgical residency training in Tunisia, impacting both the training quality and psychological well-being of residents. The findings emphasize the need for innovative training methodologies in low-resource settings. Proposed measures, including simulation-based training using low-cost models and enhanced digital resources, offer practical solutions to sustain surgical education during such global crises. The study underscores the importance of adapting and expanding surgical training methodologies to ensure continued learning and skill development in challenging times.

Research on the Supply of Shared Bicycles in Subway Hub Stations-Taking the Subway Station of Zhengzhou People &amp;apos;s Hospital as an Example

In recent years, with the rapid development of shared bicycles, it has played a great role in alleviating urban traffic pressure and facilitating residents to go out to a certain extent. However, while solving the problem of the last kilometer of travel, the uneven distribution of shared bicycles in subway hub stations is becoming more and more serious, which has a certain impact on the quality of residents &amp;apos; travel. This paper takes the supply of shared bicycles in urban subway hub stations as the research object, and observes and summarizes the characteristics of slow traffic flow near the entrances and exits of subway hub stations in the morning and evening peak hours. On the premise of ensuring the right of way for pedestrians, the supply and demand of shared bicycles in the subway hub station and the configuration of shared bicycles in the surrounding space of the subway hub station are comprehensively considered, and the supply of shared bicycles is predicted by the estimation model and the field data of the subway hub station are investigated, taking the subway station of Zhengzhou People &amp;apos;s Hospital as an example to carry out field research and predict the actual demand and supply of shared bicycles in the subway hub. Finally, the problems existing in the research on the supply of shared bicycles in metro hub stations and possible future research directions are summarized.

Relationship between infection, physical and mental health and exercise habits of some Chinese residents after recovery from COVID-19

This study aimed to determine the infection status, exercise habits, anxiety levels, and sleep quality in Chinese residents who recovered from infection during the period of coronavirus disease 2019 (COVID-19) period. It also aimed to investigate the influencing factors of recovery status and aid in improving intervention measures for COVID-19 recovery. This study is a sub-study nested within a cross-sectional investigation of infection and physical and mental health among partially recovered residents in all 34 provincial areas of China during the COVID-19 pandemic. A total of 1 013 participants (374 males and 639 females) completed the study. Cardiopulmonary endurance was significantly lower after infection than before infection (p ​< ​0.001). Women (3.92 ​± ​4.97) exhibited higher levels of anxiety than men (3.33 ​± ​4.54, p ​= ​0.015). The sleep score was significantly higher after infection (8.27 ​± ​7.05) than before infection (4.17 ​± ​4.97, p ​< ​0.001). The active and regular exercise groups exhibited significantly shorter durations of fever than the sedentary and irregular groups (p ​= ​0.033; p ​= ​0.021). Additionally, the active group demonstrated significantly fewer recovery days ([7.32 ​± ​3.24] days) than the sedentary group ([7.66 ​± ​3.06] days, p ​= ​0.035). We found a correlation between age and the recovery time of symptoms after COVID-19. We noted that a greater number of symptoms corresponded to poorer cardiopulmonary fitness and sleep quality. Individuals who engage in sedentary lifestyles and irregular exercise regimens generally require prolonged recovery periods. Therefore, incorporating moderate exercise, psychological support, sleep hygiene and other health interventions into post-COVID-19 recovery measures is imperative.

Research on the path of local colleges participating in community education of affordable rental housing in industrial parks

The affordable rental housing community in industrial parks has become a large-scale community, but little attention has been paid to this type of community education. Therefore, based on the concept of educational equality, this project aims to explore the path of local colleges participating in community education for affordable rental housing in industrial parks. With convenient samples, empirical research is conducted on the current situation and residents’ needs of affordable rental housing community education in the Qianwan New Area Industrial Park. And it has been found that community residents have a high willingness to learn on one hand, however, on the other hand, there are few types of community education to meet their demand; Although there are many public space resources, the utilization of scene spaces is far from sufficient. Based on these findings, this research explores and proposes the paths for local colleges to participate in community education for affordable rental housing in industrial parks through resource sharing models, in-depth community services for all-age residential groups, the cultivation of application-oriented talents to promote the integration of industry and education and enriching spiritual connotation of community education content. By enhancing the quality of all-age residents, namely, the new citizens including industrial workers and their relatives, it can promote the construction of a learning-oriented society and contribute to the realization of common prosperity. This study has certain theoretical and practical significance in enriching the research field of community education, promoting social integration of new citizens, and helping to achieve common prosperity.

The Next Era of Assessment: Can Ensuring High-Quality, Equitable Patient Care Be the Defining Characteristic?

