hig.sePublications
Change search
ReferencesLink to record
Permanent link

Direct link
Garden greenery and the health of older people in residential care facilities: A multi-level cross-sectional study
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Health and Medicine, Örebro University, Örebro, Sweden.
Department of Psychology, Uppsala university, Uppsala, Sweden; Institute for Housing and Urban Research,Uppsala university, Uppsala, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
Show others and affiliations
2016 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 9, 2065-2076 p.Article in journal (Refereed) Published
Abstract [en]

AIMS:

To test the relationship between greenery in gardens at residential facilities for older people and the self-perceived health of residents, mediated by experiences of being away and fascination when in the garden and the frequency of visitation there. To examine how these indirect effects vary with the number of physical barriers to visiting the garden.

BACKGROUND:

Many older people in residential facilities suffer from complex health problems. Access to a green outdoor environment may enable psychological distance, engage effortless attention, encourage more frequent visitation and promote resident health.

DESIGN:

A multi-level, cross-sectional, correlational design.

METHODS:

Questionnaires were administered June-August, 2011 to convenience samples of residents at 72 facilities for older people with complex healthcare needs. One to 10 eligible residents were sampled during self-motivated garden visits at each facility (n = 290). They reported on their garden experiences and health. Facility staff reported on objective garden characteristics and barriers to access. A serial mediation model was tested with multiple linear regression analysis.

RESULTS:

The total indirect effect of greenery on self-perceived health was positive and significant. Garden greenery appears to affect health by enhancing a sense of being away, affording possibilities to experience the outdoor environment as interesting and encouraging visitation. Among residents in homes with multiple barriers, only fascination mediated the relationship between greenery and self-perceived health.

CONCLUSION:

Ample greenery in outdoor space at residential facilities for older people appears to promote experiences of being away and fascination, more frequent visitation and better health.

Place, publisher, year, edition, pages
2016. Vol. 72, no 9, 2065-2076 p.
Keyword [en]
health, nurses, nursing, outdoor environment, residential facilities, serial mediation
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-21204DOI: 10.1111/jan.12968ISI: 000383625800009PubMedID: 27028976ScopusID: 2-s2.0-84978983258OAI: oai:DiVA.org:hig-21204DiVA: diva2:901208
Note

Funded by:

- University of Gävle- Örebro University; Swedish Society of Nursing; Maja Johansson & Maja Brantefors Foundation; Annalisa Detlow-Bergs Foundation; Göranssonska Foundation

Available from: 2016-02-06 Created: 2016-02-06 Last updated: 2017-01-09Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Dahlkvist, EvaNilsson, AnnikaHögberg, HansEngström, Maria
By organisation
Caring science
In the same journal
Journal of Advanced Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 92 hits
ReferencesLink to record
Permanent link

Direct link