Lack of meaningful activity on acute physical hospital wards: Older people's experiences. (January 2018)

• Record Type: Journal Article
• Authors: Clarke, Channine; Stack, Caroline; Martin, Marion
• Is Part Of: British journal of occupational therapy. Volume 81:Number 1(2018)
• Page Start: 15
• Page End: 23
• Publication Date: 2018-01
• Subjects: Meaningful activity -- hospital wards -- inpatient experiences -- older people -- interpretative phenomenological analysis; Occupational therapy -- Periodicals; 615.8515
• DOI: 10.1177/0308022617735047
• Languages: English
• ISSNs: 0308-0226

Abstract

Introduction: Research suggests that older people on acute physical hospital wards are at increased risk of physical and mental health decline due to inactivity during their stay. Whilst studies have highlighted potential causes of such inactivity, there exists a paucity of occupational therapy research that explores engagement in meaningful occupation from patients' perspectives in hospital settings. Method: Interpretative phenomenological analysis was used to gain a deeper understanding of how 18 older people spent their time on hospital wards and the impact this had on their feelings of wellbeing. Interviews were carried out and analysed using interpretive phenomenological analysis guidelines. Findings: Patients experienced a lack of meaningful activity on the wards which resulted in feelings of passivity, boredom and a sense of alienation from their normal roles, routines and sense of self. Despite a willingness to engage in activity, barriers were suggested as limited resources, hospital routines and personal limitations. Suggestions of potential meaningful activities were made. Conclusion: Occupational therapy services need to review service provision and provide an occupation-focused service, ensuring that patients' engagement in meaningful activities is seen as an integral part of their role in order to maintain patients' mental and physical wellbeing. Recommendations for further research are highlighted.