Promoting the concept of "thriving" is a key element in delivering high-quality aged care, according to new research from Åbo Akademi University. Ann-Sofie Silvennoinen's doctoral thesis in health sciences is noted as the first study in Finland to investigate how older persons experience thriving in care homes and to identify what factors contribute to a meaningful daily life for residents.
Aged care systems are facing growing challenges both in Finland and globally, with increasing numbers of older individuals requiring support. The research suggests that future aged care should take a holistic approach that incorporates medical, social, and psychosocial skills, along with greater focus on person-centred practices. Understanding what promotes thriving among older adults in residential settings is seen as vital for adapting to these changing needs.
Silvennoinen’s findings show that thriving is not just an emotional state but can be used as an indicator of care quality and the sustainability of healthcare systems. The thesis identifies five main factors influencing thriving: attitudes toward living in a care home, quality of caregivers and care, participation in activities and social interaction, physical environment attributes, and overall health. These elements are linked to maintaining dignity, encouraging involvement, and improving life quality for residents.
The research also highlights the importance of social engagement—participating in meaningful activities, having a sense of community, and being recognized—as the strongest factor related to thriving. Women reported higher levels of thriving compared to men, which may point to unmet needs among male residents in a sector where most caregivers are women.
Silvennoinen stated that interventions aimed at boosting thriving—such as enhancing social interactions, creating calm environments reminiscent of home, considering personal histories, and supporting resident participation—are generally straightforward to put into practice. She said: "Methods promoting thriving...are relatively easy to implement but can substantially improve both the quality of care and the efficiency of resources." She further emphasized: "When older persons thrive, their need for extensive care and medication decreases, making the experience of thriving a crucial component of a sustainable care system, including from an economic perspective."
These insights suggest that fostering thriving not only improves individual well-being but could also help reduce resource demands within aged care facilities over time.
