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The Meaning of Growing Plants: Contributions to the Elderly Living in


Sheltered Housing

Article  in  HortTechnology · April 2001


DOI: 10.21273/HORTTECH.11.2.268

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Erja Rappe Aino-Maija Evers


The Age Institute, Helsinki, Finland University of Helsinki
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G
ardening has long been 1997). Ulrich (1991) suggests that to
The Meaning of one of the most common promote wellness, the environment in
Growing Plants: spare-time activities among
elderly people (Hill and Relf, 1982;
healthcare facilities should foster a sense
of control, access to social support and
Contributions to Sarola, 1994). However, in modern access to positive distractions. In addi-
institutional care-facilities for the eld- tion, plants give the elderly a hope for
the Elderly Living erly, the residents’ opportunities for the future (Gaskins and Forté, 1995;
continuing their hobbies are limited. Lewis, 1996). The change, which ap-
in Sheltered This raises the question of whether or pears in the growth of the plants, can
not growing plants could contribute be experienced as something favor-
Housing to the well-being of the elderly living able, not threatening like the change
in institutional settings. in health of the elderly (Lewis, 1996).
Health facilities have customarily To assess whether growing plants
Erja Rappe1 and been designed to be effective care- contributes to the well-being of eld-
Aino-Maija Evers2 environments, but these environments erly living in institutions, we examined
are also often psychologically stressful whether the growing of plants has
(Ulrich, 1991). The design of the meanings for the elderly that can be
grounds is usually highly institutional, associated with their well-being. It is
ADDITIONAL INDEX WORDS. people and which can aggravate the residents’ widely accepted that nature and plants
plants, the elderly, institutional problems of isolation, loneliness, and contribute to human well-being (Relf,
environment, autonomy, identity,
social relationships, human issues in
loss of capability and identity 1992). The effects of this positive ben-
horticulture (Stoneham and Thoday, 1996). More- efit are often studied by measuring
over, conflicts between the residents’ blood pressure and pulse and by using
SUMMARY. In this qualitative research autonomy and security are particularly other tests (e.g., Hartig et al., 1991;
conducted in Finland, 12 residents in prominent in homes for the elderly Ulrich et al., 1991; Lohr et al., 1996;
sheltered housing for aged people (Päivärinta, 1997). The life of the eld- Ottosson and Grahn, 1998). How-
were interviewed to explore the erly in long-term care is often thus ever, these methods cannot reveal all
meanings they associate with the marked by loneliness, social isolation the aspects of how the experience of
growing of plants. Growing plants and by the feelings of worthlessness growing plants affects human well-
had both individual and social
(Noro, 1998). According to Grahn being. This study, therefore, applies a
meanings for the interviewees. The
individual meanings were categorized (1991), an elderly person in institu- qualitative approach to clarify how eld-
into three groups: one’s own growing tional care may often adopt a passive erly people themselves experience
skills, the continuity of time, and role as a dependent. The abilities of the plants and nurture of plants in an insti-
creating experiences. The category elderly become impaired, when the tutional environment of sheltered
“one’s own growing skills” was coded environment accepts them as decrepit housing.
into three subcategories: individual instead of supporting their identity. Rowles (1984) has defined the
settings and growing methods, Furthermore, the emphasis placed on concept of environmental experience
interpretation of the plants’ needs and diseases in health care work strength- as “physical, cognitive, and emotional
responses, and adaptation to current ens this role of decrepitude in the transactions with the physical setting”.
situation. The social meanings
elderly (Liukkonen, 1995; Stein, In this study, the experience of grow-
identified in the data were also divided
into three categories: significant acts 1997). ing plants is defined analogous to
undertaken for other people, indica- Does gardening have qualities Rowles’ (1984) definition as a physi-
tions about the gardener, and the which could affect positively the insti- cal, cognitive, and emotional interac-
feeling of togetherness. The results of tutional environments of elderly tion of the elderly with plants. The
the research suggest that growing people? Gardening, when regarded as interaction of the elderly with plants
plants may have an effect on the well- interaction between people and plants, means either the actual growing or the
being of the elderly who have a rural includes both physical and psycho- mental activity involved in nurturing a
background and are living in institu- logical activities. The main content of plant. The question of whether or not
tional settings, especially for those gardening is the fostering of a living the meanings the elderly give for grow-
aspects threatened by institutional
thing (Browne, 1992; Lewis, 1992, ing plants can be associated with the
environments: autonomy, a sense of
control, identity, and the opportunity 1996; Matsuo, 1995). Horticultural well-being of residents is explored in
