Schreuder Miranda C, Landeweer Elleke G M, Perry Marieke, Zuidema Sytse U
Department of Primary- and Long-Term Care, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Care Ethics, University of Humanistic Studies, Utrecht, The Netherlands.
Scand J Caring Sci. 2025 Mar;39(1):e13317. doi: 10.1111/scs.13317.
Nursing home residents can be faced with relocations within nursing home care for various reasons, whether individual or per group. We aimed to collect a broad stakeholder overview of observed and experienced impacts on residents and aspects that influence the impact.
We conducted a qualitative study using semistructured interviews followed by one focus group. We recruited participants from various stakeholder perspectives based on differences in roles while having an interest or involvement in relocations, and experience with relocations. The interviews and focus group were audiorecorded, transcribed verbatim and analysed using responsive and thematic analysis.
In 17 interviews including one duo interview, participants described the impact on residents varying from very positive to very negative. In addition, stakeholders addressed differences in impact related to the relocation phase (before, during, after). Aspects influencing the impact of relocations were (1) mental resilience of residents, (2) organisation of relocations, (3) social connections of residents, and (4) the new (care) environment. The focus group with six participants added further insights in the subtheme 'organisation of relocations', emphasising the importance of clear and timely communication with residents and relatives and recognizability of (personal) items and professional caregivers from the former nursing home.
Stakeholders described the impact of relocations within nursing homes to vary between and within nursing home residents. Aspects they identified to influence this impact provide incentives to reduce the negative impact on residents and foster positive impact. Further research needs to zoom-in on the perceived impact of relocations within nursing homes of residents themselves.
出于各种原因，无论是个人原因还是群体原因，疗养院居民可能会在疗养院护理范围内面临搬迁。我们旨在广泛收集利益相关者对居民所观察到的和经历过的影响以及影响这种影响的各个方面的概述。
我们进行了一项定性研究，采用半结构化访谈，随后进行了一次焦点小组讨论。我们根据角色差异，从对搬迁感兴趣或有参与度以及有搬迁经验的不同利益相关者角度招募参与者。访谈和焦点小组讨论都进行了录音，逐字转录，并使用响应式和主题分析进行分析。
在17次访谈（包括一次双人访谈）中，参与者描述了对居民的影响从非常积极到非常消极不等。此外，利益相关者谈到了与搬迁阶段（之前、期间、之后）相关的影响差异。影响搬迁影响的方面包括：（1）居民的心理适应能力；（2）搬迁的组织安排；（3）居民的社会关系；（4）新的（护理）环境。由六名参与者组成的焦点小组在“搬迁的组织安排”这一主题下提供了进一步的见解，强调了与居民和亲属进行清晰及时沟通以及前疗养院的（个人）物品和专业护理人员的可识别性的重要性。
利益相关者描述了疗养院内部搬迁对居民的影响在不同居民之间以及同一居民内部存在差异。他们确定的影响这种影响的方面为减少对居民的负面影响和促进积极影响提供了动力。进一步的研究需要深入关注居民自身对疗养院内部搬迁的感知影响。
