dc.contributor.author | Sandvoll, Anne Marie | |
dc.contributor.author | Grov, Ellen Karine | |
dc.contributor.author | Simonsen, Morten | |
dc.date.accessioned | 2020-11-09T12:18:21Z | |
dc.date.accessioned | 2021-02-10T14:48:54Z | |
dc.date.available | 2020-11-09T12:18:21Z | |
dc.date.available | 2021-02-10T14:48:54Z | |
dc.date.issued | 2020-09-19 | |
dc.identifier.citation | Sandvoll, Grov, Simonsen. Nursing home residents´ADL status, institution-dwelling and association with outdoor activity: a cross sectional study. PeerJ. 2020;8 | en |
dc.identifier.issn | 2167-8359 | |
dc.identifier.uri | https://hdl.handle.net/10642/9505 | |
dc.description.abstract | Introduction. The Norwegian regulations for nursing homes consider access to
meaningful activities to be an indicator for the quality of nursing homes. Activities of
daily living (ADL) provide important basic self-care skills for nursing home residents.
Due to the physical changes caused by ageing and comorbidities, nursing home
residents may experience functional decline over time, which may affect their ability to
perform meaningful ADL, such as outdoor activity, which is considered a valuable
and meaningful activity in Norwegian culture. This study aimed to investigate the
association between ADL status, institution-dwelling and outdoor activity among
nursing home residents.
Methods. This cross-sectional study included 784 residents aged >67 years living
in 21 nursing homes in 15 Norwegian municipalities between November 2016 and
May 2018. The Barthel Index was used to assess the nursing home residents’ ADL
status. Other variables collected were age, gender, body weight and height, visits per
month, institution, ward, and participation in weekly outdoor activities. Descriptive
statistics were used to provide an overview of the residents’ characteristics. A Poisson
regression model was used to test the association between the outdoor activity level
as the dependent variable and ADL score, institution, and other control variables as
independent variables.
Results. More than half (57%) of the nursing home residents in this sample did not go
outdoors. More than 50% of the residents had an ADL score <10, which indicates low
performance status. Further, we found that residents’ ADL status, institution, ward,
and number of visits had an impact on how often the residents went outdoors.
Discussion. The nursing home residents in this study rarely went outdoors, which is
interesting because Norwegians appreciate this activity. Differences in the number of
visits might explain why some residents went outdoors more often than other residents
did. Our findings also highlight that the institutions impact the outdoor activity. How
the institutions are organized and how important this activity is considered to be in the
institutions determine how often the activity is performed.
Conclusion. The low frequency of the outdoor activities might be explained by a low
ADL score. More than 50% of the residents had an ADL score <10, which indicates low
performance status. Despite regulations for nursing home quality in Norway, this result
suggests that organizational differences matter, which is an important implication for further research, health policy and practice. | en |
dc.description.sponsorship | This work was supported by Western University of Applied Sciences, Norway. | en |
dc.language.iso | en | en |
dc.publisher | Peer J | en |
dc.relation.ispartofseries | Peer J; 8: e10202 | |
dc.rights | Creative Commons Attribution 4.0 International (CC BY 4.0) License | en |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Daily living activities | en |
dc.subject | Outdoor activities | en |
dc.subject | Activities | en |
dc.subject | Older people | en |
dc.subject | Nursing homes | en |
dc.title | Nursing home residents´ADL status, institution-dwelling and association with outdoor activity: a cross sectional study | en |
dc.type | Journal article | |
dc.type | Peer reviewed | en |
dc.date.updated | 2020-11-09T12:18:21Z | |
dc.description.version | publishedVersion | en |
dc.identifier.doi | https://doi.org/10.7717/peerj.10202 | |
dc.identifier.cristin | 1840462 | |
dc.source.journal | PeerJ | |