What This Means
This study looked at how outdoor spaces, from views through windows to gardens and the neighbourhood beyond, could be used more in residential care homes for older adults. Researchers walked with residents and with care workers at three Swedish care homes and talked with them about how the outdoors was or could be used. The outdoor areas were grouped into four zones: indoor spaces with windows, transitional spaces like balconies or entrances, gardens, and the surrounding area.
The research suggests that every zone offered chances for everyday activities, social contact, physical activity, time in nature, health conversations, and care or rehabilitation. People described benefits such as stimulation, enjoyment, social interaction, and sensory experiences. However, these opportunities were often not used in daily routines. Barriers included physical obstacles, the seasons, how care is organised, lack of information, and social factors.
The authors conclude that outdoor spaces are a valuable but underused resource in care homes. Making better use of them may depend on accessible environments, supportive routines, and care workers who have enough time, knowledge, and support. As a qualitative study of three facilities, it offers practical ideas rather than measures of how much outdoor use improves health.