Abstract：
OBJECTIVE: The aim of this research study is to collaboratively generate insights in the current institutional long-term care environment for activity and mobility of older adults, and of solutions that could be used to increase the activity and improve the mobility of the older adults.
METHODS: This research constitutes a qualitative study with a critical approach.
METHODS: Data were collected using photo-elicitation in four long-term care units in Finland during the spring of 2022. Older adults participated in individual data collection sessions which combined photographing and discussion. Staff members individually took photographs and later participated in a group discussion based on the photographs. Reflexive thematic analysis was used to analyse all data together.
RESULTS: Ten older adults and 12 staff members participated in the research study. Four themes were identified: (1) facilities should be designed and equipped for their users, (2) moving in the institutional environment, (3) passivity as a norm, and (4) nurses should act differently and have the resources to do so.
CONCLUSIONS: To increase the activity and improve the mobility of older adults, improvements are needed in terms of the design of facilities, opportunities for freedom of movement, outdoor activity, daily life activities, exercise, nurses\' role in activating older adults and resources.
UNASSIGNED: Increased attention to the support of activity and mobility could benefit older adults in institutional long-term care. Physical activity promotion should be incorporated as an integral part of nursing practice.
UNASSIGNED: Directors of units were consulted when planning the study. Older adults and nurses contributed to the data collection and interpretation of data.
CONCLUSIONS: (ADDRESSING): What problem did the study address? ○Older adults have recurrently been reported as living inactive lives in institutional long-term care. ○There is evidence of the relationship between the environment and the activity and mobility of older adults, but there seems to be a research-practice gap in terms of implementing activity- and mobility-promoting environments. ○Older adults and staff members are important in developing practice and change-oriented knowledge that can be used to increase the activity and improve the mobility of older adults in institutional long-term care. What were the main findings? ○Various environmental improvements are recommended to increase the activity and improve the mobility of older adults in institutional long-term care settings. ○Improvements for the design of facilities, opportunities for freedom of movement, outdoor activity, daily life activities, exercise, nurses\' role in activating older adults and resources for activity support would benefit older adults\' activity and mobility. Where and on whom will the research have an impact? ○Increasing the activity of older adults requires better activity promotion and mobility support by nurses in institutional care. Sufficient education and resources should be organized for activity promotion, in addition to a care and organizational culture that values activity. ○Environmental aspects to promote activity and mobility need to be considered already at the planning, building and renovating phases of facilities. ○Policymakers and care organizers should consider evidence of the harms and benefits of different institutional living environments when making decisions on organizing care.
UNASSIGNED: The study is reported using the Consolidated Criteria for Reporting Qualitative Research (COREQ).
METHODS: This research constitutes a qualitative study with a critical approach.
METHODS: Data were collected using photo-elicitation in four long-term care units in Finland during the spring of 2022. Older adults participated in individual data collection sessions which combined photographing and discussion. Staff members individually took photographs and later participated in a group discussion based on the photographs. Reflexive thematic analysis was used to analyse all data together.
RESULTS: Ten older adults and 12 staff members participated in the research study. Four themes were identified: (1) facilities should be designed and equipped for their users, (2) moving in the institutional environment, (3) passivity as a norm, and (4) nurses should act differently and have the resources to do so.
CONCLUSIONS: To increase the activity and improve the mobility of older adults, improvements are needed in terms of the design of facilities, opportunities for freedom of movement, outdoor activity, daily life activities, exercise, nurses\' role in activating older adults and resources.
UNASSIGNED: Increased attention to the support of activity and mobility could benefit older adults in institutional long-term care. Physical activity promotion should be incorporated as an integral part of nursing practice.
UNASSIGNED: Directors of units were consulted when planning the study. Older adults and nurses contributed to the data collection and interpretation of data.
CONCLUSIONS: (ADDRESSING): What problem did the study address? ○Older adults have recurrently been reported as living inactive lives in institutional long-term care. ○There is evidence of the relationship between the environment and the activity and mobility of older adults, but there seems to be a research-practice gap in terms of implementing activity- and mobility-promoting environments. ○Older adults and staff members are important in developing practice and change-oriented knowledge that can be used to increase the activity and improve the mobility of older adults in institutional long-term care. What were the main findings? ○Various environmental improvements are recommended to increase the activity and improve the mobility of older adults in institutional long-term care settings. ○Improvements for the design of facilities, opportunities for freedom of movement, outdoor activity, daily life activities, exercise, nurses\' role in activating older adults and resources for activity support would benefit older adults\' activity and mobility. Where and on whom will the research have an impact? ○Increasing the activity of older adults requires better activity promotion and mobility support by nurses in institutional care. Sufficient education and resources should be organized for activity promotion, in addition to a care and organizational culture that values activity. ○Environmental aspects to promote activity and mobility need to be considered already at the planning, building and renovating phases of facilities. ○Policymakers and care organizers should consider evidence of the harms and benefits of different institutional living environments when making decisions on organizing care.