to form social relationships. activity enables individual creativity, this study. Especially those aspects of
social interaction (Browne, 1992) and human well-being threatened in insti-
We would like to acknowledge Antti Hervonen for his the reciprocal exchange relationships tutional environments, such as au-
advice and support and Leena Lindén for her sugges- with other people (Lewis, 1996; Stein, tonomy, identity, and social relation-
tions and for her reading of the manuscript. This 1997). Stein (1997) states that by ships are emphasized in the present
research was supported in part by Agronomiliitto,
Finnish Association of Academic Agronomists. The gardening, residents in a nursing home analysis.
cost of publishing this paper was defrayed in part by the may create new memories and mean-
payment of page charges. Under postal regulations,
ings for their lives. Plants may also Subjects
this paper therefore must be hereby marked advertise-
ment solely to indicate this fact. trigger pleasant memories from the The 12 subjects in this study were
1
PhD student, Vehkakoskentie 29, 42850 Pohjaslahti, past (Browne, 1992; Lewis, 1996). all residents in a sheltered housing area
Finland; e-mail erja.rappe@helsinki.fi. Gardening may also increase opportu- located in the center of a small rural
2
Dr., dos. horticulture. nities for independent choice (Stein commune and were mainly natives of
the neighboring countryside. The staff verbatim when the statements concerned community and the interviewees were
of the facility helped to choose the the themes. In the course of the inter- allowed to grow any plants they wanted
participants for the study. The partici- views, the interviewer made observa- under their windows. Every flowerbed
pants were required to be capable of tions about their plants. Notes about was of a different style, depicting the
communicating and without severe observations were written down after preferences of the grower. Individual-
impairments. Both gardening enthu- each interview. The age of the ity appeared in the choice of the spe-
siasts and those not interested in grow- interviewees and their dwelling-times in cies and in growing methods. Various
ing plants were sought for the study. sheltered housing were verified by con- growing methods were applied in ac-
All residents who were asked to partici- sulting with the administration of the cordance with how necessary they were
pate agreed. Eight of the interviewees facility. considered to be. Some of the
selected were women and four were When reviewing the literature on interviewees only watered plants so
men. The average age was 80.6 years; this subject, no research was found con- that they survived, but others also used
the youngest interviewee was 68 years cerning the meaning that growing of fertilizers, removed old flowers, sprayed
and the oldest was 88 years of age. The plants has for the elderly. The method of leaves with water, and protected plants
participants had lived in sheltered hous- Grounded Theory (Glaser and Strauss, against the hot sun. The interviewees
ing from 2 to 24 years, the average being 1971) is suitable to apply in studies were clearly aware that each of them had
11.6 years. All interviewees lived alone. concerning unknown issues. In this study their own growing methods.
The sheltered housing area con- the first stage of the data analysis in- I NTERPRETATION OF THE PLANT ’ S
sisted of 55 dwellings in four terraced volved the reading of the transcribed NEEDS AND RESPONSES. One’s individual
houses. The outdoor settings of the interviews and producing correspond- growing skills were used to understand
facility included a few large trees, a ing mindmaps of the relationships be- the response of the plants and to adjust
sitting area with plants and some resting tween each interviewee and the plants. activities to meet the needs of plants.
places. The main outdoor-activities of The mindmaps helped to discover pre- Interviewees could estimate the influ-
the residents were gardening, walking liminary categories for the data classifi- ence that weather conditions, patho-
and talking with others. The residents cation. The data were then coded using gens, pests, and the choice of species
were offered the possibility to grow the method of continuous comparison had on the need for nurturing and the
plants in beds under their windows and (Glaser and Strauss, 1971). By reading success of growing. One’s own activities
indoors. All the interviewed were ca- the data repeatedly, new categories were also changed by experience. By
pable of engaging in horticultural activ- emerged and the connections between interpreting the response of the plants,
ity if they so wanted. The participants categories were clarified. When coding the interviewees also evaluated their own
grew mainly flowering annuals and pe- the data, emphasis was placed on ac- cultivation techniques.
rennials, but some of them also grew tions, thoughts, and feelings related to ADAPTATION. The residents’ indi-
vegetables. The growing of vegetables the resident’s own growing of plants or vidual growing skills were used to adapt
took place usually somewhere outside to the growing of plants by other resi- the growing plants to the environment
the sheltered housing area. Some of the dents. and also to tailor their own individual
residents had potted flowers as well as restrictions caused by aging and impair-
cut flowers indoors. All the interviewees Results ments. The interviewees were highly
