Influences of Physical Environment on Corridor Walking Among Assisted Living Residents

Lu, Zhipeng; Rodiek, Susan; Shepley, Mardelle McCuskey; Duffy, Michael

doi:10.1177/0733464810370325

Cited by 21 publications

(11 citation statements)

References 15 publications

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“…The results suggest that several aspects of the physical environment may play a role in the level of physical (in)activity. This factor was supported by six studies [12*, 13***, 18**, 19***, 20****, 21**]. Furthermore, caregivers seem to be important for the amount of (in)activity; a factor that was supported by six studies [21**, 22**, 23***, 24*, 25***, 26**].…”

Section: Discussionmentioning

confidence: 80%

Setting-related influences on physical inactivity of older adults in residential care settings: a review

et al. 2017

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BackgroundDespite the detrimental effects of physical inactivity for older adults, especially aged residents of residential care settings may spend much time in inactive behavior. This may be partly due to their poorer physical condition; however, there may also be other, setting-related factors that influence the amount of inactivity. The aim of this review was to review setting-related factors (including the social and physical environment) that may contribute to the amount of older adults’ physical inactivity in a wide range of residential care settings (e.g., nursing homes, assisted care facilities).MethodsFive databases were systematically searched for eligible studies, using the key words ‘inactivity’, ‘care facilities’, and ‘older adults’, including their synonyms and MeSH terms. Additional studies were selected from references used in articles included from the search. Based on specific eligibility criteria, a total of 12 studies were included. Quality of the included studies was assessed using the Mixed Methods Appraisal Tool (MMAT).ResultsBased on studies using different methodologies (e.g., interviews and observations), and of different quality (assessed quality range: 25-100%), we report several aspects related to the physical environment and caregivers. Factors of the physical environment that may be related to physical inactivity included, among others, the environment’s compatibility with the abilities of a resident, the presence of equipment, the accessibility, security, comfort, and aesthetics of the environment/corridors, and possibly the presence of some specific areas. Caregiver-related factors included staffing levels, the available time, and the amount and type of care being provided.ConclusionsInactivity levels in residential care settings may be reduced by improving several features of the physical environment and with the help of caregivers. Intervention studies could be performed in order to gain more insight into causal effects of improving setting-related factors on physical inactivity of aged residents.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-017-0487-3) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 80%

Setting-related influences on physical inactivity of older adults in residential care settings: a review

et al. 2017

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“…Existing literature shows that incorporating walking programs in the daily schedule of AL residents can improve their chances of social interactions, physical health, and higher perceptions of life (Lu et al, 2011; Taylor et al, 2003). In general, activities should also be devised according to residents’ needs, preferences, abilities, and interests by adopting an individualized approach.…”

Section: Discussionmentioning

confidence: 99%

“…Creating spaces that are large enough, comfortable and personal, and allow residents to congregate could promote interactions and should be a goal for administrators, architects, and designers. Lu and colleagues (2011) recommend corridors with hand rails and wide enough for two walkers, flooring safe for walking, and areas for resting as features that could further promote social relationships among residents.…”

Section: Discussionmentioning

confidence: 99%

Coming together and pulling apart: Exploring the influence of functional status on co-resident relationships in assisted living

Sandhu

Kemp

Ball

et al. 2013

Journal of Aging Studies

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Social relationships can have considerable influence on physical and mental well-being in later life, particularly for those in long-term care settings such as assisted living (AL). Research set in AL suggests that other residents are among the most available social contacts and that co-resident relationships can affect life satisfaction, quality of life, and well-being. Functional status is a major factor influencing relationships, yet AL research has not studied in-depth or systematically considered the role it plays in residents’ relationships. This study examines the influences of physical and mental function on co-resident relationships in AL and identifies the factors shaping the influence of functional status. We present an analysis of qualitative data collected over a one-year period in two distinct AL settings. Data collection included: participant observation, informal interviews, and formal in-depth interviews with staff, residents, administrators and visitors, as well as surveys with residents. Grounded theory methods guided our data collection and analysis. Our analysis identified the core category, “coming together and pulling apart”, which signifies that functional status is multi-directional, fluid, and operates in different ways in various situations and across time. Key facility- (e.g., admission and retention practices, staff intervention) and resident-level (e.g., personal and situational characteristics) factors shape the influence of functional status on co-resident relationships. Based on our findings, we suggest strategies for promoting positive relationships among residents in AL, including the need to educate staff, families, and residents.

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“…Because this is beyond the scope of this study, the following research is recommended for additional information: Yi and Seo (2012; impact of unit layout on nurse walking behavior); Zadeh, Shepley, Williams, and Chung (2014; impact of daylight on nurses’ behavioral health); Pati, Freier, O’Boyle, Amor, and Valipoor (2015; impact of simulated nature on patient outcomes); Lu, Rodiek, Shepley, and Duffy (2011; method: focus group); and Lin, Lin, Juan, Lee, and Lin (2013; method: structured questionnaire).…”

Section: Limitation and Future Studymentioning

confidence: 99%

An Empirical Examination of Nursing Units in China Based on Nurse Experience

Xuan

Chen

2018

HERD

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Influences of Physical Environment on Corridor Walking Among Assisted Living Residents

Cited by 21 publications

References 15 publications

Setting-related influences on physical inactivity of older adults in residential care settings: a review

Setting-related influences on physical inactivity of older adults in residential care settings: a review

Coming together and pulling apart: Exploring the influence of functional status on co-resident relationships in assisted living

An Empirical Examination of Nursing Units in China Based on Nurse Experience

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