Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London.
Health Soc Care Community. 2019 May;27(3):e57-e81. doi: 10.1111/hsc.12647. Epub 2018 Sep 21.
Moving into a long-term care facility to live permanently is a significant life event for older people. Care facilities need to support older people to make a healthy transition following relocation. To help achieve this, we need to understand what facilitates and inhibits the transition process from the perspective of older people, their families, and care facility staff. Our review generated new knowledge to inform this understanding. We addressed the question: what factors facilitate and inhibit transition for older people who have relocated to a long-term care facility? Five electronic databases, PsychINFO, British Nursing Index, CINAHL, MEDLINE and Web of Science were searched for the period January 1990 to October 2017. Grey literature searches were conducted using Google Scholar, and Social Science Research Network. Data were extracted for individual studies and a narrative synthesis was conducted informed by Meleis's Theory of Transition. Thirty-four studies (25 qualitative, 7 quantitative and 2 mixed methods) met the inclusion criteria. Data synthesis identified that transition following relocation was examined using a variety of terms, timelines and study designs. Potential personal and community focused facilitators and inhibitors mapped to four themes: resilience of the older person, interpersonal connections and relationships, this is my new home, and the care facility as an organisation. These findings can inform the development of interventions for these target areas. They highlight also that further research is warranted to understand the organisational culture of long-term care facilities, how this influences transition, and how it might be shaped to create and sustain a caring culture for older people.
搬入长期护理机构永久居住对老年人来说是一个重大的生活事件。护理机构需要支持老年人在搬迁后健康过渡。为了帮助实现这一目标，我们需要从老年人、他们的家人和护理机构工作人员的角度了解哪些因素有助于或阻碍过渡过程。我们的综述产生了新的知识来提供这方面的了解。我们提出了一个问题：对于那些已经搬到长期护理机构的老年人来说，哪些因素有助于或阻碍他们的过渡？我们在 1990 年 1 月至 2017 年 10 月期间，在五个电子数据库（PsychINFO、英国护理索引、CINAHL、MEDLINE 和 Web of Science）中搜索了这个问题。我们使用 Google Scholar 和社会科学研究网络进行了灰色文献搜索。从个体研究中提取数据，并根据 Meleis 的过渡理论进行了叙述性综合。符合纳入标准的研究有 34 项（25 项定性研究、7 项定量研究和 2 项混合方法研究）。数据综合确定，搬迁后的过渡是使用各种术语、时间表和研究设计来检查的。潜在的个人和社区关注的促进因素和阻碍因素映射到四个主题：老年人的适应能力、人际关系、这是我的新家和护理机构作为一个组织。这些发现可以为这些目标领域的干预措施的发展提供信息。它们还强调，需要进一步研究，以了解长期护理机构的组织文化，它如何影响过渡，以及如何塑造这种文化，以创建和维持一个关爱老年人的文化。
