Promoting activity and mobility in long-term care environments: A photo-elicitation study with older adults and nurses.
activities of daily living
care needs
dementia
fundamental care
gerontology
interviews
long-term care
mobility
nursing homes
older adults
physical activity
ward design
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
revised:
03
08
2023
received:
04
05
2023
accepted:
21
08
2023
medline:
7
11
2023
pubmed:
12
9
2023
entrez:
12
9
2023
Statut:
ppublish
Résumé
The aim of this research study is to collaboratively generate insights in the current institutional long-term care environment for activity and mobility of older adults, and of solutions that could be used to increase the activity and improve the mobility of the older adults. This research constitutes a qualitative study with a critical approach. Data were collected using photo-elicitation in four long-term care units in Finland during the spring of 2022. Older adults participated in individual data collection sessions which combined photographing and discussion. Staff members individually took photographs and later participated in a group discussion based on the photographs. Reflexive thematic analysis was used to analyse all data together. Ten older adults and 12 staff members participated in the research study. Four themes were identified: (1) facilities should be designed and equipped for their users, (2) moving in the institutional environment, (3) passivity as a norm, and (4) nurses should act differently and have the resources to do so. To increase the activity and improve the mobility of older adults, improvements are needed in terms of the design of facilities, opportunities for freedom of movement, outdoor activity, daily life activities, exercise, nurses' role in activating older adults and resources. Increased attention to the support of activity and mobility could benefit older adults in institutional long-term care. Physical activity promotion should be incorporated as an integral part of nursing practice. Directors of units were consulted when planning the study. Older adults and nurses contributed to the data collection and interpretation of data. (ADDRESSING): What problem did the study address? ○Older adults have recurrently been reported as living inactive lives in institutional long-term care. ○There is evidence of the relationship between the environment and the activity and mobility of older adults, but there seems to be a research-practice gap in terms of implementing activity- and mobility-promoting environments. ○Older adults and staff members are important in developing practice and change-oriented knowledge that can be used to increase the activity and improve the mobility of older adults in institutional long-term care. What were the main findings? ○Various environmental improvements are recommended to increase the activity and improve the mobility of older adults in institutional long-term care settings. ○Improvements for the design of facilities, opportunities for freedom of movement, outdoor activity, daily life activities, exercise, nurses' role in activating older adults and resources for activity support would benefit older adults' activity and mobility. Where and on whom will the research have an impact? ○Increasing the activity of older adults requires better activity promotion and mobility support by nurses in institutional care. Sufficient education and resources should be organized for activity promotion, in addition to a care and organizational culture that values activity. ○Environmental aspects to promote activity and mobility need to be considered already at the planning, building and renovating phases of facilities. ○Policymakers and care organizers should consider evidence of the harms and benefits of different institutional living environments when making decisions on organizing care. The study is reported using the Consolidated Criteria for Reporting Qualitative Research (COREQ).
Types de publication
Journal Article
Langues
eng
Pagination
8078-8094Subventions
Organisme : Betania foundation
Informations de copyright
© 2023 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
Références
Act on Supporting the Functional Capacity of the Older Population and on Social and Health Services for Older Persons 28.12.2012/980. (2012).
Anderiesen, H., Scherder, E. J. A., Goossens, R. H. M., & Sonneveld, M. H. (2014). A systematic review - Physical activity in dementia: The influence of the nursing home environment. Applied Ergonomics; Applied Ergonomics, 45(6), 1678-1686. https://doi.org/10.1016/j.apergo.2014.05.011
Baldelli, G., de Santi, M., de Felice, F., & Brandi, G. (2021). Physical activity interventions to improve the quality of life of older adults living in residential care facilities: A systematic review. Geriatric Nursing, 42(4), 806-815. https://doi.org/10.1016/j.gerinurse.2021.04.011
Benjamin, K., Edwards, N., Ploeg, J., & Legault, F. (2014). Barriers to physical activity and restorative care for residents in long-term care: A review of the literature. Journal of Aging and Physical Activity, 22(1), 154-165. https://doi.org/10.1123/japa.2012-0139
Boltz, M., Lee, K. H., Shuluk, J., & Secic, M. (2020). Development of the care environment scale-long-term care. Clinical Nursing Research, 29(3), 169-176. https://doi.org/10.1177/1054773818801485
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
Braun, V., & Clarke, V. (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328-352. https://doi.org/10.1080/14780887.2020.1769238
Caspersen, C. J., Powell, K. E., & Christenson, G. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126-131.