had become acquainted with the grow- The meanings which interviewees competent to evaluate how suitable the
ing of plants during their childhood. connected to the experience of grow- environment was for growing. They
Eight interviewees had earned their liv- ing plants were coded into six main grew species they expected to succeed in
ing at least partly by farming. categories representing three individual those conditions. Growing conditions
and three social meanings (Table 1). indoors could be evaluated to be so
Methods The category “one’s own growing poor that an interviewee abandoned
The data for the study were col- skills”, which played a central role in growing plants and used artificial flow-
lected by a theme-interview (Hirsijärvi the individual meaning, was divided ers. The interviewees had developed
and Hurme 1995) and by observation. into three subcategories according to growing methods to facilitate their ac-
The interviews were conducted in Au- the goals pursued. Generally, growing tivities. They stated that would their
gust 1997 by the first author in the plants enabled the interviewees to use state of health deteriorate, they would
homes of the participants. The average their cognitive skills widely and to have cut down the growing of plants or lower
duration of an interview was 1.5 h. various emotional experiences. Plants the standard of nurturing. Interviewees
Information was requested on age of and nurturing them played a signifi- maintained that the growing of plants
the interviewees, their impairments, their cant role in the social relations among would come to an end when they
dwelling-time in sheltered housing and the interviewees. Growing activities could no longer nurture the plants by
their life histories. The main theme of and the interviewees’ ability to under- themselves.
the interview was the resident’s rela- stand the cues of plants maintained
tionships to plants. Relationships to his their interaction with environment Continuity of time
or her environment, and to the commu- (Table 1). Time was linked to plant growing
nity he or she was living in and the in connection with memories, prospects,
community’s relationship to plants were Individual meaning and continuity. For the interviewees,
additional themes. The order and the One’s own growing skills the past, the present, and the future
extent of the themes varied, depending INDIVIDUAL SETTINGS AND GROWING were all in the plants. Some participants
on the context of the interview. The METHODS. There were no rules con- had brought potted flowers or perenni-
interviews were taped and transcribed cerning the growing of plants in the als to the elderly housing from their
earlier homes. Although the Social meaning could be seen that the grower was
interviewees had a cautious attitude consciously using plants to tell others
towards the future and doubts con- Significant acts for other people things he or she wanted. By comparing
cerning their own state of health, the Significant acts for other people their plants with others the interviewees
plants gave rise to positive expecta- were important for the interviewees. could define their own position in
tions. The elderly residents looked for- Plants, seeds, services, and advice were regard to other residents.
ward to the flowering of plants, har- given and received. The interviewees
vest and to the next springtime. helped others in planting and nurtur- Feeling of togetherness
ing. They praised each other for their The interviewees’ childhood and
Creating experiences good growing results and appreciated adult lives were closely associated with
Plants and nurturing them brought these comments highly when they re- agriculture. The competence of grow-
aesthetic and emotional experiences to ceived them. The activities connected ing formed a collective identity and
the interviewees. Both women and men with growing plants offered an oppor- strengthened the sense of together-
considered flowers to be beautiful and tunity to create various roles in the ness. Sharing a common world of ex-
liked looking at their own flowers or the community. For example, a woman perience in the growing of plants, the
flowers of other growers. It was consid- who had plenty of plants was consid- residents consequently understood
ered fascinating and interesting to fol- ered as an expert and others asked her each other. After all, the plants were a
low the growth of the plants. To see for help and advice. current, familiar and safe topic of con-
living proof of their success was a reason versations.
for satisfaction. Men considered grow- Indications about the gardener
ing activities as their duty. The plants Plants revealed the different fea- Discussion
were an object of caring, especially for tures of their growers for those who The qualitative data collected in-
women. Plants also offered a way to were looking at them. The plants could dicates that the meanings the
express caring and loving for other reveal to other residents how capable interviewees connected with the grow-
people. Furthermore, the plants chil- the grower was, what was her or his ing of plants could be associated with
dren had given to the interviewees were state of health, how wealthy she or he their well-being. The use of one’s own
of special significance and they were was, and how well the relatives took growing skills and evaluation of plants
cherished carefully. care of her or him. In some cases it grown by others, experiences con-