Previous eras of assessment in medical education have been defined by how assessment is done, from knowledge exams popularized in the 1960s to the emergence of work-based assessment in the 1990s to current efforts to integrate multiple types and sources of performance data through programmatic assessment. Each of these eras was a response to why assessment was performed (e.g., assessing medical knowledge with exams; assessing communication, professionalism, and systems competencies with work-based assessment). Despite the evolution of assessment eras, current evidence highlights the graduation of trainees with foundational gaps in the ability to provide high-quality care to patients presenting with common problems, and training program leaders report they graduate trainees they would not trust to care for themselves or their loved ones. In this article, the authors argue that the next era of assessment should be defined by why assessment is done: to ensure high-quality, equitable care. Assessment should place focus on demanding graduates possess the knowledge, skills, attitudes, and adaptive expertise to meet the needs of all patients and ensuring that graduates are able to do this in an equitable fashion. The authors explore 2 patient-focused assessment approaches that could help realize the promise of this envisioned era: entrustable professional activities (EPAs) and resident sensitive quality measures (RSQMs)/TRainee Attributable and Automatable Care Evaluations in Real-time (TRACERs). These examples illustrate how the envisioned next era of assessment can leverage existing and new data to provide precision education assessment that focuses on providing formative and summative feedback to trainees in a manner that seeks to ensure their learning outcomes prepare them to ensure high-quality, equitable patient outcomes.

Impact of implementing the pain best practice guideline in a long-term care home using the knowledge-to-action framework

Introduction. Assessment and management of pain in older adults can be challenging, with persistent pain prevalence ranging from 25% to 80%, especially in long term care homes (LTCH), where most seniors are unable to verbalize their pain. This article describes the implementation of the Registered Nurses’ Association of Ontario (RNAO) Assessment and Management of Pain (Third Edition) best practice guideline (BPG) in a LTCH in Toronto, Canada. Methodology. Using mixed descriptive study methodology, this 391-bed home housing older adults over 80 years implemented the Pain guideline using the knowledge-to-action framework and audit procedures to evaluate the impact of implementing this guideline. Key implementation activities included educating residents, families, and staff about pain while integrating validated pain screening and assessment tools into practice. A mixed methods approach of qualitative and quantitative data was utilized to monitor improvements in clinical and organizational outcomes. Results. The impact of implementing Pain BPG is: improved utilization of pain assessment and management tools, reduced incidence of worsening pain, improved pain scores and improved resident quality of life. The structured and integrated, evidence-based approaches to pain assessment and management reflected that long-term care residents don’t have to live with pain regularly, which leads to a better quality of life and resident/family satisfaction. Discussion. In conjunction with the structured approach of the knowledge-to-action framework and the Pain BPG, the LTCH utilized tailored approaches to meet the needs of their resident population. Recognizing the unique needs of seniors in a residential setting, organizational structural facilitators, and barriers and cultural needs, the LTCH developed multi modal approaches based on a person and family centred approach. This evidence-based and resident focused approach was the key to the successful implementation and subsequent outcomes that were resultant. Conclusion. The systematic implementation of the RNAO pain BPG and the utilization of the knowledge-to-action framework was shown to improve resident outcomes, improve organizational processes and generate staff satisfaction. Participation and engagement of residents, their families and health professionals in the process was one of the greatest facilitators.

Unveiling the Air Quality Impacts of Municipal Solid Waste Disposal: An Integrative Study of On-Site Measurements and Community Perceptions

This study examines air quality conditions in and around a classroom located in the Sarıçam/Adana region of Türkiye, near the campus of Adana Alparslan Türkeş Science and Technology University and the Sofulu municipal solid waste (MSW) facility. This academic setting was strategically chosen due to its proximity to the waste facility. The study aims to provide a comprehensive view of the environmental and social impacts of solid waste management through a methodological approach that combines quantitative on-site measurements and qualitative survey studies. Findings from measurements and surveys underline the significant and measurable impacts of MSW facilities on the ambient air quality of university residents. The analysis revealed a marked increase in concentrations of key pollutants, including carbon monoxide (CO), hydrogen sulfide (H2S), dust, and methane (CH4). At sampling point N1, H2S levels rose from 0 ppm in July to 13 ppm in November. Methane increased from 0.2% to 2.5% of the Lower Explosive Limit (LEL) at the same point, although it remained within safety limits. Additionally, CO levels showed a 40% increase, and dust concentration levels rose from 0.21 mg/m3 to 2.36 mg/m3 from summer to winter, indicating a seasonal variation likely influenced by the landfill’s operational dynamics, as well as changes in temperature and relative humidity. In particular, the results indicate high concentrations of CO, H2S and dust, which are directly related to air quality degradation. The study also sheds light on the impacts of these waste disposal facilities on the general well-being and health of the university community, particularly on students and staff. In addition to these findings, the study highlights a general lack of awareness in the university community about the impacts of MSW facilities on air quality. This highlights the need for increased education and information dissemination. The results support the development of comprehensive and effective strategies, including technical solutions and public awareness initiatives, to mitigate the impacts of these facilities on residential areas. In conclusion, the impacts of MSW facilities on air quality should be seen as a multidimensional issue that requires a holistic approach addressing environmental, health, social, and educational dimensions.

