{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T19:06:51Z","timestamp":1783105611676,"version":"3.54.6"},"reference-count":19,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dement Geriatr Cogn Disord Extra"],"abstract":"<b><i>Background:<\/i><\/b> Conventional nursing homes in Singapore adopt an institutional and medical model of care with a focus on safety and risk management. As such, less regard is placed on upholding the dignity and autonomy of the resident, which compromises quality of care and the well-being of the resident. Today, person-centred care (PCC) has become synonymous with high-quality care that sustains the well-being and personhood of the care recipient. <b><i>Objectives:<\/i><\/b> To describe the model of PCC adopted by a nursing home, Apex Harmony Lodge (AHL), with a logic model and evaluate outcomes on residents\u2019 well-being, care quality, and staff attrition by comparing pre-PCC initiation (2015) to post-implementation (2016). <b><i>Methods:<\/i><\/b> Male residents in a 30-bed assisted living facility for persons with dementia in AHL were assessed using Dementia Care Mapping. Residents\u2019 well-being and staff attrition were measured before and after PCC implementation. <b><i>Results:<\/i><\/b> There were statistically significant improvements in resident well-being (\u0394 = 0.44, <i>p<\/i> = 0.029), Positive Engagement Potential (\u0394 = 0.17, <i>p<\/i> = 0.002), and Occupational Diversity (\u0394 = 0.12, <i>p<\/i> = 0.014) in 2016. Withdrawal and Passive Engagement in the residents were reduced significantly as were Care Detractors. There was also a 55% reduction in staff attrition rates post-PCC. <b><i>Conclusions:<\/i><\/b> Post-PCC implementation, the outcomes indicate a superior quality of care, enhanced resident well-being, and better staff retention. The AHL PCC model could serve as a roadmap for other nursing homes aspiring to raise the quality of care and influence long-term care standards and regulations for policy makers and legislators. <\/jats:p>","DOI":"10.1159\/000513069","type":"journal-article","created":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T22:08:05Z","timestamp":1612303685000},"page":"1-9","source":"Crossref","is-referenced-by-count":19,"title":["Person-Centred Care Transformation in a Nursing Home for Residents with Dementia"],"prefix":"10.1159","volume":"11","author":[{"given":"Peiyan","family":"Ho","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7591-1699","authenticated-orcid":false,"given":"Rachel\u00a0Chin\u00a0Yee","family":"Cheong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siew\u00a0Pei","family":"Ong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Fusek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiou\u00a0Liang","family":"Wee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9465-5937","authenticated-orcid":false,"given":"Philip\u00a0Lin\u00a0Kiat","family":"Yap","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2021,2,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1159\/000320260"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-142769"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2013.775638"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-016-0503-x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2007.02240.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2013.04.003"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S095925980400108X"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1996.tb01405.x"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1080\/13607869757344"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2017.06.007"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0966"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/45.suppl_1.11"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1177\/153944920402400104"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2014.06.008"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1159\/000491818"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1080\/13607860600844226"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70045-6"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1159\/000354366"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/45.suppl_1.96"}],"container-title":["Dementia and Geriatric Cognitive Disorders Extra"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/513069","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/513069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:10:22Z","timestamp":1745424622000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000513069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,2]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,5,10]]}},"URL":"https:\/\/doi.org\/10.1159\/000513069","archive":["Portico"],"relation":{},"ISSN":["1664-5464"],"issn-type":[{"value":"1664-5464","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,2]]}}}