Predictors of Facility Adaptation in Nursing Home Residents

Abstract

Purpose:The purposes of this study were to examine the relationships among activities of daily living, self-efficiency, nursing home care quality and nursing home adaptation, and to identify the influencing factors of nursing home adaptation in nursing home residents. Methods: The study employed a descriptive correlational design. The data were collected from 148 older adults without dementia by interview from six nursing homes in three cities from February 1, 2008 to February 28, 2008. Results: Levels of nursing home adaptation in older adult residents were different by type of decision maker of nursing home admission, reason of nursing home admission, type of payment and length of nursing home stay. The nursing home adaptation was significantly correlated with self-efficiency and nursing home care quality. The strongest predictor of nursing home adaptation was type of decision maker of nursing home admission followed by the self-efficiency. Conclusion: The study suggested that during the decision making period of nursing home admission, older adults should have enough time and careful considerations of their families to decide by themselves in positive ways. Nursing home staff should be able to identify reasons of nursing home admission and demands or expectations of older adults and their families.

Factors influencing the adaptation to skilled nursing facilities among older Korean adults

“…Recognizing the serious need to provide support to older adults due to the rapid‐ageing phenomenon currently being experienced by the country, the South Korean government enacted a law in July 2008 involving the implementation of a long‐term insurance support system . Moreover, the number of skilled nursing facilities has increased from 583 in 2005 to 898 in 2006 and 1186 in 2007 .…”

“…It is well known that the relocation of older adults negatively affects their social and psychological well‐being as well as their survival. It is highly probable that the relocation greatly reduces and potentially destroys family ties, severing social relationships and emotional attachments . Thus, for older adults, moving into a skilled nursing facility requires a considerable amount of effort in terms of adaptation.…”

“…Thus, for older adults, moving into a skilled nursing facility requires a considerable amount of effort in terms of adaptation. Therefore, this relocation is often said to cause ‘relocation shock’ or ‘relocation stress syndrome’ . In the case of involuntary relocation, adaptation to a skilled nursing facility becomes very difficult, and the rate of death tends to increase .…”

Effects of an Empowerment Program on the Adjustment of Older Adults to Nursing Home Life

“…, 시설적응 경험 (Hammer, 1999), 시설적응에 관련하는 영향요인 (Chang & Park, 2010;Lee, 2010;Lee et al, 2009 (Lee, 2007). 이러한 시설적응에 영향을 미치는 변수로는 나이, 성별과 같 은 시설 입소노인의 일반적 특성 (Boyce, Wethington, & Moen, 2003) 이나 입소 후 거주기간, 입소 결정자 (Chang & Park, 2010) 등의 입소 관련 특성이 있다.…”

“…이러한 시설적응에 영향을 미치는 변수로는 나이, 성별과 같 은 시설 입소노인의 일반적 특성 (Boyce, Wethington, & Moen, 2003) 이나 입소 후 거주기간, 입소 결정자 (Chang & Park, 2010) 등의 입소 관련 특성이 있다. 그리고 자기 효능감 (Krout & Pillemer, 2003;Lee et al, 2009), 사회적 지지 (Rossen & Knafl, 2003), 자기통제감 (Boyce et al;Hammer, 1999 (Chang, Li, & Liu, 2004;van Geen, 1997). 또한 임파워먼트의 증가는 시설 내에서 발생하는 어려움을 극복하게 돕고, 시설 내에서의 안녕감과 삶의 질을 향상시킬 뿐만 아니라 (Tu, Wang, & Yeh, 2006), 시설에 새로 입 소한 노인에게 시설에 관한 정보와 정서적 지지를 제공하여 시설에 서의 생활 만족도를 높일 수 있는 전략으로 보고되고 있다 (Lewis, 1995).…”