Scott Judith M, Mayo Ann M
Helen and Arthur E. Johnson Beth-El College of Nursing and Health Science, University of Colorado Colorado Springs, Colorado Springs, Colorado.
Hahn School of Nursing and Health Science, Beyster Institute for Nursing Research, University of San Diego, San Diego, California.
J Am Assoc Nurse Pract. 2019 Oct;31(10):583-590. doi: 10.1097/JXX.0000000000000184.
Transition from an independent living residence to assisted living (AL) is challenging. The study purpose was to understand such a transition from the perspective of older women.
A hermeneutic phenomenological approach was used to explore how 17 older women living in a Continuing Care Retirement Community, many of whom were recently widowed, experienced this transition.
Three major themes emerged from the interviews: preplanning, executing, and adjusting to the transition. Even with facility, family and staff assistance, the transition was challenging, and adjustment was affected when participants had physical or sensory impairments.
Older adult women transitioning to AL settings should be assessed for adjustment to the new setting. Those with sensory, cognitive, emotional, or physical problems will need additional supportive strategies to help with adjustment. With a rapidly expanding population, AL settings offer new opportunities for nurse practitioners to promote the health and well-being of older adults.
从独立生活住所过渡到辅助生活（AL）具有挑战性。本研究的目的是从老年女性的角度理解这种过渡。
采用诠释现象学方法，探讨17名居住在持续照料退休社区的老年女性（其中许多人最近丧偶）如何经历这种过渡。
访谈中出现了三个主要主题：预先规划、执行和适应过渡。即使有设施、家庭和工作人员的帮助，过渡仍具有挑战性，当参与者存在身体或感官障碍时，适应会受到影响。
应评估向辅助生活环境过渡的老年女性对新环境的适应情况。有感官、认知、情感或身体问题的人需要额外的支持策略来帮助适应。随着人口的迅速增长，辅助生活环境为执业护士促进老年人的健康和福祉提供了新机会。
