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Faculty of Medical Sciences

Physical activity implementation in residential care homes: barriers and facilitators

Hiddink, C. (Christine) (2014) Physical activity implementation in residential care homes: barriers and facilitators. thesis, Human Movement Sciences.

Full text available on request.

Abstract

Background: A positive relationship exists between level of physical activity and cognitive function, physical function and ADLs of patients with dementia. In order stimulate patients with dementia in being physically active, physical activity needs to be implemented in residential care homes (RCH). Objective: The aim was to identify barriers and facilitators to implementation of physical activity in the daily lives of patients with dementia living in a RCH. Method: In-depth interviews were held about factors that might influence implementation of physical activity. Nursing assistants (n = 6), head nurses (n = 5) and physiotherapists (n = 5) working in two RCHs in the Netherlands participated. Data was coded for common themes, organized into categories and interpreted. Results: Facilitators that appeared included: skills and self-efficacy of nursing assistants, involvement of volunteers and family, available equipment, access to outdoors, support of organization, individual approach, awareness, and staff communication. Barriers that appeared included: lack of time, volunteers’ lack of knowledge, indistinctness about responsible field of expertise, unfamiliarity to patients and patients’ physical health and non-compliance. Conclusion: This study identified facilitators and barriers to implementation of physical activity in RCHs. The barriers and facilitators should be considered during an implementation process by organization and care takers. Recommendations are the inclusion of physical activity stimulation for residents into the policy of the RCH and the stimulation of family and volunteer involvement.

Item Type: Thesis (UNSPECIFIED)
Supervisor name: Heuvelen, dr. M.J.G. van
Faculty: Medical Sciences
Date Deposited: 01 Apr 2022 12:01
Last Modified: 01 Apr 2022 12:01
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/3019

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