A narrative exploration of older people's transitions into residential care

Lee, Victoria S. P.; Simpson, Jane; Froggatt, Katherine

doi:10.1080/13607863.2012.715139

Cited by 75 publications

(96 citation statements)

References 40 publications

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“…There was wide variation in the degree to which participants with dementia had adjusted to their new environment at the time of the interviews, which on average occurred four months after their admission. Consistent with previous reports (Aminzadeh et al, ; Clare, Rowlands, Bruce, Surr, & Downs, ; Lee, Woo, & Mackenzie, ; Lee, Simpson, & Froggatt, ; Nay, ), residents with dementia in this study appeared to be, at best, resigned to their changed circumstances, rather than to have meaningfully “adjusted”. While some residents tried to make the most of a situation not of their choosing, others felt trapped and expressed a strong desire to leave.…”

Section: Discussionsupporting

confidence: 90%

Adjusting to life in a residential aged care facility: Perspectives of people with dementia, family members and facility care staff

Davison

Camões-Costa

Clark

2019

Journal of Clinical Nursing

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Aims and objectives To determine factors that facilitate or impede adjustment to residential aged care (RAC) from the perspectives of residents with dementia, families of residents with dementia and facility staff. Background The transition to a RAC facility can be highly stressful for people with dementia and their families, but we lack an understanding of how people with dementia experience this transition. Knowledge on adjustment to the new environment is essential in order to develop procedures and interventions that better support residents. Design and methods This study consisted of interviews with 12 residents with dementia who had resided at a RAC facility for six months or less; 14 family members of RAC residents with dementia; and 12 RAC facility staff members. Parallel interview schedules were constructed, with questions on the experience of relocating to RAC for a person with dementia and views on enablers and barriers to successful adjustment. Thematic analysis guided the analysis of data. The study adhered to the consolidated criteria for reporting qualitative research (COREQ) guidelines (see Supplementary File S1). Results Adjustment to RAC appeared variable, with several residents reporting poor acceptance of their circumstances several months after the relocation. The three groups were largely congruent regarding the importance of support from families and staff, and the development of new relationships with other residents, but not all residents had succeeded in forming friendships. The provision of meaningful activities and opportunities to exert autonomy day‐to‐day were seen as critical, but staff experienced challenges in providing individualised care due to lack of dedicated time to engage with residents. Conclusion and relevance to clinical practice There is a need for evaluated interventions to help people with dementia to successfully transition to RAC. Attention should be paid to the way in which care is coordinated within the RAC sector, to enable staff to provide individualised approaches to facilitate adjustment.

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Section: Discussionsupporting

confidence: 90%

Adjusting to life in a residential aged care facility: Perspectives of people with dementia, family members and facility care staff

Davison

Camões-Costa

Clark

2019

Journal of Clinical Nursing

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“…Moreover, when it comes to establishing new relationships in the NH, our study implies that residents avoid contact with fellow residents because of their perceived fellows’ cognitive impairment. This is similar to a study of Lee, Simpson and Frogatt , highlighting the extent of older adults’ fear of losing their memory: participants in this study distanced themselves from other residents based on their abilities, specifically in relation to memory. With respect to group activities, events organised by the NH give residents the feeling of belonging to a group, which also seemed to reduce loneliness for some participants in our study .…”

Section: Discussionsupporting

confidence: 86%

Living in a nursing home: a phenomenological study exploring residents’ loneliness and other feelings

Paque

Bastiaens

Bogaert

et al. 2018

Scandinavian Caring Sciences

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“…Other studies have identified physical and mental health problems requiring care over a 24-hour period or supervision as reasons for care home admission (Bebbington et al, 2001;Lee et al, 2013). In this study participants experienced some difficulties with mobility requiring the use of a walking aid, but were not restricted in their ability to move around the care home, for example, one participant stated:…”

Section: Choosing the Pathmentioning

confidence: 80%

A qualitative study of older people with minimal care needs experiences of their admission to a nursing home with Registered Nurse care

Stevens

Raphael

Green

2015

Quality in Ageing and Older Adults

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Purpose – Residential care for older people in the UK includes care homes with and without 24-hour Registered Nurse (RN) care. Reduced autonomy and personal wealth can result when people assessed as having minimal care needs, enter and reside in care homes with RN care. The purpose of this paper is to explore the experiences of older people with minimal care needs admission to care homes with RN care. Design/methodology/approach – A qualitative study using a grounded theory method was undertaken. In total, 12 care home with RN care residents assessed as not requiring nursing care were interviewed. Initial sampling was purposive and progressed to theoretical. Interviews were analysed using the grounded theory analysis method of constant comparison and theory development. Findings – Two main categories emerged: “choosing the path”, which concerned the decision to enter the home, and “settling in”, which related to adaptation to the environment. Findings suggested participants who perceived they had greater control over the decision-making process found it easier to settle in the care home. The two categories linked to form an emerging framework of “crossing the bridge” from independent living to care home resident. Research limitations/implications – The findings contribute to the understanding of factors influencing admission of older people with minimal care needs to care homes with RN care and highlight the importance of informed decision making. Practical implications – Health and social care professionals must give informed support and advice to older people seeking care options to ensure their needs are best met. Originality/value – This study enabled older people with minimal care needs admission to care homes with RN care to voice their experiences.

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A narrative exploration of older people's transitions into residential care

Cited by 75 publications

References 40 publications

Adjusting to life in a residential aged care facility: Perspectives of people with dementia, family members and facility care staff

Adjusting to life in a residential aged care facility: Perspectives of people with dementia, family members and facility care staff

Living in a nursing home: a phenomenological study exploring residents’ loneliness and other feelings

A qualitative study of older people with minimal care needs experiences of their admission to a nursing home with Registered Nurse care

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