School of Nursing and Institute of Nursing and Health Research, Ulster University, Londonderry, UK.
Ulster University, Londonderry, UK.
Int J Older People Nurs. 2020 Jun;15(2):e12305. doi: 10.1111/opn.12305. Epub 2020 Jan 30.
Internationally, it is recognised that the transition to a care home environment can be an emotional and stressful occasion for older people and their families. There is a paucity of research that takes into consideration the initial phase of the relocation process, incorporating individuals' experiences of the move.
To explore individuals' experiences of moving into a care home. This paper has a specific focus on the preplacement (7 days) and immediate postplacement (within 3 days) period of the move to the care home.
A grounded theory method was used to conduct semi-structured interviews with 23 participants.
Data analysis revealed five distinct categories that captured the experience of the preplacement and immediate postplacement period. These were as follows: (a) inevitability of the move: "I had to come here," (b) making the move: "Abrupt Departures," (c) decision-making and exercising choice: "What can I do, I have no choice," (d) maintaining identity: "Holding on to self" and (e) maintaining connections: "I like my family to be near." Together, these five categories formed the basis of the concept "You're at their Mercy" which encapsulates the perceived transition experience of the older people within the study. Participants felt that the move was out of their control and that they were "at the mercy" of others who made decisions about their long-term care.
Moving to a care home represents a uniquely significant relocation experience for the individual. Key factors influencing the move were the individuals' perceived lack of autonomy in the pre- and postrelocating period of moving to a care home. Nurses have a key role to play in working with older people to influence policy and practice around decision-making, planning and moving to a care home with greater emphasis on autonomy and choice so that older people do not feel "at the mercy" of others as they navigate such a major transition.
There is a need to standardise approaches and develop person-centred interventions to support older people considering relocation to a care home and nurses have a key role to play in making this happen.
在国际上，人们认识到，老年人及其家人过渡到养老院环境可能是一个情感和压力很大的时刻。几乎没有研究考虑到搬迁过程的初始阶段，包括个人对搬迁的体验。
探讨个人入住养老院的体验。本文特别关注搬迁到养老院前 7 天和搬迁后 3 天内的时期。
采用扎根理论方法对 23 名参与者进行半结构化访谈。
数据分析揭示了五个独特的类别，这些类别捕捉了搬迁前和搬迁后立即入住的经历。这些类别如下：（a）搬迁的必然性：“我必须来这里”；（b）进行搬迁：“突然离开”；（c）决策和行使选择权：“我能做什么，我别无选择”；（d）维护身份：“保持自我”；（e）保持联系：“我希望家人在附近”。这五个类别共同构成了“任人摆布”这一概念的基础，该概念概括了研究中老年人感知到的过渡体验。参与者感到搬迁超出了他们的控制范围，他们“任由他人摆布”，这些人对他们的长期护理做出决定。
搬到养老院对个人来说是一次独特的重要搬迁经历。影响搬迁的关键因素是个人在搬到养老院之前和之后的时期中感受到的自主权缺乏。护士在与老年人合作方面发挥着关键作用，以影响围绕决策、规划和搬到养老院的政策和实践，更加注重自主权和选择权，以便老年人在进行如此重大的过渡时不会感到“任人摆布”。
有必要使方法标准化并开发以患者为中心的干预措施，以支持考虑搬到养老院的老年人，护士在实现这一目标方面发挥着关键作用。