Cole, T. R. (Ed.). (1993). Voices and visions of aging toward a critical gerontology. Springer.
Collier, J. (1957). Photography in anthropology: A report on two experiments. American Anthropologist, 59(5), 843-859. https://doi.org/10.1525/aa.1957.59.5.02a00100
Crocker, T., Forster, A., Young, J., Brown, L., Ozer, S., Smith, J., Green, J., Hardy, J., Burns, E., Glidewell, E., & Greenwood, D. C. (2013). Physical rehabilitation for older people in long-term care. Cochrane Database of Systematic Reviews, 2013, 2. https://doi.org/10.1002/14651858.CD004294.pub3
Cunningham, C., O' Sullivan, R., Caserotti, P., & Tully, M. A. (2020). Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scandinavian Journal of Medicine & Science in Sports, 30(5), 816-827. https://doi.org/10.1111/sms.13616
de Souto Barreto, P., Morley, J. E., Chodzko-Zajko, W., Pitkala, H., Weening-Djiksterhuis, E., Rodriguez-Mañas, L., Barbagallo, M., Rosendahl, E., Sinclair, A., Landi, F., Izquierdo, M., Vellas, B., & Rolland, Y. (2016). Recommendations on physical activity and exercise for older adults living in long-term care facilities: A taskforce report. Journal of the American Medical Directors Association, 17(5), 381-392. https://doi.org/10.1016/j.jamda.2016.01.021
den Ouden, M., Bleijlevens, M. H. C., Meijers, J. M. M., Zwakhalen, S. M. G., Braun, S. M., Tan, F. E. S., & Hamers, J. P. H. (2015). Daily (In)activities of nursing home residents in their wards: An observation study. Journal of the American Medical Directors Association, 16(11), 963-968. https://doi.org/10.1016/j.jamda.2015.05.016
Doornebosch, A. J., Smaling, H. J. A., & Achterberg, W. P. (2022). Interprofessional collaboration in long-term care and rehabilitation: A systematic review. Journal of the American Medical Directors Association, 23(5), 764-777.e2. https://doi.org/10.1016/j.jamda.2021.12.028
Douma, J. G., Volkers, K. M., Engels, G., Sonneveld, M., Goossens, R., & Scherder, E. (2017). Setting-related influences on physical inactivity of older adults in residential care settings: A review. BMC Geriatrics, 17(1), 97. https://doi.org/10.1186/s12877-017-0487-3
Edgren, J., Penttinen, L., Mäkelä, M., Asikainen, J., Gerasin, A., & Havulinna, S. (2021). Ikääntyneen asiakkaan kuntoutumisen voimavarat jäävät usein hyödyntämättä [Older customer's rehabilitation resources are often left unexploited]. Tutkimuksesta tiiviisti [Research results in short] 46/2021. Finnish National Institute for Health and Welfare. https://urn.fi/URN:ISBN:978-952-343-703-6
Gaugler, J. E., & Mitchell, L. L. (2022). Reimagining family involvement in residential long-term care. Journal of the American Medical Directors Association, 23(2), 235-240. https://doi.org/10.1016/j.jamda.2021.12.022
Henderson, V. A. (1991). The nature of nursing: Reflections after 25 years (pp. 22-23). National League for Nursing Press.
