Longitudinal Associations of Autonomy, Relatedness, and Competence With the Well-being of Nursing Home Residents

Kloos, Noortje; Trompetter, H.R.; Bohlmeijer, Ernst Thomas; Westerhof, Gerben Johan

doi:10.1093/geront/gny005

Cited by 43 publications

(35 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We observed that, regardless of whether or not they involved gardening/horticulture activities, interventions were more likely to be effective when they afforded: 1) shared/group experiences; 2) acquiring knowledge and learning skills; and/or, 3) opportunities to have control/autonomy, provide care, or be responsible for nature. Each of these factors: social interaction (Bassuk, 1999;Graney, 1975;Mendes de Leon, Glass, & Berkman, 2003), lifelong learning (Narushima, Liu, & Diestelkamp, 2013, and having responsibility/autonomy (Kloos, Trompetter, Bohlmeijer, & Westerhof, 2018;Langer & Rodin, 1976), have been reported to benefit older adults' wellbeing, in terms of ADL (Mendes de Leon et al, 2003), happiness (Graney, 1975), cognition (Bassuk, 1999), depression (Kloos et al, 2018), general psychological wellbeing (Kloos et al, 2018;Narushima et al, 2013), general overall health (Langer & Rodin, 1976), and life satisfaction (Kloos et al, 2018), i.e. similar outcomes to those reported in this review.…”

Section: Identifying Key Features Of Stronger Interventionssupporting

confidence: 74%

Indoor Nature Interventions for Health and Wellbeing of Older Adults in Residential Settings: A Systematic Review

et al. 2019

View full text Add to dashboard Cite

Background and Objectives Having contact with nature can be beneficial for health and wellbeing, but many older adults face barriers with getting outdoors. We conducted a systematic review of quantitative studies on health and wellbeing impacts of indoor forms of nature (both real and simulated/artificial), for older adults in residential settings. Research Design and Methods Search terms relating to older adults and indoor nature were run in 13 scientific databases (MEDLINE, CINAHL, AgeLine, Environment Complete, AMED, PsychINFO, EMBASE, HMIC, PsychARTICLES, Global Health, Web of Knowledge, Dissertations and Theses Global, and ASSIA). We also pursued grey literature, global clinical trials registries, and a range of supplementary methods. Results Of 6,131 articles screened against eligibility criteria, 26 studies were accepted into the review, and were quality-appraised using the Effective Public Health Practice Project (EPHPP) tool. The participants were 930 adults aged over 60. Nature interventions and health/wellbeing outcomes were heterogeneous, which necessitated a narrative synthesis. The evidence base was generally weak, with 18 of 26 studies having a high risk of bias. However, several higher-quality studies found indoor gardening and horticulture programs were effective for cognition, psychological wellbeing, social outcomes, and life satisfaction. Discussion and Implications There is inconsistent evidence that indoor nature exposures are beneficial for older care residents. We expect that successful interventions were, at least partly, facilitating social interaction, supporting feelings of autonomy/control, and promoting skill development, that is, factors not necessarily associated with nature per se. Higher-quality studies with improved reporting standards are needed to further elucidate these mechanisms.

show abstract

Section: Identifying Key Features Of Stronger Interventionssupporting

confidence: 74%

Indoor Nature Interventions for Health and Wellbeing of Older Adults in Residential Settings: A Systematic Review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…SDT outlines three basic psychological needs-autonomy, competence, and relatedness-and postulates that an individual's well-being and functioning are dependent upon the satisfaction of these needs. Evidence from numerous studies has shown that satisfaction of these basic psychological needs is vital for peoples' well-being in various contexts and cultures (e.g., Chen et al 2015;Church et al 2013;Kloos et al 2018;Ng et al 2012;Van den Broeck et al 2016). The degree of one's need satisfaction is in turn affected by various individual, environmental, and social factors (Ryan and Deci 2017).…”

