Characteristics and value of 'meaningful activity' for people living with dementia in residential aged care facilities: "You're still part of the world, not just existing"

被引:8
作者
Tierney, Laura [1 ,2 ]
MacAndrew, Margaret [1 ]
Doherty, Kathleen [2 ]
Fielding, Elaine [1 ]
Beattie, Elizabeth [1 ]
机构
[1] Queensland Univ Technol, Fac Hlth, Sch Nursing, Brisbane, Qld, Australia
[2] Univ Tasmania, Wicking Dementia Res & Educ Ctr, Private Bag 143, Hobart, Tas 7001, Australia
来源
DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE | 2023年 / 22卷 / 02期
关键词
meaningful activity; engagement; resident wellbeing; residential aged care; dementia; LONG-TERM-CARE; NURSING-HOME RESIDENTS; QUALITY-OF-LIFE; OLDER-PEOPLE; ACTIVITY PREFERENCES; INFORMED-CONSENT; ENGAGEMENT; PERSPECTIVES; RELIABILITY; LEISURE;
D O I
10.1177/14713012221144488
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Most residential aged care facilities support residents to participate in activities and the importance of activities that are suited to individual preferences and abilities is widely acknowledged. Participating in activities, including those considered to be 'meaningful' has the potential to improve residents' quality of life. However, what makes activities meaningful for people living with dementia in residential aged care facilities is unclear. The aim of this study was to understand the key characteristics of 'meaningful activity' in residential aged care facilities and the perceived value of residents participating in these activities. Using a qualitative study design, this study explored 'meaningful activities' from the perspectives of people living with dementia in residential aged care facilities, their family members and staff. Across four residential aged care facilities, residents (n = 19) and family members (n = 17) participated in individual interviews while staff (n = 15) participated in focus group interviews. Interviews were recorded, transcribed and analysed using a qualitative content analysis approach. Participant responses suggest that the meaning of an activity is subjective, varying over time and between individuals. Key characteristics of an activity that makes it meaningful include being enjoyable, social and engaging, aligning with the persons' interests, preferences, and abilities. To be considered meaningful, activities need to do more than occupy the person. The activity needs to be linked to a personally relevant goal and an aspect of the individuals' identity. Participating in 'meaningful activities' was perceived as valuable to encourage participation and socialising, provide a sense of normality for residents and improve their wellbeing. The findings of this study further our understanding of the concept of 'meaningful activity' for people living with dementia in residential aged care facilities. Understanding the key attributes of 'meaningful activity' can also provide practical guidance for those supporting people with dementia to participate in these types of activities.
引用
收藏
页码:305 / 327
页数:23
相关论文
共 64 条
[1]  
Aged Care Quality and Safety Commission, 2018, GUID RES PROV SUPP A
[2]   Fulfilled preferences, perceived control, life satisfaction, and loneliness in elderly long-term care residents [J].
Andrew, Nathaniel ;
Meeks, Suzanne .
AGING & MENTAL HEALTH, 2018, 22 (02) :183-189
[3]   "Bringing the outside world in": Enriching social connection through health student placements in a teaching aged care facility [J].
Annear, Michael J. ;
Elliott, Kate-Ellen J. ;
Tierney, Laura T. ;
Lea, Emma J. ;
Robinson, Andrew .
HEALTH EXPECTATIONS, 2017, 20 (05) :1154-1162
[4]  
[Anonymous], 2008, NVIVO QUALITATIVE DA
[5]   Directed qualitative content analysis: the description and elaboration of its underpinning methods and data analysis process [J].
Assarroudi, Abdolghader ;
Nabavi, Fatemeh Heshmati ;
Armat, Mohammad Reza ;
Ebadi, Abbas ;
Vaismoradi, Mojtaba .
JOURNAL OF RESEARCH IN NURSING, 2018, 23 (01) :42-55
[6]  
Australian Institute of Health and Welfare, 2012, RES AG CAR AUSTR 201
[7]   Supporting autonomy of nursing home residents with dementia in the informed consent process [J].
Beattie, Elizabeth ;
O'Reilly, Maria ;
Fetherstonhaugh, Deirdre ;
McMaster, Mitchell ;
Moyle, Wendy ;
Fielding, Elaine .
DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE, 2019, 18 (7-8) :2821-2835
[8]   Multiple perspectives on quality of life for residents with dementia in long term care facilities: protocol for a comprehensive Australian study [J].
Beattie, Elizabeth ;
O'Reilly, Maria ;
Moyle, Wendy ;
Chenoweth, Lynn ;
Fetherstonhaugh, Deirdre ;
Horner, Barbara ;
Robinson, Andrew ;
Fielding, Elaine .
INTERNATIONAL PSYCHOGERIATRICS, 2015, 27 (10) :1739-1747
[9]   Increasing activity attendance and engagement in individuals with dementia using descriptive prompts [J].
Brenske, Shasta ;
Rudrud, Eric H. ;
Schulze, Kimberly A. ;
Rapp, John T. .
JOURNAL OF APPLIED BEHAVIOR ANALYSIS, 2008, 41 (02) :273-277
[10]  
Buettner Linda L, 2003, Am J Alzheimers Dis Other Demen, V18, P215, DOI 10.1177/153331750301800405