Decisional Control in Moving to a Nursing Home: Postadmission Adjustment and Well-Being

Abstract

Five hundred and two skilled nursing facility residents were measured with a multidimensional assessment instrument within 4 weeks of admission, and then at 3 and 12 months following baseline, to determine the impact of deciding and wanting to make the move on well-being and adjustment. Dependent variables included measures of physical, social, and psychological functioning, social interaction, activity, satisfaction with services, and discharge. Regression analyses suggest an interactive effect on ADL change at 3 months.

Factors associated with nursing home entry for older people in Taiwan, Republic of China

“…Apart from functional status, the presence of complicated medical/chronic conditions (Weiner, 1994;Wu et al, 1994) and the availability and competence of informal carers (Tennstedt et al, 1996) are two other important factors that determine the need for long-term care. It is evident from research that in decisions regarding institutionalisation, older people generally have little or no involvement (Kane et al, 1990;Reinardy, 1992;McAuley & Travis, 1997) and the family is the key to understanding nursing home entry (McCullough & Wilson, 1995;Freedman, 1996). Family links also reduce an older person's risk of admission to an institution (Freedman, 1996;Mittelman et al, 1996;Cox, 1996).…”

Describing boys' coping with homesickness using a two-process model of control

“…Low perceived control is also associated with homesickness in adults (Burt, 1993). Specifically, perceived control over the decision to leave home ('decision control') has been shown to predict adjustment in adults (Davidson & O'Connor, 1990;Fisher et al, 1985;Reinardy, 1992). Although the association between decision control and homesickness in children is uncertain (Fisher, Frazer, & Murray, 1984;1986;Fisher et al, 1990), perceived control in this and other domains seemed worthy of investigation.…”

Attitudes and Intention Toward Old Age Home Placement: A Study of Young Adult, Middle-Aged, and Older Chinese

“…Many of them acknowledged that old age homes provided comprehensive caring services, particularly for those older adults with physical or mental problems. However, the existing negative attitudes among the older Chinese people should not be downplayed because these negative perceptions are also found to relate to difficult post-admission adjustment when older people do eventually enter old age homes (Mikhail 1992;Reinardy 1992).…”

“…Other personal considerations in making the choice of long-term community care services for older people include the belief about individual independence (Forbes and Hoffart 1998;Reinardy 1992). For older people, living in an institution may indicate a loss of independence, individuality, dignity, self-respect, and autonomy; and these beliefs will in turn affect their intention to enter old age homes (Forbes and Hoffart 1998;Lee 1997;Liu and Tinker 2001;Logan and Spitze 1994;Tse 2007).…”