Section: Introductionmentioning

confidence: 99%

Basic psychological need satisfaction across the retirement transition: Changes and longitudinal associations with depressive symptoms

et al. 2020

View full text Add to dashboard Cite

Drawing on self-determination theory, the present study examined how satisfaction of the basic psychological needs (autonomy, competence, and relatedness) changes across the retirement transition and how need satisfaction was related to depressive symptoms across the retirement transition. Participants (N = 2655) were drawn from the HEalth, Ageing and Retirement Transitions in Sweden (HEARTS) study. Latent growth curve modeling showed that autonomy need satisfaction increased across the retirement transition, whereas competence and relatedness remained relatively stable. Higher need satisfaction was related to less depressive symptoms at baseline, however, pre-retirement need satisfaction was not a statistically significant predictor of subsequent changes in depressive symptoms (or vice versa) across the retirement transition. At the within-person level, higher than usual need satisfaction at a specific time point was related to less than usual depressive symptoms. Need satisfaction may be an important factor to consider across the retirement transition and need satisfying activities prior, during, and after the transition may ease peoples' adjustment to retirement.

show abstract

“…Interestingly, in their reflection, staff co‐researchers related many of the ‘less obvious’ restrictions (specifically concerning freedom of choice) to routine (habit) and institutionalization. Living in a group can provide residents with an essential sense of belonging and emotional security (Custers et al, 2011; Kloos et al, 2019), yet nursing homes and nursing staff may need to increase their awareness of restrictive daily routines that are lurking in institutionalized settings and may lead to a lack of attention to individual preferences and to more passive residents.…”

Section: Discussionmentioning

confidence: 99%

Exploring restrictive measures using action research: A participative observational study by nursing staff in nursing homes

Bekkema¹,

Niemeijer

Frederiks

et al. 2021

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aim In nursing homes, nursing staff have a key role in the use of restrictive measures. However, their active role in reducing restrictive measures has so far been limited. The aim of this study is to explore how and when the application of restrictive measures in nursing homes occurs including underlying factors, together with nursing staff. Design Participatory action research was chosen for a bottom‐up understanding of the use of restrictive measures. Method Two Dutch nursing homes participated in 2016/2017 with 18 nursing staff members in the action research team. Nursing staff carried out 33 observations followed by a reflective interview. Results Nursing staff observed a wide range of restrictions, including restrictions in freedom of choice, not being able to go outside, not being in charge of medication, and a directive/unresponsive care attitude. Factors influencing restrictions included habits and institutionalization, cognitive ability of the resident, availability of personnel, and responsibility for safety. A responsive care attitude and raising awareness were seen as good practices to enhance freedom. Conclusions By taking a distant view on their work, nursing staff discovered a broad range of restrictions, including ‘less obvious’ restrictions. Active forms of learning may position nursing staff to discuss and reduce restrictive measures. Impact What problem did the study address?: Restrictive measures are still common in nursing homes. Despite their key role in using restrictive measures, nursing staff's active role in research has been limited. What were the main findings?: By participating as researchers, nursing staff gained a broader perspective on restrictive measures. Many ‘less obvious’ restrictions were related to routines and institutionalization and were considered as eye opening by nursing staff. Where and on whom will the research have impact?: Active forms of learning such as observing and reflecting has the potential to position nursing staff as ‘agents of change’.

show abstract

Longitudinal Associations of Autonomy, Relatedness, and Competence With the Well-being of Nursing Home Residents

Cited by 43 publications

References 37 publications

Indoor Nature Interventions for Health and Wellbeing of Older Adults in Residential Settings: A Systematic Review

Indoor Nature Interventions for Health and Wellbeing of Older Adults in Residential Settings: A Systematic Review

Basic psychological need satisfaction across the retirement transition: Changes and longitudinal associations with depressive symptoms

Exploring restrictive measures using action research: A participative observational study by nursing staff in nursing homes

Contact Info

Product

Resources

About