Effect of Virtual Zen Garden on Quality of Life of Residents in Long-Term Care Home.

Increasing attention has been paid to the therapeutic effect of gardens on older persons in long-term care homes. However, problems on set up and reliability of implementation were still of concern in studies. This study investigated residents' experiences of Virtual Zen Garden in Hong Kong. Twenty-four residents were interviewed using semi-structured interviews based on the phenomenological research approach in two long-term care homes. This study aligns with the COREQ (Consolidated Criteria for Reporting Qualitative Research Checklist). Nine theme clusters were organized that described the influence of Virtual Zen Garden on residents' quality of life in long-term care homes. They are 'staying engaged despite no change in physical condition', 'embracing current physical functioning', 'being the one to exercise autonomy', 'fostering a sense of relaxation and acceptance to the past, current and future lives', 'fostering a sense of satisfaction, purpose and mastery', 'open to companionship with staffs', 'feeling a sense of connection with other residents', 'perceiving a sense of security and identity in the living environment' and 'accepting the place they stay as a home in the rest of life'. Virtual Zen Garden demonstrated positive beneficial effect on quality of life in physical, psychological, social, and environmental perspectives. The findings were encouraging for the introduction of Virtual Zen Garden as an innovative intervention, into long-term care homes.