Perspectives on activities in nursing homes

Sandvoll, Anne Marie; Hjertenes, Anne-Margrethe; Board, Michele

doi:10.19043/ipdj.10suppl.006

Cited by 5 publications

(3 citation statements)

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“…Activities can bridge a gap between routine care workers, volunteers, or family and the individual with dementia they are caring for by providing additional opportunities to promote quality interactions. Caregivers interacting in a positive way with residents with dementia can assist in reducing unmet psychosocial needs, possibly reducing interrelated feelings of boredom, as well as lowering the sense of being undervalued and frustrated, which can be interconnected with eliciting negative emotions (Sandvoll et al, 2020;Thériault & Grant, 2020). In addition to these direct therapeutic effects on individuals with dementia, enjoyable and simple activities of short duration integrated into routine caregiving can also positively influence well-being among caregivers and, subsequently, the quality of their care (e.g., Baker et al, 2012;Hanser et al, 2011;Rappe & Topo, 2007).…”

Section: Activities For Individuals With Dementiamentioning

confidence: 99%

Nature-Based Video with Music for Individuals Experiencing an Episode of Sundown Syndrome

Rados

Kim

Kono

et al. 2021

JLTC

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Both institutionalized and community-dwelling individuals with dementia may experience a phenomenon called sundown syndrome, or sundowning, that can occur in the afternoon, evening, or into the night, that is recognized as an intensified state of agitation, disorientation, anxiety, pacing, aggression, and other accentuated behaviors (Canevelli et al., 2016;Ford et al., 2019). Mayo Clinic (n.d.) defines sundown syndrome as, ' occurring in the late afternoon and into the night, with behaviors, such as confusion, anxiety, aggression, with possible pacing or wandering.' Boronat et al. ( 2019), in a scoping review of sundown syndrome research, found that there lacks an explicit defini-

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Section: Activities For Individuals With Dementiamentioning

confidence: 99%

Nature-Based Video with Music for Individuals Experiencing an Episode of Sundown Syndrome

Rados

Kim

Kono

et al. 2021

JLTC

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“…Unfortunately, recent inspections undertaken by the authorities in nursing homes in Norway show a lack of activity offerings ( Helsetilsynet, 2018a ; Helsetilsynet, 2018b ; Helsetilsynet, 2018c ). The limited activity options indicate that the government’s current policy and new regulations to increase the level of activities in Norwegian nursing homes have not yet succeeded ( Helsetilsynet, 2018a ; Kjøs & Havig, 2016 ; Sandvoll, Hjertenes & Board, 2020 ; Sandvoll, Kristoffersen & Hauge, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Nursing home residents’ ADL status, institution-dwelling and association with outdoor activity: a cross-sectional study

Sandvoll

Grov

Simonsen

2020

PeerJ

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Introduction The Norwegian regulations for nursing homes consider access to meaningful activities to be an indicator for the quality of nursing homes. Activities of daily living (ADL) provide important basic self-care skills for nursing home residents. Due to the physical changes caused by ageing and comorbidities, nursing home residents may experience functional decline over time, which may affect their ability to perform meaningful ADL, such as outdoor activity, which is considered a valuable and meaningful activity in Norwegian culture. This study aimed to investigate the association between ADL status, institution-dwelling and outdoor activity among nursing home residents. Methods This cross-sectional study included 784 residents aged >67 years living in 21 nursing homes in 15 Norwegian municipalities between November 2016 and May 2018. The Barthel Index was used to assess the nursing home residents’ ADL status. Other variables collected were age, gender, body weight and height, visits per month, institution, ward, and participation in weekly outdoor activities. Descriptive statistics were used to provide an overview of the residents’ characteristics. A Poisson regression model was used to test the association between the outdoor activity level as the dependent variable and ADL score, institution, and other control variables as independent variables. Results More than half (57%) of the nursing home residents in this sample did not go outdoors. More than 50% of the residents had an ADL score <10, which indicates low performance status. Further, we found that residents’ ADL status, institution, ward, and number of visits had an impact on how often the residents went outdoors. Discussion The nursing home residents in this study rarely went outdoors, which is interesting because Norwegians appreciate this activity. Differences in the number of visits might explain why some residents went outdoors more often than other residents did. Our findings also highlight that the institutions impact the outdoor activity. How the institutions are organized and how important this activity is considered to be in the institutions determine how often the activity is performed. Conclusion The low frequency of the outdoor activities might be explained by a low ADL score. More than 50% of the residents had an ADL score <10, which indicates low performance status. Despite regulations for nursing home quality in Norway, this result suggests that organizational differences matter, which is an important implication for further research, health policy and practice.

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“…Unfortunately, recent inspections undertaken by the authorities in nursing homes in Norway show a lack of activity offerings (Helsetilsynet 2018a;Helsetilsynet 2018b;Helsetilsynet 2018c). The limited activity options indicate that the government's current policy and new regulations to increase the level of activities in Norwegian nursing homes have not yet succeeded (Helsetilsynet 2018a;Kjøs & Havig 2016;Sandvoll et al 2020;Sandvoll et al 2012). Despite the new regulations, changing nursing home practices is difficult (Sandvoll et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Peer Review #1 of "Nursing home residents’ ADL status, institution-dwelling and association with outdoor activity: a cross-sectional study (v0.1)"

Palm¹

2020

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Introduction. The Norwegian regulations for nursing homes consider access to meaningful activities to be an indicator for the quality of nursing homes. Activities of daily living (ADL) provide important basic self-care skills for nursing home residents. Due to the physical changes caused by ageing and comorbidities, nursing home residents may experience functional decline over time, which may affect their ability to perform meaningful ADL, such as outdoor activity, which is considered a valuable and meaningful activity in Norwegian culture. This study aimed to investigate the association between ADL status, institution-dwelling and outdoor activity among nursing home residents. Methods. This cross-sectional study included 784 residents aged >67 years living in 21 nursing homes in 15 Norwegian municipalities between November 2016 and May 2018. The Barthel Index was used to assess the nursing home residents' ADL status. Other variables collected were age, gender, body weight and height, visits per month, institution, ward, and participation in weekly outdoor activities. Descriptive statistics were used to provide an overview of the residents' characteristics. A Poisson regression model was used to test the association between the outdoor activity level as the dependent variable and ADL score, institution, and other control variables as independent variables. Results. More than half (57%) of the nursing home residents in this sample did not go outdoors. More than 50% of the residents had an ADL score <10, which indicates low performance status. Further, we found that residents' ADL status, institution, ward, and number of visits had an impact on how often the residents went outdoors. Discussion. The nursing home residents in this study rarely went outdoors, which is interesting because Norwegians appreciate this activity. Differences in the number of visits might explain why some residents went outdoors more often than other residents did. Our findings also highlight that the institutions impact the outdoor activity. How the institutions are organized and how important this activity is considered to be in the institutions determine how often the activity is performed. Conclusion. The low frequency of the outdoor activities might be explained by a low ADL score. More than 50% of the residents had an ADL score <10, which indicates low performance status. Despite regulations for nursing home quality in Norway, this result suggests that organizational differences matter, which is an important implication for further research, health policy and practice.

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Perspectives on activities in nursing homes

Cited by 5 publications

References 0 publications

Nature-Based Video with Music for Individuals Experiencing an Episode of Sundown Syndrome

Nature-Based Video with Music for Individuals Experiencing an Episode of Sundown Syndrome

Nursing home residents’ ADL status, institution-dwelling and association with outdoor activity: a cross-sectional study

Peer Review #1 of "Nursing home residents’ ADL status, institution-dwelling and association with outdoor activity: a cross-sectional study (v0.1)"

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