A psychometric evaluation of the Chinese version of the Nursing Home Adjustment Scale

Xiao, Huimin; Yong, Binbin; Liu, Xiaopeng; Lin, Yan

doi:10.1007/s11136-019-02192-y

Cited by 12 publications

(9 citation statements)

References 31 publications

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“…Adjustment Scale (NHAS) [10]: This scale is a reliable and useful tool to evaluate the level of nursing home adjustment in China. The NHAS has twenty-three items and five dimensions, including emotional distress (2 items), relationship development (7 items), acceptance of new residence (6 items), depressed mood (6 items), and feeling at home (2 items).…”

Section: The Chinese Version Of the Nursing Homementioning

confidence: 99%

“…Adapting to a new living environment requires an older adult to learn to follow new routines, participate in value activities, to establish and maintain new social relationships, and to manage personal property [9]. Xiao defined the operational concept of nursing home adjustment which included five dimensions: emotional distress, relationship development, acceptance of new residence, depressed mood, and feeling at home [10]. Nursing home adjustment varies depending on the length of stay, interventions should be taken during the most effective period because appropriate interventions are carried out promptly to improve effectively older adults' quality of life in nursing homes [11].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: The Chinese Version Of the Nursing Homementioning

confidence: 99%

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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“…The items in the scale refer to the current five-point Likert type. Scores on the scale range from 23 to 115, with high scores indicating a high level of adaptation and good adjustment ( 47–49 ).…”

Section: Methodsmentioning

confidence: 99%

Factors associated with adaptation level in the older adult residential care facilities: a path analysis

Zhao,

Niu,

Zhang

et al. 2023

Front. Public Health

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BackgroundIt has become very common for older adults to relocate to residential care facilities. Yet whether older adults adapt to life in a long-term care residential facility through perception, reflection, and conscious behavioral choices is a challenging social issue. Previous research has shown that adaptation is influenced by physical, mental, psychological, social systems, and other debris factors. However, existing knowledge is often based on unidirectional relationships between these factors and adaptation. Few studies have formally examined bivariate relationships between these factors, and the influence of adaptation between these factors internally remains unclear. Therefore, there is a need to examine the structural causality of adaptation in residential care facilities influenced by a combination of physical, emotional, social and psychological factors, life satisfaction, and social support.MethodsThe present cross-sectional study recruited older adults from three residential care facilities in Henan province, China, through convenience sampling. The Chinese Nursing Home Adjustment Scale (NHAS), Geriatric Depression Scale-15 (GDS-15) and Social Support Scale (SSRS), Satisfaction with Life Scale (SWLS), and Barthel Index were employed to measure the older adult’ adjustment level, depression level, social support, satisfaction with life, and self-care ability of the BMC, respectively. The relationships between depression, social support, self-care, satisfaction with life, and adaptation were analyzed and a structural equation model was developed.ResultsA total of 210 participants completed the questionnaire. The model demonstrated an acceptable fit of the data. The results showed that the difference between life satisfaction and depression on the level of adaptation was 60 and 23%, respectively. Social support and life satisfaction had a positive direct effect on the level of adaptation, both showing a positive correlation with the level of adaptation. Depression, on the other hand, have a direct effect on the level of adaptation and showed a negative correlation with the level of adaptation. Self-care ability indirectly influenced adaptation mediated by social support.ConclusionSocial support has a positive impact on both life satisfaction and depression, which in turn promotes adaptation. As a major source of social support, family members and nursing home staff in residential care facilities can enhance social support for older people through improved interaction, which can have a meaningful and positive impact on levels of adjustment. The model demonstrates the strengthening and weakening of social support, self-care, life satisfaction, and depression levels, which can help inform the development of relevant care health strategies for older people to promote levels of adjustment and improve quality of life.

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“…Nursing home adjustment (NHA) can be defined as an individual’s behavior and emotional response to a new place and reorienting themselves in the process [ 6 , 7 ]. The transactional theory of stress and coping (TTSC) [ 8 ] presents stress as a product of a transaction between a person and a complex environment.…”

Section: Introductionmentioning

confidence: 99%

“…Stress occurs when individuals think that the challenges of environmental change outweigh their coping capacity and resources [ 9 ], which may be the most important reason older adults are unable to adapt to nursing homes. Various studies have built further mediation or moderation models to explore the underlying mechanisms linking stress and NHA [ 6 , 7 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Nursing home adjustment in China: mediating and moderating effects

2023

Self Cite

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Purpose Adjusting to nursing homes contributes to successful aging in older adults. However, the effect of stress on psychological adjustment in nursing home residents is unclear. Therefore, this study aimed to explore the relationship between stress and psychological adjustment among nursing home residents. Methods This was a cross-sectional, multicenter survey. A total of 386 residents from 11 nursing homes were included in the study. Bootstrapping with resampling strategies was used to examine multiple mediators and the moderator effect. This research conforms with the STROBE checklist. Results Path analysis demonstrated that stress directly negatively predicted the psychological adjustment of nursing home residents. It also indirectly predicted psychological adjustment through the mediating role of learned resourcefulness and self-efficacy, as well as the chain mediating role of both. Social support played a moderating role in the path of stress to learned resourcefulness. Conclusion This study revealed the mechanism underlying the effect of stress on psychological adjustment in nursing home residents without cognitive impairment and walking difficulties. It further suggests that health providers could enhance older adults' learned resourcefulness, self-efficacy, and social support to assist them in adjusting to nursing home life.

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A psychometric evaluation of the Chinese version of the Nursing Home Adjustment Scale

Cited by 12 publications

References 31 publications

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

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

Factors associated with adaptation level in the older adult residential care facilities: a path analysis

Nursing home adjustment in China: mediating and moderating effects

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