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Almevall A, Juuso P, Melander C, Zingmark K. Exploring the meaning of a good life for older widows with extensive need of care: a qualitative in-home interview study. Int J Qual Stud Health Well-being 2024; 19:2322757. [PMID: 38431864 PMCID: PMC10911179 DOI: 10.1080/17482631.2024.2322757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 02/20/2024] [Indexed: 03/05/2024] Open
Abstract
INTRODUCTION Studies of older women's life transitions is rare but gains relevance as the aging population, with older women as the majority, expands. PURPOSE To explore the meaning of a good life for older widows with extensive home care needs. MATERIALS AND METHODS Semi-structured interviews were carried out with eleven women, aged 80 and over (82-95 years, mean 90) residing at home with extensive care needs (≥4 daily sessions, averaging 2.5-6 hours, mean 3). Data were analysed by reflexive thematic analysis. RESULTS The theme "This Day in My Home, the frame of my life" reflects the women's experience of a good life. A good day imbued them with hope, trust and security, carrying them forward with the assurance that night would usher in a new day. However, there were moments when life was merely about navigating daily challenges. During such days, the women felt trapped in time, unsafe and lonely. CONCLUSION A day at home may seem static, yet it mirrors life's dynamism, evolving with shifting circumstances. Older widows navigate challenges while maintaining their sense of self, independence, and connection to home. These findings have implications for aged care, recognizing the multifaceted aspects of life and the centrality of home.
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Affiliation(s)
- Ariel Almevall
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Luleå University of Technology, Luleå, Sweden
| | - Päivi Juuso
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Luleå University of Technology, Luleå, Sweden
| | - Catharina Melander
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Luleå University of Technology, Luleå, Sweden
| | - Karin Zingmark
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Luleå University of Technology, Luleå, Sweden
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Ainsworth E, Aplin T, de Jonge D, Bennett S. Understanding home modification outcomes from the perspective of older people and people with a disability: informing home modification evaluation. Disabil Rehabil 2023; 45:4101-4110. [PMID: 36394257 DOI: 10.1080/09638288.2022.2146765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Accepted: 11/05/2022] [Indexed: 11/18/2022]
Abstract
PURPOSE There is limited evidence to guide therapists in home modification outcome evaluation. Involving consumers in evaluating home modifications is critical to progressing practice. This study investigated the home modification experience and outcomes most valued by older adults and individuals with a disability in Australia. MATERIALS AND METHODS An interpretive description approach was used. Twenty participants aged 24-93 who had received major home modifications were interviewed and transcripts were analysed thematically. RESULTS Two major themes emerged: life before and during modifications - "it was all hard," and life after modifications - "to have a life." People's prior experience of home, the circumstance of and time to plan modifications, the perceived value of the modifications, and the home modification process and funding influenced perceptions of outcomes. Valued home modification outcomes included those that enable people to experience emotional and physical health, and safety; do what they want; maintain the image of the home; and plan for the future. Experiences and perceptions of modifications ranged from supportive to disruptive. CONCLUSIONS These findings point to the need for therapists to deeply understand and evaluate their clients' experiences of home and life as an initial and critical step in the home modification process.Implications for rehabilitationMajor home modifications result in broad and meaningful outcomes of importance to clients.Occupational therapists need to partner with clients to understand their life before and during modifications to achieve positive outcomes.Evaluation of major home modifications needs to be integrated and prioritised in daily practice.
