Sozialstrukturelle Rahmenbedingungen der physischen (In)Aktivität von Pflegeheimbewohner/innen – eine Mixed-Methods-Studie

Hoppe, Theresa

doi:10.1024/1012-5302/a000619

Cited by 2 publications

(6 citation statements)

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“…Even if weekly-scheduled structured activities could not be compensated by nursing staff [2], they still made an effort to offer guided low threshold activities during the day. Here, we cannot confirm Hoppe's [14] findings that nursing homes neglect activities, yet we support not solely relying on external activity experts for PA programmes, since it possibly leads to limitations during pandemics. Generally, although staff members can positively influence resident PA, lack of time often hinders them [14], as well as lack of competencies for offering PA promotion [2].…”

Section: The Influence Of Nursing Staff and Other Social Contacts On Pacontrasting

confidence: 88%

“…Here, we cannot confirm Hoppe's [14] findings that nursing homes neglect activities, yet we support not solely relying on external activity experts for PA programmes, since it possibly leads to limitations during pandemics. Generally, although staff members can positively influence resident PA, lack of time often hinders them [14], as well as lack of competencies for offering PA promotion [2]. Employing PA professionals in-house-which is usually not done in nursing homes-addresses such deficiencies [13,14].…”

Section: The Influence Of Nursing Staff and Other Social Contacts On Pacontrasting

confidence: 88%

“…Even more effective when supported by staff, spontaneous activities provide possible positive impact on resident PA [6,13,15]. Spontaneous activity opportunities are possible without investing a large amount of time and personnel, not least of all because residents-as Hoppe [14] also found-show willingness to take over household activities if asked by staff.…”

Section: The Influence Of Mealtime On Pamentioning

confidence: 99%

“…Additionally, staff or significant others and their presence influence resident PA. Although residents experience little overall interaction with staff during the course of the day, residents are significantly more likely to be active when staff encourage them [6,7,13,14]. Activities-initiated by staff during everyday life-also influence resident PA.…”

Section: Introductionmentioning

confidence: 99%

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Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation

Hahn,

Thiel,

Trüb

et al. 2023

Eur Rev Aging Phys Act

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Background The Covid-19 outbreak in spring of 2020 posed an array of challenges for nursing homes, including promoting resident physical activity (PA). Given the diversity of factors affecting resident PA, we explored how activity patterns outside weekly-scheduled structured activities changed during the pandemic and what factors promoted or inhibited PA during the pandemic. Methods We conducted systematic direct observations over 823.5 h in eight nursing homes in Southern Germany in 2020 and 2021. Results: In 2020, 84.7% of person observation units were classified as sedentary (average activity level: 1.14 MET). In 2021, the percentage increased to 91.6% of observed person units (average activity level: 1.08 MET) (t = 6.947; p = .000). According to tree classification, influencing factors of PA included mealtime and daytime in 2020 and 2021, as well as presence of men residents only in 2020 and guided low threshold activities in 2021. Conclusions Nursing homes constitute highly sedentary places—an issue exacerbated by access restrictions for external activity experts and significant others as well as behavioural restrictions for residents during the Covid-19 pandemic. Staff could not compensate due to existing time restraints and lack of training in PA promotion. Based on our findings, we recommend future studies to develop feasible and resource-low activities to be integrated into the daily routines of nursing homes.

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Section: The Influence Of Nursing Staff and Other Social Contacts On Pacontrasting

confidence: 88%

Section: The Influence Of Nursing Staff and Other Social Contacts On Pacontrasting

confidence: 88%

Section: The Influence Of Mealtime On Pamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation

Hahn,

Thiel,

Trüb

et al. 2023

Eur Rev Aging Phys Act

View full text Add to dashboard Cite

show abstract

“…However, ensuring residents' safety may also lead to sedentariness in nursing homes if there is no concurrent social support for being physically active [8,19]. Safety measures can, therefore, both promote and prevent PA. A further major structural barrier to residents' activation in nursing homes is the lack of time perceived by nursing home staff [20].…”

Section: Introductionmentioning

confidence: 99%

‘All We Have to Decide Is What to Do with the Time That Is Given to Us’ a Photovoice Study on Physical Activity in Nursing Homes

Altmeier

Thiel

Frahsa

2021

IJERPH

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(1) Background: Despite high prevalence of physical inactivity and sedentariness among nursing home residents, research on the influence of environments on this topic remains scarce. This Photovoice study explores how structural and social environments relate to residents’ everyday physical activity (PA). (2) Methods: 27 residents, staff, and significant others conducted Photovoice in eight nursing homes in Germany to document factors facilitating or hindering PA. Photographs were discussed with the participants in eight focus groups and analysed using thematic analysis. (3) Results: 169 photographs (between 8 and 42per home) were categorized into three thematic groups: (1) ‘architectural challenges for PA promotion in nursing homes’; (2) ‘opportunities and limitations of using daily work equipment for PA promotion’; (3) ‘social incentives for PA promotion’. Photographs’ foci in the homes differed considerably between participant groups. Staff primarily chose environmental constructions and aids that they perceived to enable residents’ PA. Residents were more likely to express affections and emotions that would encourage them to be active. (4) Conclusions: PA promotion research in this setting should be sensitive to diverse perceptions of different stakeholder groups and existing power imbalances. Interventions are needed that integrate residents’ needs and train staff on how to consider residents’ perspectives.

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Sozialstrukturelle Rahmenbedingungen der physischen (In)Aktivität von Pflegeheimbewohner/innen – eine Mixed-Methods-Studie

Cited by 2 publications

References 0 publications

Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation

Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation

‘All We Have to Decide Is What to Do with the Time That Is Given to Us’ a Photovoice Study on Physical Activity in Nursing Homes

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