Study design of an interdisciplinary and participatory nature-based palliative rehabilitation intervention in a Danish nursing home for people with severe dementia

Schmidt, Tanja; Gramkow, Marie Christoffersen; Poulsen, Dorthe Varning; Miller, Louise Holm; Wermuth, Lene; Stigsdotter, Ulrika K.

doi:10.1186/s12877-022-03513-6

Cited by 2 publications

(1 citation statement)

References 55 publications

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“…The paper by Schmidt et al [20] is about nature-based palliative rehabilitation intervention in a Danish nursing home for patients with severe dementia. It is not an actual patient study, but rather a concept for the development of a nursing home with the special characteristics for the implementation of nature-based palliative care.…”

Section: Resultsmentioning

confidence: 99%

Forest Therapy as a Nature-Based Intervention: An Option for Neurological Rehabilitation?

Heckmann,

Kiem,

Immich

2023

Complement Med Res

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Background: Forest therapy demonstrates positive effects on mood, immune system, stress levels and general well-being. Studies on depression, stress-related illnesses, sleep disorders and arterial hypertension have provided evidence-based proof of this. Summary: The aim of this review was to examine the possible effects of forest therapy with regard to its evidence in the treatment of chronic neurological diseases such as stroke in the rehabilitation phase, Parkinson's disease, dementia and multiple sclerosis. Therefore, the electronic databases Medline, Scopus and Cochrane were searched for such clinical trials for the years 1970 to mid-2023 without language restriction. The literature search revealed only few studies with positive indications but too few cases to be able to make generalizable evidence-based statements. In terms of improvement in the Hamilton Depression Scale analysis of two studies in stroke patients showed slight benefits in the forest therapy group (Standard Mean Difference -0.43; 95%-CI -0.76- -0,10; p<0.01). One observational study revealed a higher rate of stroke survival in patients living in marked greenness. Few nature-based interventions in dementia patients showed certain benefits in particular details. Key messages: There are no evidence-based results on the benefit of forest therapy for chronic neurological diseases. However, there are hints that forest therapy could have a positive benefit. Therefore, a proposal for forest therapy as a component of multimodal neurological rehabilitation is presented.

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Section: Resultsmentioning

confidence: 99%

Forest Therapy as a Nature-Based Intervention: An Option for Neurological Rehabilitation?

Heckmann,

Kiem,

Immich

2023

Complement Med Res

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Facilitators and barriers for using outdoor areas in the primary work tasks of eldercare workers in nursing homes

Jacobsen,

Vilhelmsen,

Lottrup

et al. 2023

BMC Health Serv Res

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Background Eldercare workers in nursing homes report high musculoskeletal disorders, stressful work, and sickness absence. Initiatives that can accommodate these issues are needed. Current studies point out that nature contact may offer a range of human health benefits, potentially promoting healthier work among eldercare workers. Therefore, this study aimed to investigate facilitators and barriers for using outdoor areas as part of the daily work among eldercare workers in Danish nursing homes. Methods In this multiple case study, we collected data from three nursing homes, conducting three semi-structured focus group interviews with eldercare workers and three individual interviews with nursing home managers. Furthermore, we conducted observations of the daily work and mappings of the nursing homes’ outdoor environments to gain in-depth knowledge of eldercare workers’ and managers’ perspectives on using outdoor areas in their daily work. The data was thematically analysed using ‘The Behaviour Change Wheel’ (BCW), more specifically the COM-B model, as a theoretical foundation for exploring facilitators and barriers for the use of outdoor areas. Results Frequently mentioned facilitators were facilities, traditions or repetitive events, positive experiences with residents (‘star moments’), and knowledge about the residents. Frequently mentioned barriers were insufficient staffing, hierarchy in the work tasks, professional identity, and lack of ideas. Conclusions The identified facilitators and barriers should be considered when designing initiatives for increased use of outdoor areas or activities of eldercare workers. Trial registration According to the Danish ethics committee (Law of committee, (komitéloven) paragraph 14, Sect. 2), qualitative interviews, which do not include human biological materials, do not need neither approval by ethical and scientific committee or informed consent (The Danish National Centre for Ethics).

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Study design of an interdisciplinary and participatory nature-based palliative rehabilitation intervention in a Danish nursing home for people with severe dementia

Cited by 2 publications

References 55 publications

Forest Therapy as a Nature-Based Intervention: An Option for Neurological Rehabilitation?

Forest Therapy as a Nature-Based Intervention: An Option for Neurological Rehabilitation?

Facilitators and barriers for using outdoor areas in the primary work tasks of eldercare workers in nursing homes

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