Strategies to improve the quality of life of elderly: Integrating the roles of families and nursing homes
Abstract
This study explores the roles of family and nursing homes in enhancing the quality of life of elderly in Bintan Regency, Kepulauan Riau Province, Indonesia, focusing on the quality of elder care, social interaction, and well-being. Using a qualitative case study approach, data were collected from two nursing homes through in-depth interviews with caregivers and family members, as well as direct observation. Findings reveal three main caregiving models: institutional care emphasizing basic needs (food, hygiene, and health); community-based care promoting peer interaction and social activities; and family-based care involving regular visits and financial support. The study shows that the emotional well-being of elders is closely linked to family involvement and social connection within the facility. Caregivers also play a vital role in fostering emotional comfort. An ideal elder care model combines adequate institutional support, psychosocial engagement, and family participation. The study recommends caregiver training focused on emotional care and initiatives to encourage family involvement in improving elders’ overall well-being.
References
Amri, Y., Rijanta, R., & Listyaningsih, U. (2022). Faktor sosial dan demografi yang berhubungan dengan pekerja lansia di Indonesia. Jurnal Litbang Sukowati : Media Penelitian Dan Pengembangan, 5(2), 1–11. https://doi.org/10.32630/sukowati.v5i2.188
Bowlby, S. (2012). Recognising the time-space dimensions of care: Caringscapes and carescapes. In Environment and Planning A (Vol. 44, Number 9, pp. 2101–2118). https://doi.org/10.1068/a44492
Bowlby, S., & McKie, L. (2019). Care and caring: An ecological framework. Area, 51(3), 532–539. https://doi.org/10.1111/area.12511
Ehrlich, K., Emami, A., & Heikkilä, K. (2017). The relationship between geographical and social space and approaches to care among rural and urban caregivers caring for a family member with Dementia: a qualitative study. International Journal of Qualitative Studies on Health and Well-Being, 12(1). https://doi.org/10.1080/17482631.2016.1275107
Engelen, L., Rahmann, M., & de Jong, E. (2022). Design for healthy ageing–the relationship between design, well-being, and quality of life: a review. Building Research and Information, 50(1–2), 19–35. https://doi.org/10.1080/09613218.2021.1984867
Fang, J., Liu, Y., An, Y., & Zhou, K. (2023). The Macroeconomic Impact of Demographic Shifts: Aging Populations and Their Socioeconomic Consequences. Law and Economy, 2(11), 37–43. https://doi.org/10.563`97/le.2023.11.05
Finlay, J., Franke, T., McKay, H., & Sims-Gould, J. (2015). Therapeutic landscapes and wellbeing in later life: Impacts of blue and green spaces for older adults. Health and Place, 34, 97–106. https://doi.org/10.1016/j.healthplace.2015.05.001
Fischer, T., & Jobst, M. (2020). Capturing the spatial relatedness of long-distance caregiving: A mixed-methods approach. International Journal of Environmental Research and Public Health, 17(17), 1–23. https://doi.org/10.3390/ijerph17176406
Kadar, K. S., Francis, K., & Sellick, K. (2013). Ageing in Indonesia - Health Status and Challenges for the Future. In Ageing International (Vol. 38, Number 4, pp. 261–270). https://doi.org/10.1007/s12126-012-9159-y
Mahishale, V. (2015). Ageing world: Health care challenges. Journal of the Scientific Society, 42(3), 138. https://doi.org/10.4103/0974-5009.165540
Nakrem, S. (2015). Understanding organizational and cultural premises for quality of care in nursing homes: An ethnographic study. BMC Health Services Research, 15(1). https://doi.org/10.1186/s12913-015-1171-y
Ng, M., Gakidou, E., Lo, J., Abate, Y. H., Abbafati, C., Abbas, N., Abbasian, M., Abd ElHafeez, S., Abdel-Rahman, W. M., Abd-Elsalam, S., Abdollahi, A., Abdoun, M., Abdulah, D. M., Abdulkader, R. S., Abdullahi, A., Abedi, A., Abeywickrama, H. M., Abie, A., Aboagye, R. G., … Vollset, S. E. (2025). Global, regional, and national prevalence of adult overweight and obesity, 1990–2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. The Lancet, 405(10481), 813–838. https://doi.org/10.1016/S0140-6736(25)00355-1
Nutley, A. (2025). Assessing the impact of environmental satisfaction on the Quality of Life of elderly residents in a rural village of northern Thailand. Journal of Urban Design. https://doi.org/10.1080/13574809.2025.2486045
Ornstein, M. T., & Caruso, C. C. (2024). The Social Ecology of Caregiving: Applying the Social–Ecological Model across the Life Course. International Journal of Environmental Research and Public Health, 21(1). https://doi.org/10.3390/ijerph21010119
Ralston, M. (2018). The Role of Older Persons’ Environment in Aging Well: Quality of Life, Illness, and Community Context in South Africa. Gerontologist, 58(1), 111–120. https://doi.org/10.1093/geront/gnx091
Rosenberg, E., Jullamate, P., & Azeredo, Z. (2009). Informal care giving: Cross-cultural applicability of the person-environment model read this article online. Health Sociology Review, 18(4), 399–411. https://doi.org/10.5172/hesr.2009.18.4.399
Roxberg, Å., Tryselius, K., Gren, M., Lindahl, B., Werkander Harstäde, C., Silverglow, A., Nolbeck, K., James, F., Carlsson, I. M., Olausson, S., Nordin, S., & Wijk, H. (2020). Space and place for health and care. In International Journal of Qualitative Studies on Health and Well-being (Vol. 15, Number sup1). Taylor and Francis Ltd. https://doi.org/10.1080/17482631.2020.1750263
Solina, E., Wisadirana, D., Maksum, A., Chawa, A. F., & Niko, N. (2025). Welfare-based management of nursing homes to improve the quality of life of the elderly in Tanjungpinang City, Indonesia. International Journal of Innovative Research and Scientific Studies, 8(3), 148–155. https://doi.org/10.53894/ijirss.v8i3.6464
Suryanti, U. M., Incen, M., Niko, N., Raja, M., Haji, A., & Raja, U. M. (n.d.). Peran Dinas Sosial dalam Peningkatan Kesejahteraan Lansia Terlantar di Kota Tanjungpinang.
Ulsperger, J. S., & Knottnerus, J. D. (2008). The social dynamics of elder care: Rituals of bureaucracy and physical neglect in nursing homes. Sociological Spectrum, 28(4), 357–388. https://doi.org/10.1080/02732170801898422
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