The Eden Alternative and Rosebud Nursing Center: Does the Eden Alternative improve resident outcomes in a long term care setting?
This study investigated whether or not the Eden Alternative improved the lives of residents living in a long-term care setting. Dr. William Thomas developed the Eden Alternative as an alternate care philosophy advocating resident-centered focus. Dr. Thomas believed if the three plagues of loneliness, helplessness and boredom could be alleviated, the quality of life for the elders would be improved.
Mrs. Smith, owner-operator of Rosebud Nursing Center, wanted to breathe new life into her nursing home and found the Eden Alternative. After implementation, Mrs. Smith viewed the Eden Alternative as a positive influence on the lives of the residents living at Rosebud and contacted this researcher to determine if this positive influence could be validated.
A case study was completed on-site that included the collection of Quantitative Data utilizing tools including the Minimum Data Set [MDS], the on-line survey and certification of automated records [OSCAR] reports and annual survey results. The Quantitative data analysis revealed no conclusive relationship between the Eden Alternative and the data.
Qualitative Data was collected utilizing the interview process. Residents and staff who lived or worked at Rosebud since the inception of the Eden Alternative were invited to participate in this study. Family members of resident participants were also included in the interview process. Open-ended questions were asked based on understanding of the Eden Alternative. Emergent themes and trends were revealed by residents and staff during initial interviews. Second interviews were completed based on questions responding to the emergent themes and trends as well as the three plagues of loneliness, helplessness, and boredom. Once again, emergent themes and trends were revealed based on responses to the questions asked.
The results indicated residents, staff and family members believed the Eden Alternative had improved the lives of the residents when the plagues of loneliness, helplessness and boredom were addressed. The implications of this study compel leaders in health care to direct resources to and embrace change in order to provide the elderly with the highest quality of life that embraces their medical and psychosocial needs.
Long term health care;