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The role and influence of micro-cultures in long-term care on the mental health and wellbeing of older people
 — a scoping review of evidence
Author(s)Rasa Mikelyte, Alisoun Milne
Journal titleQuality in Ageing and Older Adults, vol 17, no 3, 2016
PublisherEmerald, 2016
Pagespp 198-214
Sourcewww.emeraldgrouppublishing.com/qaoa.htm
KeywordsResidents [care homes] ; Well being ; Literature reviews.
AnnotationMicro-culture is defined in this article as "a distinctive culture shared by a small group that is based on location or within and organisation". The authors explore evidence about the role played by micro-cultures in long-term care (LTC) settings in shaping residents' mental health and wellbeing. A scoping review included database searches of academic and grey literature, using pre-determined combinations of key terms and specific inclusion and exclusion criteria. The review followed Arksey's and O'Malley's methodological framework (2005). Micro-cultures (localised, distinctive cultures of a small group of people) in LTC are complex, multi-faceted and multi-directional; they include social dynamics as well as structural and environmental factors. Although much work has been done on the nature of micro-cultures, limited work has focused on LTC for older people. Initiatives to promote the mental health and well-being of residents rarely consider micro-cultures in any holistic way; they tend to be taken into account either as part of a contextual backdrop, or as a unidirectional process often equated with the concept of "care culture" or "organisational culture". The role played by micro-cultures in influencing the mental health and well-being of older people living in LTC settings is significantly under-researched. The findings of this review suggest that their complexity and multidimensionality challenges researchers. (RH)
Accession NumberCPA-170512205 A
ClassmarkKX: D:F:5HH: 64A

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