Charting new waters: Navigating Resident Quality Improvement Curriculum Using Documentation Review

Charting new waters: Navigating Resident Quality Improvement Curriculum Using Documentation Review

Physical Planning as a tool to Address Declining Urban Residential Qualityand Quality of Life in select Neighbourhoods in Yenagoa City

Residential quality has become a fundamental determinant of quality of life in urban settlements. The study aims to assess the impact of declining residential quality and quality of life in Yenagoa City, Nigeria. The objectives are to identify residential quality indicators of QoL used to assess these impacts of residential quality indicators on QoL and identify sustainable physical planning measures to improve residential quality and QoL of residents of the study area. The study adopted a quantitative research approach employing a descriptive research design. The study employed a simple random technique for the selection of 6 neighbourhoods. Three hundred ninety-six (396) respondents were obtained by applying the Taro Yamane formula at a 5% precision level and proportionately distributed across sampled neighbourhoods. The study found that the declining residential quality affects physical, social and economic domains of life as residents are living more in rooming housing and blocks of flats with an average of 4-6 households and 2-3 households, with mostly 4-6 persons per household occupying 2-3 rooms and 1 room. More than 60% of the buildings in the neighbourhoods needed more water supply and mainly had untarred access roads without drainages. The findings further showed that some neighbourhoods lacked secondary school facilities. The study found that the prevalence of crime and violence has caused injury, property loss and life in the study area. The study found that a substantial percentage of residents are unemployed, with the average earning of the employed being less than N60,000 monthly. The study revealed that the contributions of the indicators used for assessing demonstrated from the rating of perceived QoL of the neighbourhoods as “unsatisfactory” and “satisfactory”. However, to improve these conditions, the following measures are proffered including urban renewal schemes should be carried out in the neighbourhoods, government agencies involved in physical planning, development control and management should strictly enforce existing physical planning policies, regulations and standards, develop a Participatory Planning Approach (PPA) framework were members of the neighbourhoods and the city development agencies will collaborate in the decision-making process and halt urban sprawl and leapfrog development in the city to prevent informal settlements formation.

Implementation Outcomes for the SLUMBER Sleep Improvement Program in Long-Term Care

ObjectivesTo describe the implementation of a mentored staff-delivered sleep program in nursing facilities. DesignModified stepped-wedge unit-level intervention. Setting and ParticipantsThis program was implemented in 2 New York City nursing facilities, with partial implementation (due to COVID-19) in a third facility. MethodsExpert mentors provided staff webinars, in-person workshops, and weekly sleep pearls via text messaging. We used the integrated Promoting Action on Research Implementation in Health Services (i-PARiHS) framework as a post hoc approach to describe key elements of the SLUMBER implementation. We measured staff participation in unit-level procedures and noted their commentary during unit workshops. ResultsWe completed SLUMBER within 5 units across 2 facilities and held 15 leadership meetings before and during program implementation. Sessions on each unit included 3 virtual webinar presentations and 4 in-person workshops for each nursing shift, held over a period of 3 to 4 months. Staff attendance averaged >3 sessions per individual staff member. Approximately 65% of staff present on each unit participated in any given session. Text messaging was useful for engagement, educational reinforcement, and encouraging attendance. We elevated staff as experts in the care of their residents as a strategy for staff engagement and behavior change and solicited challenging cases from staff during workshops to provide strategies to address resident behavior and encourage adoption when successful. Conclusions and ImplicationsEngaging staff, leadership, residents, and family of nursing facilities in implementing a multicomponent sleep quality improvement program is feasible for improving nursing facilities’ sleep environment. The program required gaining trust at multiple levels through presence and empathy, and reinforcement mechanisms (primarily text messages). To improve scalability, SLUMBER could evolve from an interdisciplinary investigator-based approach to internal coaches in a train-the-trainer model to effectively and sustainably implement this program to improve sleep quality for facility residents.

How does the urban built environment affect dockless bikesharing-metro integration cycling? Analysis from a nonlinear comprehensive perspective

The multi-modal combination of "dockless bikesharing (DBs) + metro" can effectively addresses the "last mile" challenge, and its importance to improve the quality of metro integration and residents' commuting efficiency is becoming increasingly prominent. As one of the important determining factors of transportation, the urban built environment directly affects the integration travel behavior of residents. To better understand this issue, it is necessary to conduct in-depth research on the influence mechanism of urban built environment on DBs-metro integration cycling (DBsMIC), and reveal its complex nonlinear characteristics and spatial heterogeneity. Therefore, taking Shenzhen as a case study, this study first introduced the OLS regression model to detect the significant built environmental impact factors of DBsMIC. Secondly, the random forest regression model was used to analyze its nonlinear influence. Finally, aiming at the problem of spatial non-stationarity of influencing effects, the spatial heterogeneity is analyzed from both global and local perspectives based on the MGWR model. The results show that the significant impact indices of the built environment of the integration cycling volume vary in different time periods. Overall, seven factors such as road and residential density have a significant impact on DBsMIC. Among them, the job-housing balance and the bus line density have a negative impact, while the rest have a positive impact. Meanwhile, the nonlinear effect of the built environment on DBsMIC is obvious, and there is an obvious marginal effect. In addition, the nonlinear impact of the built environment on DBsMIC in different time periods has spatial heterogeneity and spatial marginal effects. For example, the influence of road density shows a global positive correlation effect in multiple time periods, and the promotion effect increases from southwest to northeast. This study can provide auxiliary decision-making support for the construction of an efficient, green and sustainable urban transportation system according to local conditions.