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Affiliation(s)
- Elizabeth Ainsworth
- Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
| | - Tammy Aplin
- Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
- Allied Health Research Collaborative, The Prince Charles Hospital, Chermside, Australia
| | - Desleigh de Jonge
- Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
| | - Sally Bennett
- Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
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Groenvynck L, Khemai C, de Boer B, Beaulen A, Hamers JPH, van Achterberg T, van Rossum E, Meijers JMM, Verbeek H. The perspectives of older people living with dementia regarding a possible move to a nursing home. Aging Ment Health 2023; 27:2377-2385. [PMID: 37099667 DOI: 10.1080/13607863.2023.2203693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 04/04/2023] [Indexed: 04/28/2023]
Abstract
BACKGROUND/OBJECTIVES Moving into a nursing home is often an unavoidable life event for older people living with dementia. It is associated with negative emotions and outcomes. Research capturing their perspectives is scarce. This study aims to identify how older people living with dementia perceive a potential life in a nursing home and to understand their (future) care wishes. MATERIALS AND METHODS This study is part of the European TRANS-SENIOR research network. The study followed a qualitative phenomenological methodology. Semi-structured interviews with 18 community-dwelling older people living with dementia were conducted between August 2018 and October 2019 (METCZ20180085). A stepwise interpretive phenomenological analysis was performed. RESULTS The majority of community-dwelling older people feared the idea of potentially moving to a nursing home. The participants associated a possible move with negative perceptions and emotions. Additionally, this study emphasized the importance of knowledge of current and past experiences with care when identifying the participant's wishes. They wanted to remain (a) individuals, who are (b) autonomous and have (c) social contacts if they would move to a nursing home. DISCUSSION/IMPLICATIONS This study showed how past and current care experiences can educate/inform healthcare professionals on the future care wishes of older people living with dementia. The results indicated that listening to the wishes, and life stories of people living with dementia could be a way of identifying 'a suitable time' to suggest a move to a nursing home. This could improve the transitional care process and adjustment to living in a nursing home.
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Affiliation(s)
- Lindsay Groenvynck
- Maastricht University, Care and Public Health Research Institute, Department of Health Services Research, Maastricht, The Netherlands
- Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
- KU Leuven, Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Leuven, Belgium
| | - Chandni Khemai
- Maastricht University, Care and Public Health Research Institute, Department of Health Services Research, Maastricht, The Netherlands
- Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
| | - Bram de Boer
- Maastricht University, Care and Public Health Research Institute, Department of Health Services Research, Maastricht, The Netherlands
- Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
| | - Audrey Beaulen
- Maastricht University, Care and Public Health Research Institute, Department of Health Services Research, Maastricht, The Netherlands
- Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
| | - Jan P H Hamers
- Maastricht University, Care and Public Health Research Institute, Department of Health Services Research, Maastricht, The Netherlands
- Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
| | - Theo van Achterberg
- KU Leuven, Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Leuven, Belgium
| | - Erik van Rossum
- Maastricht University, Care and Public Health Research Institute, Department of Health Services Research, Maastricht, The Netherlands
- Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
- Zuyd University of Applied Sciences, Academy of Nursing, Research centre on Community Care, Heerlen, The Netherlands
| | - Judith M M Meijers
- Maastricht University, Care and Public Health Research Institute, Department of Health Services Research, Maastricht, The Netherlands
- Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
- Zuyderland Care, Zuyderland Medical Center, Sittard-Geleen, The Netherlands
| | - Hilde Verbeek
- Maastricht University, Care and Public Health Research Institute, Department of Health Services Research, Maastricht, The Netherlands
- Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
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The Impact of Place of Residence on the Sense of Coherence of Population Aged 60–89: Evidence from Poland. SUSTAINABILITY 2022. [DOI: 10.3390/su14010515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Place of living is one of the most important socio-demographic factors which characterizes the lives of older people. The importance of with whom and under what conditions older adults live to a large extent determines their health and standard of living. The goal of the study was to find the relationship between the place of residence and housing condition of older adults in Poland and their sense of coherence and health problems. The 29-item Antonovsky SOC questionnaire was used. In the research 303 people (76% women and 24% men) aged 60–89 were evaluated: 158 lived in their own houses/flats, while 145 resided in Daily Homes of Social Assistance (DPS). The overall result for the sense of coherence was 129.65 for older adults living in their own homes and 126.48 for these living in DPS. Statistical dependence between the place of residence and sense of manageability and meaningfulness was found. There is no dependence between gender and the overall score, nor the three components of the sense of coherence. Statistical dependence was determined in the criterion of age. A higher level of meaningfulness was observed in people aged 60–74. Taking into account the place of residents, 52% of the respondents living in their own houses/flats experience loneliness and among the people living in Daily Homes of Social Assistance, 46% experience loneliness. The type of place of residence is one of the most important personal factors affecting the sense of coherence, chronic health problems, and sense of loneliness. The last factor, especially, can adversely affect community sustainability and undermine social cohesion.
