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. 2009 Jan 20;9:3. doi: 10.1186/1471-2318-9-3

Table 1.

Physical, social and organizational characteristics: traditional nursing homes vs. small-scale living facilities.

Traditional nursing home Small-scale living facility
Physical - Large-scale wards
(>20 residents)
- Long corridors
- Institutional character
- Small units
(6 – 8 residents)
- Homelike character, based on a archetype house

Social - Many fellow residents and nursing staff working at one ward - Emphasis on family situation
- Residents form a group
- Nursing staff is part of the household

Organizational - more 'Top-down': organization/nursing home decides daily routine
- Task-differentiation: many different functions and staff
- more 'bottom-up': residents and family caregivers have a large influence on daily routine
- Nursing staff have integrated tasks: i.e. medical, personal care, activities and household