Hitlin, S., & Piliavin, J. A. (2004). Values: Reviving a dormant concept. Annual Review of Sociology, 30(1), 359-393. https://doi.org/10.1146/annurev.soc.30.012703.110640
Ho, H.-H., Fang, I.-Y., Yu, Y.-C., Huang, Y.-P., Kuo, I.-L., Wang, L.-T., Tsai, M.-C., Chang, S.-H., & Hsueh, M.-C. (2021). Is functional fitness performance a useful predictor of risk of falls among community-dwelling older adults? Archives of Public Health = Archives Belges de Santé Publique, 79(1), 108. https://doi.org/10.1186/s13690-021-00608-1
Kangasniemi, M., Papinaho, O., Moilanen, T., Leino-Kilpi, H., Siipi, H., Suominen, S., & Suhonen, R. (2022). Neglecting the care of older people in residential care settings: A national document analysis of complaints reported to the Finnish supervisory authority. Health & Social Care in the Community, 30(4), e1313-e1324. https://doi.org/10.1111/hsc.13538
Kehusmaa, S., & Alastalo, H. (2021). Lähi- ja sairaanhoitajien määrä ei vielä ole noussut vanhuspalveluissa [Number of practical and registered nurses has not risen yet in elderly care services]. THL - Tutkimuksesta tiiviisti [Research results in short] 47/2021. Finnish Institute for Health and Welfare. https://urn.fi/URN:ISBN:978-952-343-704-3
Kehusmaa, S., Siltanen, S., & Leppäaho, S. (2021). Hyvinvointi korona-aikana - tuloksia vanhuspalvelujen asiakastyytyväisyyskyselystä [Wellbeing during covid-19 - results of elderly care customer feedback poll]. Tutkimuksesta tiiviisti [Research results in short] 10/2021. Finnish Institute for Health and Welfare. https://urn.fi/URN:ISBN:978-952-343-633-6
Kim, H. S. (2010). The nature of theoretical thinking in nursing (3rd ed.). Springer Pub. Co.
Lawton, M. P. (1989). Three functions of the residential environment. Journal of Housing for the Elderly, 5(1), 35-50.
Lee, S. J., Kim, M. S., Jung, Y. J., & Chang, S. O. (2019). The effectiveness of function-focused care interventions in nursing homes: A systematic review. The Journal of Nursing Research, 27(1), 1-13. https://doi.org/10.1097/jnr.0000000000000268
Lood, Q., Hermansen Østby, R., Hultqvist, S., Edvardsson, D., & Dahlin-Ivanoff, S. (2023). Uncovering hidden abilities for participation in research through photo-elicitation interviews: A view on participatory research with people living in residential care facilities. Research Involvement and Engagement, 9(1), 9-11. https://doi.org/10.1186/s40900-023-00422-9
Lood, Q., Kirkevold, M., & Edvardsson, D. (2022). Becoming part of an upwards spiral: Meanings of being person-centred in nursing homes. International Journal of Older People Nursing, 17(2), e12420. https://doi.org/10.1111/opn.12420
Mielikäinen, L., & Kuronen, M. (2022). Sosiaalihuollon laitos- ja asumispalvelut 2021 : Sosiaalihuollon ympärivuorokautisissa laitos- ja asumispalveluissa vuoden aikana yli 100 000 asiakasta [Social care institutional and housing services in 2021: More than 100 000 customers lived in social care institutional and housing services]. THL - Tilastoraportti [Statistical report] 26/2022. Finnish Institute for Health and Welfare. https://www.julkari.fi/bitstream/handle/10024/144576/Sosiaalihuollon%20laitos-%20ja%20asumispalvelut_2021.pdf?sequence=1&isAllowed=y
Moulton, E., Wilson, R., & Deluzio, K. (2019). Movement and mobility: A concept analysis. Advances in Nursing Science, 42(4), E11-E23. https://doi.org/10.1097/ANS.0000000000000247
Narsakka, N., Suhonen, R., Kielo-Viljamaa, E., & Stolt, M. (2022). Physical, social, and symbolic environment related to physical activity of older individuals in long-term care: A mixed-method systematic review. International Journal of Nursing Studies, 135, 104350. https://doi.org/10.1016/j.ijnurstu.2022.104350
Narsakka, N., Suhonen, R., & Stolt, M. (2022). Environment in institutional care settings as a promoting factor for older individuals' mobility: A systematic review. Scandinavian Journal of Caring Sciences, 36(2), 382-392. https://doi.org/10.1111/scs.13053
Novek, S., Morris-Oswald, T., & Menec, V. (2012). Using photovoice with older adults: Some methodological strengths and issues. Ageing and Society, 32(3), 451-470. https://doi.org/10.1017/S0144686X11000377
Palese, A., Menegazzi, G., Tullio, A., Zigotti Fuso, M., Hayter, M., & Watson, R. (2016). Functional decline in residents living in nursing homes: A systematic review of the literature. Journal of the American Medical Directors Association, 17(8), 694-705. https://doi.org/10.1016/j.jamda.2016.04.002
Parry, S., Chow, M., Batchelor, F., & Fary, R. E. (2019). Physical activity and sedentary behaviour in a residential aged care facility. Australasian Journal on Ageing, 38(1), E12-E18. https://doi.org/10.1111/ajag.12589
Patton, M. Q. (2015). Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). SAGE.
