Gender Differences in Adjustment to Nursing Home Care

Claridge, Karen E.; Rowell, R. Kevin; Duffy, JoAnn; Duffy, Michael

doi:10.1300/j083v24n01_11

Cited by 19 publications

(4 citation statements)

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“…Satisfaction with living in a nursing home has been associated with gender such that males were less likely to experience adjustment problems than females and tended to report less dissatisfaction with the facility (Claridge, Rowell, Duffy, & Duffy, 1995;Greenwood, 1999). Similarly, life satisfaction, including physical, psychological, social, and environmental domains, was rated higher by older male versus older female nursing home residents (Barca, Engedal, Laks, & Selbaek, 2011;Onunkwor et al, 2016;Vitorino, Paskulin, & Vianna, 2012).…”

Section: Gender Differences In Satisfaction With Living Situation Andmentioning

confidence: 99%

Gender Differences in Function, Physical Activity, Falls, Medication Use, and Life Satisfaction Among Residents in Assisted Living Settings

Boltz¹,

Galik

Holmes

et al. 2020

Research in Gerontological Nursing

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The purpose of this study was to test for gender differences among assisted living residents. This was a secondary data analysis using data from the first 64 facilities participating in the ongoing Function Focused Care for Assisted Living study using the Evidence Integration Triangle (FFC-AL-EIT). A total of 593 residents were recruited from 64 assisted living settings. Differences by gender with regard to function, physical activity, falls, total numbers of medications, and satisfaction with assisted living were tested using multivariate analysis of variance. There were 166 males (28%) and 427 females (72%) with a mean age of 88 (SD=7.5). The participants had 5 comorbidities (SD= 2) and took on average 6.88 medications (SD=3.47). Participants had moderate functional impairment with a mean of 64.13 (SD=19.09) on the Barthel Index and engaged in 43.80 (SD=76.12) minutes daily of moderate level physical activity. Females reported higher satisfaction with activities [4.32 (SD=1.14) for females and 3.85 (SD=1.51) for males] and females received more medications than males [7.09 (SD=3.51) for females and 6.34 (SD=3.31) for males]. Current study findings suggest that deprescribing may be particularly important for females versus males and focusing on expanding activity options to include those preferred by males should be considered in AL settings.

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Section: Gender Differences In Satisfaction With Living Situation Andmentioning

confidence: 99%

Gender Differences in Function, Physical Activity, Falls, Medication Use, and Life Satisfaction Among Residents in Assisted Living Settings

Boltz¹,

Galik

Holmes

et al. 2020

Research in Gerontological Nursing

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“…Research has yielded some gender differences in the correlates of satisfaction with nursing homes. It has been found that the length of stay in the nursing home predicts satisfaction with the nursing home for men but not for women (Claridge et al, 1995). Also, male residents more often complained about technical, impersonal and legalistic issues pertaining to nursing homes, whereas women more often complained about personal care and socio-emotional-environmental issues pertaining to nursing homes (Allen et al, 2006).…”

Section: Loneliness and Social Engagement In Older Adultsmentioning

confidence: 99%

The relation between older adults’ trust beliefs in nursing home carers and adjustment to residential care

2021

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The study examined the relation between older adults’ trust beliefs in nursing home carers (NHCs) and adjustment to residential care. Seventy-six older adults (mean age = 83 years, standard deviation = 7 years from UK nursing homes completed standardised scales of trust beliefs in NHCs and adjustment to residential care (satisfaction with care-giving, social engagement in the nursing home, loneliness and a latent measure). As expected, trust beliefs in NHCs were linearly associated with adjustment to residential care on all measures. There were quadratic relations between trust beliefs in NHCs and on given measures of adjustment to residential care (latent measure, satisfaction with care-giving and loneliness). Adults with very high and those with very low trust beliefs in NHCs showed depressed levels on those measures of adjustment to residential care relative to older adults with the middle range of trust beliefs. The research highlights the importance of older adults’ trust beliefs in NHCs for adjustment to nursing homes. The findings show though, that older adults who hold very high, as well those who hold very low, trust beliefs in NHCs are at risk for lower levels of adjustment.

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“…Despite several qualitative studies exploring the life adjustment process after admission, there is a dearth of studies on interventions that help residents experience a positive outcome: adaptation and acceptance to the nursing home. Moreover, nursing home adjustment has been only conceptually defined in several qualitative studies, and many quantitative studies on nursing home adjustment have used proxies such as life satisfaction, affects or activity level because of the lack of a clear operational definition of adjustment . However, the Nursing Home Adjustment Scale (NHAS) was recently published with acceptable reliability and validity in the USA .…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, nursing home adjustment has been only conceptually defined in several qualitative studies, and many quantitative studies on nursing home adjustment have used proxies such as life satisfaction, affects or activity level because of the lack of a clear operational definition of adjustment. [9][10][11][12] However, the Nursing Home Adjustment Scale (NHAS) was recently published with acceptable reliability and validity in the USA. 13 Using this tool, it is possible to directly measure residents' overall nursing home adjustment and specific features of adjustment using the subdomains of the NHAS.…”

Section: Introductionmentioning

confidence: 99%

How do levels of nursing home adjustment differ by length of stay?

Yoon

Grau

2016

Int J of Nursing Practice

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The purpose of this study was to explore how residents' adjustment is different depending on the length of stay in nursing homes. A total of 161 cognitively intact residents completed a survey questionnaire of the Nursing Home Adjustment Scale (NHAS) and demographic information. Controlling for activities of daily living function, a generalized linear model demonstrated that the levels of nursing home adjustment are different depending on the length of stay for nursing home residents. Residents who stayed 12 months or more (Groups 4 or 5) showed the highest NHAS scores, followed by the group who stayed under 3 months (Groups 1 or 2), and those who stayed 3 months or more but under 12 months (Group 3) had the lowest NHAS scores. Knowing that residents' life adjustment might vary based on the length of stay, nursing home staff can identify residents' level of adjustment, predict their needs and implement interventions in a timely manner.

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Gender Differences in Adjustment to Nursing Home Care

Cited by 19 publications

References 0 publications

Gender Differences in Function, Physical Activity, Falls, Medication Use, and Life Satisfaction Among Residents in Assisted Living Settings

Gender Differences in Function, Physical Activity, Falls, Medication Use, and Life Satisfaction Among Residents in Assisted Living Settings

The relation between older adults’ trust beliefs in nursing home carers and adjustment to residential care

How do levels of nursing home adjustment differ by length of stay?

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