The Adaptation of Older Adults’ Transition to Nursing Homes in Mainland China: A Qualitative Study

Sun, Chao; Zhou, Rong; Cui, Yan; Ding, Yaping; Li, Xuxu; Li, Xianwen; Zhang, Yangyang; Shen, Chen; Xing, Ying

doi:10.1177/1043659620923387

Cited by 6 publications

(3 citation statements)

References 39 publications

(55 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All interviews commenced with the researchers obtaining basic demographic information, limited to age, sex and cultural background. Interview questions were informed by findings from a previous ‘quality of life’ project conducted by the organisation, and with reference to relevant literature [ 32 , 33 ]. Questions focused on the experience of the transition into residential aged care from participants’ different perspectives, including whether the transition was planned or unplanned; the level of resident involvement in decision-making, and the timing of the transition.…”

Section: Methodsmentioning

confidence: 99%

Strategies to support older adults’ mental health during the transition into residential aged care: a qualitative study of multiple stakeholder perspectives

Polacsek¹,

Woolford²

2022

BMC Geriatr

View full text Add to dashboard Cite

Background The move from home into residential care is one of the most stressful life experiences for older adults. ‘Relocation stress’ is a significant risk factor for anxiety and/or depression in aged care residents. Whether long-term or recently diagnosed, these mood disorders are associated with a decline in overall well-being, daily functioning and independence. The mental health needs of older adults are often poorly recognised and supported, including during the transition into residential care. Despite growing interest in how to facilitate this major life transition, few studies have taken the perspective of multiple stakeholders. The aim of this study was to explore resident, relative and staff experiences of the transition into residential aged care, and to identify strategies to support the mental health of older adults at this time. The role of pastoral care practitioners to facilitate transitions and support residents’ mental health was also examined. Methods This phenomenological study involved individual interviews with 35 aged care residents, relatives and staff, between January and April 2021. Participants were selected using purposive sampling. Audio-recorded interviews were transcribed verbatim and supported by field notes. Data analysis followed Giorgi’s steps for qualitative data analysis. Results Results were distilled into three main categories related to the overall transition experience, recognising and responding to residents’ mental health needs, and tailoring support to individual needs. A novel contribution of this study relates to the need to address a broad misunderstanding of the role of pastoral care and subsequent under-utilisation of a potentially valuable resource. Conclusions By describing transition experiences and the resources to support residents’ mental health, findings of this study provide practical, ‘real world’ suggestions for reducing relocation stress. New resources developed from the findings include guides, checklists and short question-and-answer films, in which current residents and staff describe strategies to support mental health and overall quality of life. Similar resources could be used to support transitions in other care settings.

show abstract

Section: Methodsmentioning

confidence: 99%

Strategies to support older adults’ mental health during the transition into residential aged care: a qualitative study of multiple stakeholder perspectives

Polacsek¹,

Woolford²

2022

BMC Geriatr

View full text Add to dashboard Cite

show abstract

“…To adapt the elderly to live in a nursing home, families and institutions should follow closely the quality of sleep and meals, interpersonal interactions, and mood changes in nursing homes. As group-living buildings, these institutes can greatly increase communication between the elderly, but in China, there is a problem that because of the traditional concept, many elderly people are shy to speak with others and hard to adapt to a new environment [9]. To solve this problem, staffs need to receive relevant training to provide effective psychological counseling to the elderly, and the institutes also need to carry out relevant activities to help the elderly better integrate into the new environment.…”

Section: Social Welfare Systemmentioning

confidence: 99%

Renovation and upgrading of pension design based on China's national conditions

Lin¹

2023

HBEM

View full text Add to dashboard Cite

As China's aging population gradually grows and people's needs for life enjoyment increase, the planning and design of China's elderly care sector need to keep pace with the times. This paper reviews the problems of China's pension model and different pension institutions, and summarizes the possible improvement methods for these existing problems. First of all, the paper finds that among the several existing pension models in China, the elderly are gradually changing from home-based pensions to institutional pensions, and then the paper conducts an in-depth discussion on the operation methods and existing problems of different elderly institutions, such as nursing homes, elderly schools, elderly communities, etc. In addition, the more significant problems of Chinese elderly care institutions are backward equipment and facilities, inadequate management and operation, and insufficient attention to building design. In response to these problems, China should strengthen the research on the psychological needs of the elderly, improve their surrounding environment, and meet certain needs of the elderly through different design methods. Overall, the abnormal age structure in China determines that the society must strengthen the construction of the elderly care field. Only by thoroughly researching and understanding the characteristics, differences, and problems of China’s elderly care field can we be able to deal with the problems that are to come at this stage and in the future.

show abstract

“…For example, in Western countries (e.g., Sweden and the United States) most older adults with dementia live in nursing homes (Alzheimer's Association, 2020; Lundin & Godskesen, 2021). In Asia, traditionally, due to familism and filial piety, families have been reluctant towards nursing home care (Jang et al, 2019;Sun et al, 2021). Nevertheless, with changes in demographics, economy (Feng et al, 2018) and family structure (Nie, 2016;Wu et al, 2021), nursing homes have become increasingly prevalent in Asian countries, for example, Japan, South Korea, China and Singapore (Liu et al, 2020;Sun & Fleming, 2018).…”

mentioning

confidence: 99%

Leadership challenges and strategies to dementia care in Chinese faith‐based nursing homes: A qualitative study

Jiang

Sun

Bonifas

et al. 2022

J Nursing Management

View full text Add to dashboard Cite

Aim: To address the need and fill a knowledge gap in understanding challenges and coping strategies from the perspectives of nursing home leadership. Background:The rapid increase of older adults with dementia in China highlights the need for research on dementia care in long-term care facilities.Methods: Semistructured interviews were conducted among 20 facility directors employed by faith-based nursing homes across 12 provinces in China via phone or in-person in their native language. Two researchers fluent in Mandarin Chinese-and English-coded interview transcripts; thematic analysis was conducted to identify patterns.Results: Four primary challenges were identified, including recruiting and retaining nursing staff, funding, lacking governmental support and discord with family members. The coping strategies included using external resources, incorporating religious beliefs, teamwork, rewarding performance and improving staff skills and empathy.Conclusions: This study contributes to nursing home practice knowledge by disseminating insights of administrators regarding culturally relevant dementia management strategies in China.Implications for nursing management: Implications for nursing management are as follows: teamwork and staff encouragement; advocate for a sustainable governmental financial support; staff training and staff-resident ratio regulations and policy; seeking external resources; integrate faith-based means for problem management and service quality improvement.

show abstract

The Adaptation of Older Adults’ Transition to Nursing Homes in Mainland China: A Qualitative Study

Cited by 6 publications

References 39 publications

Strategies to support older adults’ mental health during the transition into residential aged care: a qualitative study of multiple stakeholder perspectives

Strategies to support older adults’ mental health during the transition into residential aged care: a qualitative study of multiple stakeholder perspectives

Renovation and upgrading of pension design based on China's national conditions

Leadership challenges and strategies to dementia care in Chinese faith‐based nursing homes: A qualitative study

Contact Info

Product

Resources

About