Pentecost, C., Frost, J., Sugg, H. V. R., Hilli, A., Goodwin, V. A., & Richards, D. A. (2020). Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis. Journal of Clinical Nursing, 29(11-12), 1858-1882. https://doi.org/10.1111/jocn.15082
Peyrusqué, E., Buckinx, F., Kergoat, M.-J., & Aubertin-Leheudre, M. (2023). Exercise guidelines to counteract physical deconditioning in long-term care facilities: What to do and how to do it? Journal of the American Medical Directors Association, 24, 583-598. https://doi.org/10.1016/j.jamda.2023.01.015
Phillipson, L., & Hammond, A. (2018). More than talking. International Journal of Qualitative Methods, 17(1), 160940691878278. https://doi.org/10.1177/1609406918782784
Resnick, B. (Ed.). (2012). Restorative care nursing for older adults a guide for all care settings (2nd ed.). Springer.
Rommerskirch-Manietta, M., Braunwarth, J. I., Quasdorf, T., Manietta, C., Rodrigues-Recchia, D., Reuther, S., Rossmann, C., Acet, S., & Roes, M. (2021). Organizational capacity building in nursing facilities to promote resident mobility: A systematic review. Journal of the American Medical Directors Association, 22(12), 2408-2424.e12. https://doi.org/10.1016/j.jamda.2021.09.017
Sastrawan, S., Weller-Newton, J., Brand, G., & Malik, G. (2021). The development of nurses' foundational values. Nursing Ethics, 28(7-8), 1244-1257. https://doi.org/10.1177/09697330211003222
Sverdrup, K., Bergh, S., Selbaek, G., Røen, I., Kirkevold, Ø., & Tangen, G. G. (2018). Mobility and cognition at admission to the nursing home - A cross-sectional study. BMC Geriatrics, 18(1), 30. https://doi.org/10.1186/s12877-018-0724-4
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042
van den Berg, M. E. L., Winsall, M., Dyer, S. M., Breen, F., Gresham, M., & Crotty, M. (2020). Understanding the barriers and enablers to using outdoor spaces in nursing homes: A systematic review. The Gerontologist, 60(4), e254-e269. https://doi.org/10.1093/geront/gnz055
van Liempd, S., Verbiest, M., Stoop, A., & Luijkx, K. (2022). Influence of freedom of movement on the health of people with dementia: A systematic review. The Gerontologist. https://doi.org/10.1093/geront/gnac114
van Nes, F., Abma, T., Jonsson, H., & Deeg, D. (2010). Language differences in qualitative research: Is meaning lost in translation? European Journal of Ageing, 7(4), 313-316. https://doi.org/10.1007/s10433-010-0168-y
Voutilainen, P., & Löppönen, M. (2016). Hyvä ympärivuorokautinen hoito [Good full-time care]. Current Care Guidelines. The Finnish Medical Society Duodecim. https://www.kaypahoito.fi/nix01676
Wang, C., & Burris, M. A. (1994). Empowerment through photo novella: Portraits of participation. Health Education & Behavior, 21(2), 171-186. https://doi.org/10.1177/109019819402100204