UNASSIGNED: The study is reported using the Consolidated Criteria for Reporting Qualitative Research (COREQ).
摘要：
目的：这项研究的目的是在当前机构长期护理环境中对老年人的活动和流动性产生见解，以及可用于增加活动和改善老年人活动能力的解决方案。
方法：这项研究构成了一项具有批判性方法的定性研究。
方法：数据是在2022年春季在芬兰的四个长期护理单位中使用照片启发收集的。老年人参加了结合摄影和讨论的个人数据收集会议。工作人员单独拍照，后来根据照片参加了小组讨论。使用自反性主题分析来分析所有数据。
结果：10名老年人和12名工作人员参与了这项研究。确定了四个主题：（1）应为其用户设计和配备设施，(2)在制度环境中移动，(3)被动性作为一种规范，和（4）护士应该采取不同的行动，并有资源这样做。
结论：为了增加老年人的活动并改善其活动能力，在设施设计方面需要改进，行动自由的机会，户外活动,日常生活活动,锻炼,护士在激活老年人和资源方面的作用。
■增加对活动和流动性支持的关注可能会使机构长期护理中的老年人受益。体育活动促进应作为护理实践的一个组成部分。
■在计划研究时咨询了各单位的主管。老年人和护士为数据收集和数据解释做出了贡献。
结论：（地址）：该研究解决了什么问题？○经常报告老年人在机构长期护理中生活不活跃。○有证据表明环境与老年人的活动和流动性之间的关系，但是在实施活动和移动性促进环境方面似乎存在研究实践差距。○老年人和工作人员在发展实践和面向变革的知识方面很重要，这些知识可用于增加活动并改善老年人在机构长期护理中的流动性。主要发现是什么？○建议进行各种环境改善，以增加活动并改善机构长期护理环境中老年人的流动性。○设施设计的改进，行动自由的机会，户外活动,日常生活活动,锻炼,护士在激活老年人和活动支持资源方面的作用将有利于老年人的活动和行动能力。研究将在何处以及对谁产生影响？○增加老年人的活动需要更好的活动促进和机构护理护士的流动性支持。应组织足够的教育和资源进行活动推广,除了重视活动的关怀和组织文化。○促进活动和流动性的环境因素需要在规划中考虑，设施的建设和翻新阶段。○政策制定者和护理组织者在做出组织护理的决定时，应考虑不同机构生活环境的危害和好处的证据。
■本研究报告采用定性研究综合报告标准(COREQ)。
方法：这项研究构成了一项具有批判性方法的定性研究。
方法：数据是在2022年春季在芬兰的四个长期护理单位中使用照片启发收集的。老年人参加了结合摄影和讨论的个人数据收集会议。工作人员单独拍照，后来根据照片参加了小组讨论。使用自反性主题分析来分析所有数据。
结果：10名老年人和12名工作人员参与了这项研究。确定了四个主题：（1）应为其用户设计和配备设施，(2)在制度环境中移动，(3)被动性作为一种规范，和（4）护士应该采取不同的行动，并有资源这样做。
结论：为了增加老年人的活动并改善其活动能力，在设施设计方面需要改进，行动自由的机会，户外活动,日常生活活动,锻炼,护士在激活老年人和资源方面的作用。
■增加对活动和流动性支持的关注可能会使机构长期护理中的老年人受益。体育活动促进应作为护理实践的一个组成部分。
■在计划研究时咨询了各单位的主管。老年人和护士为数据收集和数据解释做出了贡献。
结论：（地址）：该研究解决了什么问题？○经常报告老年人在机构长期护理中生活不活跃。○有证据表明环境与老年人的活动和流动性之间的关系，但是在实施活动和移动性促进环境方面似乎存在研究实践差距。○老年人和工作人员在发展实践和面向变革的知识方面很重要，这些知识可用于增加活动并改善老年人在机构长期护理中的流动性。主要发现是什么？○建议进行各种环境改善，以增加活动并改善机构长期护理环境中老年人的流动性。○设施设计的改进，行动自由的机会，户外活动,日常生活活动,锻炼,护士在激活老年人和活动支持资源方面的作用将有利于老年人的活动和行动能力。研究将在何处以及对谁产生影响？○增加老年人的活动需要更好的活动促进和机构护理护士的流动性支持。应组织足够的教育和资源进行活动推广,除了重视活动的关怀和组织文化。○促进活动和流动性的环境因素需要在规划中考虑，设施的建设和翻新阶段。○政策制定者和护理组织者在做出组织护理的决定时，应考虑不同机构生活环境的危害和好处的证据。
■本研究报告采用定性研究综合报告标准(COREQ)。
