In an era where the elderly population, particularly those suffering from dementia, requires innovative care solutions, insights into the role of nature and outdoor engagement become increasingly pertinent. An enlightening study led by a team of researchers—Sjöholm, Roaldsen, and Gardiner—delves into nursing staff’s perceptions and experiences regarding outdoor walks with residents in dementia care homes. This qualitative study sheds light on the myriad benefits and challenges associated with these outdoor excursions, ultimately advancing our understanding of the delicate balance between care and the natural environment.
Outdoor walks represent a holistic approach to dementia care that extends beyond traditional therapeutic practices. As nurses and caregivers are on the front lines of supporting individuals with dementia, their perspectives provide crucial insights into how outdoor settings can positively influence the well-being of these residents. The study emphasizes how essential it is to incorporate nature into care routines. Exposure to natural environments can enhance mood, reduce agitation, and foster social interactions among residents. These findings emphasize the psychological benefits of green spaces for individuals facing cognitive challenges.
During the research, nursing staff articulated their observations and personal experiences while leading residents on walks. Many reported a marked improvement in the residents’ overall demeanor, noting how outdoor walks often lead to smiles, laughter, and a sense of freedom that starkly contrasts the confines of indoor care environments. Such positive changes in behavior reinforce the idea that the outdoors can be a powerful therapeutic tool, encouraging greater participation in daily activities and providing a sense of normalcy to individuals whose lives may often feel limited by their condition.
The qualitative nature of the study allowed the researchers to unravel the complex emotions and experiences of nursing staff, who described feeling a profound connection with their residents during these outdoor excursions. This connection is often not just professional but deeply emotional, as they witness the joy and engagement in residents that might not be present in other settings. This sense of fulfillment and purpose amongst nursing staff is equally important, as it fosters a more compassionate and empathetic care environment.
However, the study does not shy away from exploring the obstacles nursing staff face when trying to implement outdoor walks into their routine care practices. Weather conditions, safety concerns, and logistical constraints pose significant challenges that require careful consideration. For instance, ensuring the residents’ physical safety during walks requires planning, staffing, and sometimes additional resources, which may not always align with the reality of healthcare environments that are often understaffed or overextended.
Communication plays a pivotal role in overcoming these barriers. The study highlights how educating staff about the profound benefits of outdoor activity and providing training on how to manage potential risks can facilitate more successful implementation of outdoor walks. Moreover, fostering an organizational culture that prioritizes resident engagement with nature would bolster staff confidence in integrating these practices into their everyday routines.
Another noteworthy aspect of the research was the importance of tailoring outdoor experiences to meet the unique needs of each resident. Recognizing individual preferences—from favorite walking routes to preferred sensory stimuli in the environment—can enhance the effectiveness of outdoor activities. By customizing experiences, caregivers can create meaningful interactions that resonate on a personal level with residents, allowing them to experience a blend of joy and autonomy even amid the challenges posed by dementia.
The study also underscores the necessity of family involvement in enhancing outdoor engagement. When families are included in decision-making about outdoor walks, it not only enriches the experiences for the residents but also fosters stronger bonds between caregivers and families. Involving families in outdoor activities can also help bridge the gap between institutional care and home life, creating opportunities for shared experiences that are meaningful for residents and their loved ones alike.
As we consider the broader implications of these findings, it becomes evident that institutional policies need to advocate for outdoor engagement strategies comprehensively. By creating supportive environments that encourage nursing staff to take residents outside, care homes can transform their approaches to dementia care, focusing more on holistic well-being rather than simply managing symptoms. The evidence collected in this study presents a compelling case for the integration of outdoor experiences into standard care practices, resonating with the wider movement towards person-centered care.
Moreover, the study’s findings align with an increasing body of research emphasizing the importance of nature for health and well-being. Growing evidence supports the notion that access to green spaces can lead to significant improvements in mental health outcomes across various populations, including those with cognitive impairments. These insights challenge the conventional belief that health care is confined to clinical settings, advocating instead for a more integrated approach that acknowledges the critical role of the natural environment in promoting health.
As this study illuminates the perceptions and experiences of nursing staff, it sets the stage for future research that may expand our understanding of outdoor engagement and its impact on cognitive functioning in dementia patients. Exploring various factors—from environmental design to the role of sensory engagement during walks—can further enrich the discourse around this vital area of care.
Ultimately, the qualitative insights gathered from nursing staff about outdoor walks with residents offer a fresh perspective on dementia care. These experiences underscore the profound connections between nature and the well-being of individuals afflicted with cognitive decline, promoting a more compassionate and holistic approach to health care. As we look to the future, the integration of outdoor activities stands as a poignant reminder that even the simplest acts of engagement with nature can foster resilience and joy, even in the faces of the complexities of dementia.
In conclusion, Sjöholm and colleagues’ research provides compelling evidence for the importance of outdoor walks in dementia care. It encourages a reevaluation of current practices, advocating for a deeper connection between caregivers and the environment as a means to enhance the quality of life for residents. As healthcare continues to evolve, it is clear that integrating natural experiences into care models is not just beneficial but essential for fostering a holistic understanding of health and well-being in our aging populations.
Subject of Research: Nursing staff’s perceptions and experiences of outdoor walks with residents in dementia care homes.
Article Title: Finding the way – nursing staff’s perceptions and experiences of outdoor walks with residents in dementia care homes: a qualitative study.
Article References:
Sjöholm, C., Roaldsen, K.S., Gardiner, P.A. et al. Finding the way – nursing staff’s perceptions and experiences of outdoor walks with residents in dementia care homes: a qualitative study.
BMC Nurs 24, 1141 (2025). https://doi.org/10.1186/s12912-025-03771-w
Image Credits: AI Generated
DOI: 10.1186/s12912-025-03771-w
Keywords: dementia care, nursing staff, outdoor walks, qualitative study, well-being, elderly care, nature therapy, person-centered care.
