“…Both the leaders and staff reported having garden interests and skills and stated that going outdoors facilitated restorative breaks during the busy workdays, all of which might motivate the leaders and staff to bring the residents outdoors. Facilitating and acknowledging that going outdoors is a part of clinical practice for the elderly is underpinned by reported findings related to improved physical benefits (Jacobs et al, 2008;Joseph et al, 2005;Sugiyama & Thompson, 2005), cognitive benefits (Plassman, Williams, Burke, Holsinger, & Benjamin, 2010;Spector et al, 2003;Woods, Aguirre, Spector, & Orrell, 2012) and behavioral improvements (Woodhead, Zarit, Braungart, Rovine, & Femia, 2005). Similarly, continuous activity programming has been reported to reduce staffing needs, increase the time involved in activities, decrease the use of psychotropic medication, improve nutrition and increase family satisfaction (Volicer, Simard, Pupa, Medrek, & Riordan, 2006).…”