Active residents in care homes: A holistic approach to promoting and encouraging meaningful activity for residents living in care homes: Innovative Practice

Smith, Raymond L.; Wood, Julia; Jones, Fiona; Anderson, Liezl; Hurley, Michael

doi:10.1177/1471301217727129

Cited by 11 publications

(12 citation statements)

References 9 publications

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“…This paper reports part of the Active Residents in Care Homes (ARCH) feasibility study (Koskela et al, 2017;Smith, Wood, Jones, Anderson, & Hurley, 2017;.…”

Section: Methodsmentioning

confidence: 99%

A qualitative interview study comparing and contrasting resident and staff perspectives of engaging in meaningful activity in a UK care home

Clarke

Smith

Wood

et al. 2019

Archives of Gerontology and Geriatrics

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The provision of meaningful activities in care homes is essential for maintaining residents' mental and physical health, yet many do not get adequate opportunities to participate. This qualitative study explored resident and staff perceptions of engaging in meaningful activities in a residential care home for older people (aged over 65 years) in South London, UK. Nine residents and eleven staff members were recruited and their experiences explored through semi-structured interviews. Data were analysed thematically, and three themes emerged. (1) Appreciation of activity: both staff and residents were aware of the benefits of activity to physical and mental health, yet there was a lack of provision within the home. (2) Residents' desire for engagement: residents perceived themselves as active individuals who had previously enjoyed activities, and had goals that they wanted to achieve. This was in contrast to views of care staff, who perceived residents as inactive, lacking in motivation and sedentary

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“…This paper reports part of the Active Residents in Care Homes (ARCH) feasibility study (Koskela et al, 2017;Smith, Wood, Jones, Anderson, & Hurley, 2017;.…”

Section: Methodsmentioning

confidence: 99%

A qualitative interview study comparing and contrasting resident and staff perspectives of engaging in meaningful activity in a UK care home

Clarke

Smith

Wood

et al. 2019

Archives of Gerontology and Geriatrics

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“…The content of this category is literature providing knowledge of multilevel approaches, meaning that it does not focus on a specific element or topic of an occupation but rather provides frameworks to facilitate meaningful occupation in general by drawing on several strategies and elements. Smith et al [55] describe a holistic 'whole-systems' intervention called Active Residents in Care Homes (ARCH). The intervention focuses on the following: people with dementia perceptions of participation in meaningful occupations; staff skills to facilitate engagement; and social, cultural and physical environmental factors to support engagement in meaningful occupation.…”

Section: Multilevel Approachesmentioning

confidence: 99%

Approaches to engaging people with dementia in meaningful occupations in institutional settings: A scoping review

Kielsgaard

Horghagen

Nielsen

et al. 2020

Scandinavian Journal of Occupational Therapy

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Background: People with dementia in institutional settings lack engagement in meaningful occupations, which may cause decreased quality of life. Although many researchers and professionals have proposed approaches to engage people with dementia in these occupations, an overview seems to be missing. Aim:This scoping review provides an overview by categorizing and describing the characteristics of the approaches. Material and method:A thorough literature search in nine databases identified the studies on approaches. We included 54 studies and extracted bibliometric data. A content analysis revealed the characteristics of the approaches.Results: Four categories of approaches were uncovered. First, the literature defined the concept of meaningful occupation in various ways. Second, a category of approaches provided theoretical knowledge of meaningful occupations. The third category focused on specific themes, such as certain methods. The final described comprehensive multilevel approaches. Conclusion:This review contributes to knowledge of the diversity of approaches to engage people with dementia in meaningful occupation within institutional settings.Significance: We suggest that occupational therapy researchers and practitioners consider how the concept of meaningful occupation is embedded in the theoretical landscape. Furthermore, activity programming requires reflexive decision-making at the policy and practice level, as engagement in meaningful occupations is complex.

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“…The ‘task-orientation’ of nursing care and the associated lack of time for social engagement is a concern commonly expressed in the sector [15,16,17,18]. In addition, staff are often not trained to engage residents in meaningful physical and social activities [19]. However, in order to improve successful ageing, RACFs need to be able to meet the resident’s physical and social needs.…”

Section: Introductionmentioning

confidence: 99%

The Best Day of the Week: New Technology Enhancing Quality of Life in a Care Home

Juul

Wilding

Baldassar

2019

IJERPH

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Older people living in residential aged care facilities tend to be physically as well as socially inactive, which leads to poorer health and reduced wellbeing. A lack of recognition of the importance of social support, limited resources, lack of training and task-oriented work routines leave little time for staff to meet the social needs of residents. Through qualitative ethnographic fieldwork, this study investigates the potential for new technologies to enhance quality of life and facilitate meaningful engagement in physical and social activities among culturally and linguistically diverse residents and staff in care facilities. A continuum from nonparticipation to full participation among residents was observed when Touch Screen Technology activities were implemented. Data indicate that resident’s engagement is impacted by five interdependent factors, including environmental, organisational, caregiver, patient, and management- &government-related. Findings show that new technologies can be used to increase meaningful physical and social engagement, including transcending language and cultural barriers. However, the successful application of new technologies to enhance quality of life is dependent on their integration into the daily routine and social relationships of staff and residents, with the full support of management. Guidelines governing the use of new technologies to support meaningful engagement of older people in residential care are lacking: this project highlights the importance of attention to the social relational dimensions of technology interventions to support best practice in their use.

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Active residents in care homes: A holistic approach to promoting and encouraging meaningful activity for residents living in care homes: Innovative Practice

Cited by 11 publications

References 9 publications

A qualitative interview study comparing and contrasting resident and staff perspectives of engaging in meaningful activity in a UK care home

A qualitative interview study comparing and contrasting resident and staff perspectives of engaging in meaningful activity in a UK care home

Approaches to engaging people with dementia in meaningful occupations in institutional settings: A scoping review

The Best Day of the Week: New Technology Enhancing Quality of Life in a Care Home

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