Physical, social, and symbolic environment related to physical activity of older individuals in long-term care: A mixed-method systematic review

Promoting activity and mobility in long‐term care environments: A photo‐elicitation study with older adults and nurses

“…If the older adult was not orientating to taking photographs, we took photographs based on the discussion. We probed the older adults about topics identified from the literature (Benjamin et al, 2014; Narsakka, Suhonen, Kielo‐Viljamaa, & Stolt, 2022), including aspects of the physical (facilities, common areas, outdoor areas, resident room), social (people, activities, situations) and symbolic (ways of acting, rules, norms) environment. We asked about things that could be changed so that their mobility and activity could be improved.…”

“…Unfortunately, recurrent evidence indicates that older adults in long‐term care settings live inactive lives (den Ouden et al, 2015; Parry et al, 2019). To increase the activity of older adults in institutional long‐term care, environmental aspects at all dimensions of the environment should be employed (Narsakka, Suhonen, Kielo‐Viljamaa, & Stolt, 2022).…”

“…The environment is defined as including the qualitative dimensions of the physical (matter‐based aspects), social (individuals and groups) and symbolic (ideational, normative and institutional elements) environment (Kim, 2010). Various aspects of all of these dimensions have been identified as relating to older adults' activity (Anderiesen et al, 2014; Benjamin et al, 2014; Douma et al, 2017; Narsakka, Suhonen, Kielo‐Viljamaa, & Stolt, 2022) and mobility (Narsakka, Suhonen, & Stolt, 2022; Rommerskirch‐Manietta et al, 2021) in the institutional long‐term care setting. However, considering the recurrent evidence of older adults in long‐term care settings living inactive lives (den Ouden et al, 2015; Parry et al, 2019), a research‐practice gap seems to exist regarding the implementation of this evidence as activity‐ and mobility‐promoting environments.…”

“…Their personal resources are not utilized in the support of their functioning (Edgren et al, 2021). To find solutions to increase the activity and improve the mobility of older adults in institutional long‐term care, assessment of environmental aspects and taking actions to change these could be done in terms of multiple dimensions of the environment (Benjamin et al, 2014; Narsakka, Suhonen, Kielo‐Viljamaa, & Stolt, 2022). Persons living and working in the long‐term care setting have valuable experiences that could be exploited to develop care and environments that best meet the older adults' needs (Lood et al, 2022; Phillipson & Hammond, 2018).…”

Hubungan Lingkungan Sosial Masyarakat dengan Perilaku Sosial Anak Usia Dini

“…Lingkungan sosial masih penting karena lingkungan sosial dan fisik memainkan peran yang berbeda dalam identitas tempat dan ketergantungan tempat, (Chang et al, 2023). Menurut (Narsakka et al, 2022) menyatakan aspek lingkungan sosial sebagai berikut; lingkungan fisik: lingkungan hidup yang dapat diakses dan aman, lingkungan fisik yang aktif, 2) Lingkungan sosial: profesional yang mendukung, peran orang lain, kegiatan yang memadai untuk bersosialisasi dan aktif, dan 3 ) Lingkungan simbolik: kebijakan di berbagai tingkatan, nilai-nilai organisasi dan profesional. Anak-anak menunjukkan perilaku, fisiologis, dan neural entrainment terhadap lingkungan fisik dan sosial mereka, terlepas dari kontrol perhatian yang disengaja; namun, bukti untuk entrainment berosilasi di luar daya tanggap kontingen saat ini masih kurang, (Wass et al, 2022).…”