ArticleBMC geriatrics2022
End-of-life care for people with dementia on a green care farm during the COVID-19 pandemic: a qualitative study.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Exploring contemporary views on Green Care Farms from a Canadian perspective.BMC geriatrics · 2026Article
- Into the wild: how living labs are being used to connect people with dementia to nature-a mini review.Frontiers in dementia · 2026Review
- Nature-based interventions for people living with dementia and their carers: a scoping review.Frontiers in dementia · 2026Review
- Farm-based therapeutic horticulture for people living with dementia: the Vicenza Farm Project.Frontiers in dementia · 2026Article
- Palliative care in small-scale living facilities: a scoping review.BMC geriatrics · 2024Article
- An overview of innovative living arrangements within long-term care and their characteristics: a scoping review.BMC geriatrics · 2023Article
- A Systematic Review of Advance Care Planning with People Living with Dementia: Learnings from the Covid-19 Pandemic.Current health sciences journalReview
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveGreen care farms combine agriculture production with health-related, social and educational services. In the Netherlands, they form an alternative to traditional nursing homes for people with dementia. Green care farms that offer 24-hour care, also offers end-of-life care. To date, little is known about end-of-life care for people with dementia on green care farms. This study aimed to explore the experiences of healthcare workers and family caregivers with end-of-life care for people with dementia who died on a green care farm.
designAn explorative, descriptive qualitative design with a phenomenological approach. SETTING AND
participantsA purposive sample of 15 participants - seven healthcare workers and eight family caregivers - from three green care farms in the Netherlands.
methodsSemi-structured, in-depth interviews were conducted to explore participants' experiences with end-of-life care, including topics such as advance care planning, the influence of COVID-19, and bereavement support. Transcripts were thematically analysed using Braun and Clarke's approach.
resultsFour main themes were extracted: 1) tailored care and attention for the individual resident, 2) reciprocal care relationships between healthcare workers and family caregivers, 3) compassionate care and support in the dying phase, and 4) the influence of COVID-19 on end-of-life care. CONCLUSION AND IMPLICATIONS: The overall experience of the healthcare workers and family caregivers was that end-of-life care offered on green care farms is person-centred and compassionate and is tailored to the person with dementia and their family caregivers. Despite the COVID-19 pandemic, healthcare workers and family caregivers were satisfied with end-of-life care on the green care farms. Green care farms may offer a valuable alternative care setting for people with dementia in their last phase of life. More research is needed to investigate green care farms'benefits compared to other, more traditional settings.
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