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Garden greenery and the health of older people in residential care facilities: a multi-level cross-sectional study
Faculty of Health and Occupational Studies, University of Gävle, Sweden Department of Health and Medicine, Örebro University, Sweden.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Housing and Urban Research.ORCID iD: 0000-0001-9970-9164
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Faculty of Health and Occupational Studies, University of Gävle, Sweden.
Faculty of Health and Occupational Studies, University of Gävle, Sweden.
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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 selfperceived 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
Medical and Health Sciences Nursing
Research subject
Caring Sciences
Identifiers
URN: urn:nbn:se:uu:diva-283036DOI: 10.1111/jan.12968ISI: 000383625800009PubMedID: 27028976OAI: oai:DiVA.org:uu-283036DiVA: diva2:918071
Available from: 2016-04-08 Created: 2016-04-08 Last updated: 2017-11-30Bibliographically approved

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Hartig, TerryNilsson, AnnikaEngström, Maria

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