Table 1. The meanings, which the elderly in sheltered housing attached to the growing of plants: the categories with examples of
statements

Individual meaning
One’s own growing skills
a) Individual settings and growing methods
“I now have only petunias because they are growing so well.”
“I use that special fertilizer with water.”
b) Interpretation of the plant’s needs and response
“But those geraniums can be without watering two days, they are so modest.”
“I watered Saintpaulia too much and it died. I have a habit of watering plants too much.”
c) Adaptation
“I have noticed that these artificial flowers are best.”
“I have to restrict plants indoors because they aggravate my breathing problems.”
I must always smell the plants first [if they are suitable].”
Continuity of time
“I brought those plants from home.”
“I have bought seeds of flowers early enough in winter, when the selection is comprehensive.”
Creating experiences
“I am caring those flowers because I have no husband to care.”
“This [potted plant] I got last Christmas. It was very little then. I have tried to nurse it as well as I can and it has survived.”
“Flowers are feast for the eye.”
Social meaning
Significant acts for other people
“Yes they come to admire the blooming flowers and praise them very much.”
“He said last autumn that if I need seeds, I just go to pick them from his flowerbed.”
Indications about the gardener:
“…she has always so beautiful flowers. She buys so many plants and changes them if they are withering. They [flowers] are beautiful,
if one can afford money.”
“There are people who do not have plants. They move so poorly that they can not nurse them [plants].”
A feeling of togetherness:
“I am not the only one who has complained that pansies do not succeed.”
“Sometimes we talk about plants when we are sitting on the bench. Yes, it [talking about plants) is very usual.”
nected with plants and feeling of con- ability to form one’s own preferences and activities and thereby promoted
tinuity may strengthen the identity of and evaluate them critically. The third social relationships.
the elderly, as well as promote their dimension is the autonomy of action, Some caution is needed in assess-
sense of autonomy, and their control which means the capability to carry ing the results of this study. First, there
of the environment. The growing of out the plans one has made. Growing were only 12 interviewees who were
plants may also encourage social rela- plants supported the interviewees’ au- selected to participate. All had experi-
tions by creating possibilities for vari- tonomy in all three dimensions. The ence and had learned growing skills at
ous roles and by strengthening a feel- autonomy of thinking was realized in an early age and all but one had lived in
ing of togetherness. The results indi- their ability to understand the reac- countryside or in a small town. Even
cate that growing plants may contrib- tions of plants and the way the plants the only interviewee who had lived in
ute to the social and psychological responded to nurturing. The fact that a city had her roots in the countryside
well-being of the elderly living in insti- there were no rules in the community and had spent her vacations in a sum-
tutions. This is in agreement with other regarding plant cultivation was impor- mer cottage. The dwelling-times of
researchers dealing with issues of tant for the interviewees. The indi- the interviewees in sheltered housing
people-plant interactions (e.g., vidual choice of species and growing were long (only two participants had
Browne, 1992; Lewis, 1996; Stein, methods supported the autonomy of lived there less than 8 years). Hence
1997). wishing. Growing plants enabled indi- the community they formed was ex-
All participants of the study had vidual interaction with the environ- ceptionally well-established.
plants. Even those who were antici- ment. The capability to make interpre- Since all interviewees grew plants,
pated not to be interested in growing tations from the response of the nur- this brings about the question of
plants owned them. A woman, who tured plants and to make adjustments whether growing plants was a social
reported that she did not care about to one’s activities accordingly, as well norm in the community. Was there a
plants at all grew her own plants and as the capability to adapt to aging, all risk to be excluded if one had no
nurtured a rubber plant of a neighbor. supported the autonomy of action. plants? Or was the growing of plants a
Earlier in their lives, most of the According to Lawton (1985), “the result of the restricted opportunities
interviewees had grown plants mainly more one knows about one’s environ- for other outdoor activities?
to provide food for their families. Now ment, the more autonomous one can The analysis of the data is based
in an institutional setting, they did not be for any given level of competence.” on a coding of the statements into
grow plants to achieve economical or Constant environmental experi- various categories. This kind of method
nutritional benefits but for more sub- ences of the elderly support their sense always includes factors attached to the
jective reasons. of control and competence (Golant, researchers and their perspectives.
To promote the well-being of resi- 1984). Consequently, this sense of The subjects in this study were
dents in institutional settings, the en- control fosters their well-being (Ulrich, rural elderly who were in relatively
vironment should support their iden- 1991). The interviewees were used to good health. Further research is needed
tity, autonomy and social relationships. growing plants. This cultivation usu- to examine the interaction of plants
In this study, the participants’ identi- ally gave them successful experiences and elderly of different states of health
ties were strongly related to their com- and seldom did the residents experi- in various contexts. Regarding forth-
petence in growing plants. The envi- ence failure. The interviewees under- coming studies, one should bear in
ronment which enabled the growing stood the causes and consequences of mind that the elderly are constantly
of plants supported the continuity of events connected with their plants and changing: the next cohorts becoming
their identity as growers and prevented could anticipate the future. As a result, old are not so accustomed to growing.
the negative consequences which could the experience of competence and suc- This, in turn, may have an effect on the
result if their identity was solely as a cess felt by interviewees contributed to meanings connected to plants.
resident in a sheltered housing. Other their sense of control over their envi-
residents drew conclusions about the ronment.
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