There's no place like home.

Area of Science:

• Gerontology
• Environmental Psychology
• Nursing

Background:

• The concept of "home" is central to aging- and dying-in-place.
• Limited understanding exists regarding the factors that transform a residence into a "home" for assisted living residents.
• Individual choices, personal style, relationships, and life histories shape the meaning of home.

Purpose of the Study:

• To explore the multifaceted meanings of "home" within assisted living settings.
• To present theories connecting home and well-being.
• To stimulate discussion among assisted living residents and staff regarding the experience of home.

Main Methods:

• Qualitative exploration of "home" meanings, ranging from positive "playground" to negative "prison" experiences.
• Review of existing theories on home and well-being.
• Introduction of the "Experience of Home Scale" for potential use in quality improvement.

Main Results:

• Identified a spectrum of meanings associated with "home" in assisted living.
• The "Experience of Home Scale" offers a tool for assessing resident perceptions.
• Person-environment interactions significantly influence the creation of "home".

Conclusions:

• Assisted living environments profoundly impact residents' sense of home.
• Nursing practice should consider person-environment interactions to foster positive home experiences.
• The "Experience of Home Scale" can aid in enhancing the quality of life for assisted living residents.