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Title: Effects of horticultural therapy : perspectives of frail and pre-frail older nursing home residents
Authors: Lo, SKL 
Lam, WYY 
Kwan, RYC 
Tse, MMY 
Lau, JKH
Lai, CKY 
Issue Date: 2019
Source: Nursing open, July 2019, v. 6, no. 3, p. 1230-1236
Abstract: Aim The aim of the study was to explore the perceptions and experiences of a group of frail and/or pre-frail older nursing home residents in relation to horticultural therapy. Method A total of 22 frail/pre-frail residents were interviewed. A qualitative content analysis approach was adopted to interpret the data from four nursing homes. Results Four main themes were identified: (a) "Horticultural therapy is an enjoyable activity and a good pastime in nursing home life"; (b) "Joining the programme made me happier"; (c) "Horticultural activities facilitated socialization among the residents"; and (4) "Not much mention was made of the programme by the staff outside the sessions." Conclusion and implication for practice The findings provide evidence of the positive effects of horticultural therapy on perceived well-being among frail nursing home residents and expand the existing state of knowledge on the use of horticultural therapy in long-term residential care. Among others nursing implications, they are also important to develop appropriate and meaningful nursing practice to improve frail residents' perceived quality of life in the institution they now call "home."
Keywords: Gardens
Horticultural therapy
Nursing homes
Older people
Residential homes
Publisher: Wiley-Blackwell Publishing Ltd.
Journal: Nursing open 
EISSN: 2054-1058
DOI: 10.1002/nop2.323
Rights: This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License (, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
© 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.
The following publication Lo, S. K. L., Lam, W. Y. Y., Kwan, R. Y. C., Tse, M. M. Y., Lau, J. K. H., & Lai, C. K. Y. (2019). Effects of horticultural therapy: perspectives of frail and pre-frail older nursing home residents. Nursing Open, 6(3), 1230-1236 is available at
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