Psychosocial changes following transition to an aged care home: qualitative findings from Iran

Zamanzadeh, Vahid; Rahmani, Azad; Pakpour, Vahid; Chenoweth, Lynn; Mohammadi, Eesa

doi:10.1111/opn.12130

Cited by 26 publications

(29 citation statements)

References 24 publications

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“…While it is recognised that decisions about long‐term care should not have to be made by people in crisis (National Institute for Health and Care Excellence (NICE) ) (NICE), the findings suggest that lack of participation in decision‐making and choice about the move created a negative experience for some individuals causing emotional disturbance and personal loss, and these findings are acknowledged internationally (Fraher & Coffey, (Ireland); Johnson et al, (USA); Lee et al, (UK) & Zamanzadeh, Rahmani, Pakpour, Chenoweth, & Mohammadi, (Iran)). Imposing an unplanned or emergency admission left individuals feeling “lost” and isolated leading them to feel anxious and uncertain as they entered a new environment (Koppitz et al, ).…”

Section: Discussionmentioning

confidence: 99%

“You're at their mercy”: Older peoples' experiences of moving from home to a care home: A grounded theory study

O’Neill

Ryan

Tracey

et al. 2020

Int J Older People Nursing

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Background:Internationally, it is recognised that the transition to a care home environment can be an emotional and stressful occasion for older people and their families. There is a paucity of research that takes into consideration the initial phase of the relocation process, incorporating individuals' experiences of the move. Aim:To explore individuals' experiences of moving into a care home. This paper has a specific focus on the preplacement (7 days) and immediate postplacement (within 3 days) period of the move to the care home.Design: A grounded theory method was used to conduct semi-structured interviews with 23 participants.Results: Data analysis revealed five distinct categories that captured the experience of the preplacement and immediate postplacement period. These were as follows: (a) inevitability of the move: "I had to come here," (b) making the move: "Abrupt Departures,"(c) decision-making and exercising choice: "What can I do, I have no choice," (d) maintaining identity: "Holding on to self" and (e) maintaining connections: "I like my family to be near." Together, these five categories formed the basis of the concept "You're at their Mercy" which encapsulates the perceived transition experience of the older people within the study. Participants felt that the move was out of their control and that they were "at the mercy" of others who made decisions about their long-term care. Conclusions:Moving to a care home represents a uniquely significant relocation experience for the individual. Key factors influencing the move were the individuals' perceived lack of autonomy in the pre-and postrelocating period of moving to a care home. Nurses have a key role to play in working with older people to influence policy and practice around decision-making, planning and moving to a care home with greater emphasis on autonomy and choice so that older people do not feel "at the mercy" of others as they navigate such a major transition. Implications for practice:There is a need to standardise approaches and develop person-centred interventions to support older people considering relocation to a care home and nurses have a key role to play in making this happen.

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Section: Discussionmentioning

confidence: 99%

“You're at their mercy”: Older peoples' experiences of moving from home to a care home: A grounded theory study

O’Neill

Ryan

Tracey

et al. 2020

Int J Older People Nursing

View full text Add to dashboard Cite

show abstract

“…Because residents around are too old with cognitive impairment, and staff members are busy with basic care. Older adults receive limited emotional support from staff and other residents, which creates a desire to return to their previous home situation [ 5 ]. Social support, positive social interaction with others, and supportive social policies could give rise to resilience [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Nursing homes are designed to provide a safe environment and continuous care. Relocation is considered to be one of the most stressful events that a person can experience, usually accompanied by depression, anxiety, loneliness, insomnia, and suicide attempts [ 5 ]. Transitions are complicated emotional regulation and are characterized by profound changes affecting one’s perception and understanding of the world and self [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

The factors of adaptation to nursing homes in mainland China: a cross-sectional study