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Dendle K, Miller E, Buys L, Vine D. My home in later life: A phenomenographic study of older adults' experience of home. J Aging Stud 2021; 57:100935. [PMID: 34083004 DOI: 10.1016/j.jaging.2021.100935] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Revised: 04/16/2021] [Accepted: 04/20/2021] [Indexed: 11/19/2022]
Abstract
Home environments are especially important for older adults whose lives are more home-based than earlier life stages. Despite a focus on ageing in place, there often remains a mismatch between housing options prioritised by government and industry, and the needs and preferences of older adults. This paper considers the breadth of home environments experienced by diverse older Australians and highlights the varied ways they use and think about their homes. Data from three national online focus groups (n1 = 33, n2 = 37, n3 = 33) with people aged 50-92 were analysed using phenomenographic approaches to explore the different ways older adults perceived their home environments, resulting in four hierarchical conceptions. People displayed vastly different lifetime housing pathways (Clapham, 2005), leading to diverse perceptions about the place and experience of home in their later lives. In assessing the suitability of their housing, older people considered a large number of household members: current, expected or desired co-residents; transitory, short, medium and long-term residents; near and extended family, friends and dependents. This has important implications for policy and design responses on older adult's homes, which are typically focussed on occupancy by one or two individuals. To avoid assumptions about household makeup and usage based solely on the chronological age of residents, the perspective of older adults must be embraced in designing their future housing.
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Affiliation(s)
- Kelli Dendle
- School of Design, Queensland University of Technology, 2 George St, Brisbane, 4000, Queensland, Australia.
| | - Evonne Miller
- School of Design, Queensland University of Technology, 2 George St, Brisbane, 4000, Queensland, Australia.
| | - Laurie Buys
- Institute for Future Environments, Queensland University of Technology, 2 George St, Brisbane, 4000, Queensland, Australia.
| | - Desley Vine
- Institute for Future Environments, Queensland University of Technology, 2 George St, Brisbane, 4000, Queensland, Australia.
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Re-Inventing Existing Real Estate of Social Housing for Older People: Building a New De Benring in Voorst, The Netherlands. BUILDINGS 2018. [DOI: 10.3390/buildings8070089] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Barry A, Heale R, Pilon R, Lavoie AM. The meaning of home for ageing women living alone: An evolutionary concept analysis. HEALTH & SOCIAL CARE IN THE COMMUNITY 2018; 26:e337-e344. [PMID: 28675920 DOI: 10.1111/hsc.12470] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/08/2017] [Indexed: 06/07/2023]
Abstract
The concept of home to women ageing should be visited in the light of ongoing cultural, political, temporal and disciplinary evolutions. In part, to compliment policies increasing focus on supporting older adults to age in place and a growing attention on the home as a place where healthcare is designed and provided. The following concept analysis utilises Rodgers' evolutionary method to inductively analyse literature in order to elicit the meaning and experience of home among older women who are ageing at home. Literature was collected over an 18-month period during 2014-2015 and the sample was made up of 49 articles. The analysis led to the concept of home among women ageing in communities to be defined by four attributes. These attributes are home as (i) a resource, (ii) an attachment, (iii) the precariousness of maintaining and sustaining home and (iv) a cultural expectation. This analysis of the meaning and experience of home among women ageing at home has shed light on the needs for this group of women, while highlighting the need to continue to further clarify and define the concept through research.
