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Developing a Meaningful Garden Space in a Care Home with Staff and Family Members: A Qualitative Study

Background: Care home residents are often passive and lack active engagement in meaningful activities. The aim of this qualitative study was to co-develop a plan for a meaningful garden space in an urban care home in the north of England, to inform the subsequent building of such a garden space on t...

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Autores principales: Giebel, Clarissa, de Boer, Bram, Gabbay, Mark, Watkins, Caroline, Wilson, Neil, Tetlow, Hilary, Verbeek, Hilde
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222630/
https://www.ncbi.nlm.nih.gov/pubmed/35742271
http://dx.doi.org/10.3390/ijerph19127025
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author Giebel, Clarissa
de Boer, Bram
Gabbay, Mark
Watkins, Caroline
Wilson, Neil
Tetlow, Hilary
Verbeek, Hilde
author_facet Giebel, Clarissa
de Boer, Bram
Gabbay, Mark
Watkins, Caroline
Wilson, Neil
Tetlow, Hilary
Verbeek, Hilde
author_sort Giebel, Clarissa
collection PubMed
description Background: Care home residents are often passive and lack active engagement in meaningful activities. The aim of this qualitative study was to co-develop a plan for a meaningful garden space in an urban care home in the north of England, to inform the subsequent building of such a garden space on the care home premises. Methods: Members of staff participated in focus groups conducted at the care home. Family carers were interviewed by telephone. Both focus groups and interviews were audio-recorded, with transcripts analysed independently using thematic analysis by two researchers, and consensus achieved on final themes. Findings: Two focus groups with staff (n = 17) and seven interviews with family carers were held. Thematic analysis generated seven key themes for the garden about its meaning and environmental features: (1) Current opinions on physical environment; (2) access; (3) adaptation to the environment; (4) staffing; (5) socialising; (6) sensory features; and (7) active meaningful participation. The garden needed to be accessible to residents in wheelchairs, and in all weathers and seasonal conditions, as well as being adapted to the needs of people living with dementia. Areas for social activities, such as picnics, and intergenerational activities, as well as private spaces, were recommended. Throughout the garden, sensory features were suggested, incorporating the use of vision, smell, touch, and sound, such as through water features. Moreover, it was recommended that residents should be able to contribute to the delivery of the activities themselves, including through a café and a vegetable garden. Conclusions: Family carers and staff considered that the garden would benefit from an intensive update to meet the needs of residents. This study therefore has practical implications for care home design, which are of even greater importance since the pandemic, as outdoor spaces were considered safer for care home visiting.
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spelling pubmed-92226302022-06-24 Developing a Meaningful Garden Space in a Care Home with Staff and Family Members: A Qualitative Study Giebel, Clarissa de Boer, Bram Gabbay, Mark Watkins, Caroline Wilson, Neil Tetlow, Hilary Verbeek, Hilde Int J Environ Res Public Health Article Background: Care home residents are often passive and lack active engagement in meaningful activities. The aim of this qualitative study was to co-develop a plan for a meaningful garden space in an urban care home in the north of England, to inform the subsequent building of such a garden space on the care home premises. Methods: Members of staff participated in focus groups conducted at the care home. Family carers were interviewed by telephone. Both focus groups and interviews were audio-recorded, with transcripts analysed independently using thematic analysis by two researchers, and consensus achieved on final themes. Findings: Two focus groups with staff (n = 17) and seven interviews with family carers were held. Thematic analysis generated seven key themes for the garden about its meaning and environmental features: (1) Current opinions on physical environment; (2) access; (3) adaptation to the environment; (4) staffing; (5) socialising; (6) sensory features; and (7) active meaningful participation. The garden needed to be accessible to residents in wheelchairs, and in all weathers and seasonal conditions, as well as being adapted to the needs of people living with dementia. Areas for social activities, such as picnics, and intergenerational activities, as well as private spaces, were recommended. Throughout the garden, sensory features were suggested, incorporating the use of vision, smell, touch, and sound, such as through water features. Moreover, it was recommended that residents should be able to contribute to the delivery of the activities themselves, including through a café and a vegetable garden. Conclusions: Family carers and staff considered that the garden would benefit from an intensive update to meet the needs of residents. This study therefore has practical implications for care home design, which are of even greater importance since the pandemic, as outdoor spaces were considered safer for care home visiting. MDPI 2022-06-08 /pmc/articles/PMC9222630/ /pubmed/35742271 http://dx.doi.org/10.3390/ijerph19127025 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Giebel, Clarissa
de Boer, Bram
Gabbay, Mark
Watkins, Caroline
Wilson, Neil
Tetlow, Hilary
Verbeek, Hilde
Developing a Meaningful Garden Space in a Care Home with Staff and Family Members: A Qualitative Study
title Developing a Meaningful Garden Space in a Care Home with Staff and Family Members: A Qualitative Study
title_full Developing a Meaningful Garden Space in a Care Home with Staff and Family Members: A Qualitative Study
title_fullStr Developing a Meaningful Garden Space in a Care Home with Staff and Family Members: A Qualitative Study
title_full_unstemmed Developing a Meaningful Garden Space in a Care Home with Staff and Family Members: A Qualitative Study
title_short Developing a Meaningful Garden Space in a Care Home with Staff and Family Members: A Qualitative Study
title_sort developing a meaningful garden space in a care home with staff and family members: a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222630/
https://www.ncbi.nlm.nih.gov/pubmed/35742271
http://dx.doi.org/10.3390/ijerph19127025
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