Sun

Li³

et al. 2020

BMC Geriatr

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Background China is one of the most rapidly ageing countries and has the largest ageing population in the world. The demand for long-term care is increasing. Nursing home placement is one of the most stressful events in a person’s life. Although research on relocation adjustment has been conducted in many countries, few studies have been related to the predictors of nursing home adjustment in mainland China. This study aimed to identify the predictors of nursing home adjustment in the context of filial piety in mainland China. Methods This was a descriptive study that employed a cross-sectional survey. A total of 303 residents from 22 nursing homes in Nanjing, China, were recruited. A structured questionnaire about residents’ characteristics, activities of daily living, social support, resilience, and nursing home adjustment was administered. Multiple linear regression was used to identify the predictors of adaptation to nursing homes. Results The predictors of nursing home adjustment were the satisfaction with services(β = .158, P < .01), number of diseases(β = −.091, P < .05), length of stay(β = .088, P < .05), knowledge of the purpose of admission (β = .092, P < .05), resilience(β = .483, P < .001) and social support(β = .186, P < .001). The total explained variance for this model was 61.6%. Conclusion Nursing staff members should assess the characteristics of residents to promote their better adjustment. Resilience had the most significant influence on the level of adaptation, which has been the primary focus of interventions to improve adjustment. The management of disease comorbidities in nursing homes should be standardized and supervised by the government. More volunteers from universities and communities should be encouraged to provide social support to residents. Moreover, a caring culture needs to be emphasized, and the value of filial piety should be advocated in nursing homes of East Asian countries.

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“…Internationally, the transition to RCF has been reported as one of the most stressful life events for older adults (Melrose, ; Zamanzadeh, Rahmani, Pakpour, Chenoweth, & Mohammadi, ), which has the potential to negatively impact on spirituality. Moving to RCF is not just moving away from family and familiar environments; it involves leaving the psychological and social support system of friends, relatives, and society.…”

Section: Introductionmentioning

confidence: 99%

What is known about the spirituality in older adults living in residential care facilities? An Integrative review

Gautam

Neville

Montayre

2019

Int J Older People Nursing

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Aim To synthesize evidence regarding the spiritual needs and care of older adults living in residential care facilities from the perspectives of older adults and nurses or caregivers. Design Integrative review of literature. Data sources Literature search was conducted using CINAHL Plus with Full Text via EBSCO, Scopus, PubMed, PsychInfo, Web of Science, and ProQuest Social Science Databases from March to December 2017. Review methods This integrative review utilised the Whittemore and Knafl framework and PRISMA in the selection of eligible articles. Quality of the articles was evaluated using the Mixed Method Appraisal Tool. Results Seven articles were reviewed and analysed. There is limited evidence \and no agreed definition of spiritual needs and care of older adults living in residential care facilities. Spiritual needs of older adults in residential care facilities is a psycho‐social, religious and existential construct. Spiritual care in residential care facilities is linked to information gathering, religious guidance, maintaining family connections, providing companionship, discussing end of life issues, and providing counseling. Older adults highly value the role of nurses and caregivers in fulfilling their spiritual needs and providing spiritual care. However, nurses and caregivers perceived arranging a referral to a religious advisor as the main aspect of spiritual care. Therefore, nurses’, caregivers’, and older adults’ views on spiritual care differed to some extent. Conclusion The practical aspects of spiritual needs assessment and spiritual care provision requires further investigation, which is essential to improve the effectiveness of service delivery in residential care facilities.

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Psychosocial changes following transition to an aged care home: qualitative findings from Iran

Abstract: To assist older Iranian people adapt more readily when making the transition to aged care home and to meet their unique psychosocial needs, a family-centred approach to service delivery is recommended.

Cited by 26 publications

References 24 publications

“You're at their mercy”: Older peoples' experiences of moving from home to a care home: A grounded theory study

“You're at their mercy”: Older peoples' experiences of moving from home to a care home: A grounded theory study

The factors of adaptation to nursing homes in mainland China: a cross-sectional study

What is known about the spirituality in older adults living in residential care facilities? An Integrative review

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