Is the experience of meaningful activities understood in nursing homes? A qualitative study

Palacios‐Ceña, Domingo; Gómez‐Calero, Cristina; Cachón‐Pérez, José Miguel; Velarde‐García, Juan Francisco; Martínez-Piedrola, Rosa; Pérez-de-Heredia, Marta

doi:10.1016/j.gerinurse.2015.10.015

Cited by 40 publications

(34 citation statements)

References 27 publications

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“…The “meaningful activity” concept has been explored in several populations and contexts including the long‐term unemployed (Ball & Orford, ), refugees (Bishop & Purcell, ), people with serious mental illness (Carless & Douglas, ) and older adults with or without dementia, living in the community or residential aged care facilities (RACFs; Harmer & Orrell, ; Kuosa et al, ; Palacios‐Cena et al, ; Phinney et al, ). These studies emanated from the fields of occupational therapy, nursing, psychology and gerontology.…”

Section: Resultsmentioning

confidence: 99%

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Enjoyable, engaging and individualised: A concept analysis of meaningful activity for older adults with dementia

Tierney

Beattie

2020

Int J Older People Nursing

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Aim:The term "meaningful activity" is widely used in policy, practice and the research literature. However, definition and use of the term is unclear and inconsistent. A concept analysis was conducted to explore the fundamental attributes that make an activity meaningful for older adults with dementia and propose a conceptual model for understanding "meaningful activity" in this population. Methods: This study followed Walker and Avant's method of concept analysis. Searches were conducted in the Scopus, MEDLINE, CINAHL, PubMed, Academic Search Elite and Web of Science databases for literature using the term "meaningful activity." Papers published before 1996 were excluded. Results: Twenty-nine papers concerned with "meaningful activity" were analysed. This analysis identified five attributes that make activities meaningful for people with dementia: (a) enjoyable; (b) suited to the individual's skills, abilities and preferences; (c) related to personally relevant goals; (d) engaging; and (e) related to an aspect of identity. The conceptual model illustrates how individual and opportunity factors influence participation in "meaningful activity" and the consequences of this participation as discussed in the existing literature. Conclusion: The findings of this concept analysis provide insight into what characteristics make an activity meaningful. Specific activities that are meaningful are different for each person and participation in personally 'meaningful activities' has the potential to positively impact the lives of people with dementia. Implications for practice: This understanding of 'meaningful activity' can be used by those involved in research, planning or delivery of services and care for people with dementia to encourage and support participation in activities that are meaningful to individuals. K E Y W O R D S concept analysis, dementia, meaningful activity, older adults, person-centred care

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Section: Resultsmentioning

confidence: 99%

“…Participation alongside others can foster a sense of belonging and may be preferred over individual activities by some people (Han et al, ). This will be partly dependent on individual personality traits such as extroversion (Palacios‐Cena et al, ; Roland & Chappell, ; Smith, Kolanowski, Buettner, & Buckwalter, ).…”

Section: Resultsmentioning

confidence: 99%

Enjoyable, engaging and individualised: A concept analysis of meaningful activity for older adults with dementia

Tierney

Beattie

2020

Int J Older People Nursing

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“…Furthermore, engagement in everyday activities can support personhood and thriving among nursing home residents [16]. Nevertheless, Palacios-Cena et al [17] questioned whether the importance of providing meaningful activities in nursing homes was understood by the staff. This sentiment was supported in Kada et al [18] who revealed that nursing staff doubted that the residents derived any benefit or joy in attending activities.…”

Section: Introductionmentioning

confidence: 99%

Engagement in Everyday Activities among People Living in Indian Nursing Homes: The Association with Person-Centredness

Strøm

Engedal

Rokstad

2020

Dement Geriatr Cogn Disord Extra

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Introduction: It has been reported that residents living in nursing homes are often inactive and lonely and are offered a limited number of activities. However, high engagement in activities has been reported to improve residents' quality of life and engagement in personalized activities can even reduce agitation and enhance positive mood. Information regarding occupational patterns and purpose in life is well established in Western countries. However, we know next to nothing about how people living in Indian nursing homes spend their days. Objective: To explore the participation in everyday activities among older people in Indian nursing homes and the extent to which engagement in activities is associated with personcentred care. Methods: The study was conducted in 6 nursing homes in India, comprising 147 residents. In all, 23 nursing staff took part and completed a 26-item questionnaire about resident activities based on the Multi-Dimensional Dementia Assessment Scale and the Person-Directed Care Questionnaire. Person-centredness was measured with the Person-Centred Care Assessment Tool. Results: We found low participation in everyday activities among the residents. Participation in religious activities was the most frequent, whereas the least used activities were excursions, participating in cultural activities, taking part in educational programmes, visiting a restaurant and going to the cinema. A significant positive association was found between person-centred care and participation in religious activities, engagement in an activity programme and physical activity. Conclusions: The most frequently attended activity was religious activities. Person-centred care was associated with participation in religious activities, engagement in an activity programme, physical activity, spending time in the garden and playing and listening to music.

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“…For a 2012/13 student, the realisation that a long‐term care institution might indeed be the chosen place for some individuals occurred while the student observed recreational activities performed by the residents: “the model shows ‘activity and participation’ as important components to somebody's life…and I noticed that when a group of residents was quite engaged with volunteer staff who placed them in a circle and asked them to combine a range of motion like head rotations, shoulder shrugs, and knee lifts, one after another as a song was being played.” In fact, Palacios‐Ceña and colleagues advocated for nursing homes that can develop diverse activity programmes that are meaningful according to residents' cognitive and physical abilities, and also help with the passage of time …”

Section: Resultsmentioning

confidence: 99%

“…In fact, Palacios-Ceña and colleagues advocated for nursing homes that can develop diverse activity programmes that are meaningful according to residents' cognitive and physical abilities, and also help with the passage of time. 28…”

Section: Demystification About Long-term Carementioning

confidence: 99%

Dental students' reflections about long‐term care experiences through an existing model of oral health

Brondani

Pattanaporn

2017

Gerodontology

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Is the experience of meaningful activities understood in nursing homes? A qualitative study

Cited by 40 publications

References 27 publications

Enjoyable, engaging and individualised: A concept analysis of meaningful activity for older adults with dementia

Enjoyable, engaging and individualised: A concept analysis of meaningful activity for older adults with dementia

Engagement in Everyday Activities among People Living in Indian Nursing Homes: The Association with Person-Centredness

Dental students' reflections about long‐term care experiences through an existing model of oral health

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