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Affiliation(s)
- Arro Barry
- Nursing, Laurentian University School of Nursing, Sudbury, Ontario, Canada
| | - Roberta Heale
- Nursing, Laurentian University School of Nursing, Sudbury, Ontario, Canada
| | - Roger Pilon
- Nursing, Laurentian University School of Nursing, Sudbury, Ontario, Canada
| | - Anne Marise Lavoie
- Nursing, Laurentian University School of Nursing, Sudbury, Ontario, Canada
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Kendig H, Gong CH, Cannon L, Browning C. Preferences and Predictors of Aging in Place: Longitudinal Evidence from Melbourne, Australia. ACTA ACUST UNITED AC 2017. [DOI: 10.1080/02763893.2017.1280582] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Hal Kendig
- Centre for Research on Ageing, Health and Wellbeing (CRAHW), Australian National University, Canberra, ACT, Australia
- ARC Centre of Excellence in Population Ageing Research (CEPAR), Canberra, ACT, Australia
| | - Cathy Honge Gong
- Centre for Research on Ageing, Health and Wellbeing (CRAHW), Australian National University, Canberra, ACT, Australia
- ARC Centre of Excellence in Population Ageing Research (CEPAR), Canberra, ACT, Australia
| | - Lisa Cannon
- Centre for Research on Ageing, Health and Wellbeing (CRAHW), Australian National University, Canberra, ACT, Australia
- ARC Centre of Excellence in Population Ageing Research (CEPAR), Canberra, ACT, Australia
| | - Colette Browning
- ARC Centre of Excellence in Population Ageing Research (CEPAR), Canberra, ACT, Australia
- RDNS Institute, School of Primary Health Care, Monash University, Melbourne, Victoria, Australia
- International Institute for Primary Health Care Research, Shenzhen, China
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van Hoof J, Verbeek H, Janssen BM, Eijkelenboom A, Molony SL, Felix E, Nieboer KA, Zwerts-Verhelst ELM, Sijstermans JJWM, Wouters EJM. A three perspective study of the sense of home of nursing home residents: the views of residents, care professionals and relatives. BMC Geriatr 2016; 16:169. [PMID: 27716187 PMCID: PMC5048615 DOI: 10.1186/s12877-016-0344-9] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 09/26/2016] [Indexed: 11/29/2022] Open
Abstract
Background The sense of home of nursing home residents is a multifactorial phenomenon which is important for the quality of living. This purpose of this study is to investigate the factors influencing the sense of home of older adults residing in the nursing home from the perspective of residents, relatives and care professionals. Methods A total of 78 participants (n = 24 residents, n = 18 relatives and n = 26 care professionals) from 4 nursing homes in the Netherlands engaged in a qualitative study, in which photography was as a supportive tool for subsequent interviews and focus groups. The data were analyzed based on open ended coding, axial coding and selective coding. Results The sense of home of nursing home residents is influenced by a number of jointly identified factors, including the building and interior design; eating and drinking; autonomy and control; involvement of relatives; engagement with others and activities; quality of care are shared themes. Residents and relatives stressed the importance of having a connection with nature and the outdoors, as well as coping strategies. Relatives and care professionals emphasized the role the organization of facilitation of care played, as well as making residents feel like they still matter. Conclusions The sense of home of nursing home residents is influenced by a multitude of factors related to the psychology of the residents, and the social and built environmental contexts. A holistic understanding of which factors influence the sense of home of residents can lead to strategies to optimize this sense of home. This study also indicated that the nursing home has a dual nature as a place of residence and a place where people are supported through numerous care strategies.
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Affiliation(s)
- J van Hoof
- Fontys University of Applied Sciences, Fontys EGT - Centre for Healthcare and Technology, Dominee Theodor Fliednerstraat 2, 5631 BN, Eindhoven, The Netherlands. .,Fontys University of Applied Sciences, Institute of Allied Health Professions, Dominee Theodor Fliednerstraat 2, 5631 BN, Eindhoven, The Netherlands.
| | - H Verbeek
- Maastricht University, CAPHRI School for Public Health and Primary Care, Department of Health Services Research, Duboisdomein 30, 6229 GT, Maastricht, The Netherlands
| | - B M Janssen
- Fontys University of Applied Sciences, Fontys School of People and Health Studies, Dominee Theodor Fliednerstraat 2, 5631 BN, Eindhoven, The Netherlands
| | - A Eijkelenboom
- EGM architecten, Wilgenbos 20, 3311 JX, Dordrecht, The Netherlands
| | - S L Molony
- Quinnipiac University School of Nursing, North Haven Campus, Office MNH 470P, 275 Mount Carmel Avenue, Hamden, CT, 06518-1908, USA
| | - E Felix
- Fontys University of Applied Sciences, Institute of Allied Health Professions, Dominee Theodor Fliednerstraat 2, 5631 BN, Eindhoven, The Netherlands
| | - K A Nieboer
- Fontys University of Applied Sciences, Institute of Allied Health Professions, Dominee Theodor Fliednerstraat 2, 5631 BN, Eindhoven, The Netherlands
| | - E L M Zwerts-Verhelst
- Fontys University of Applied Sciences, Fontys EGT - Centre for Healthcare and Technology, Dominee Theodor Fliednerstraat 2, 5631 BN, Eindhoven, The Netherlands.,Fontys University of Applied Sciences, Institute of Human Resource Management and Psychology, Emmasingel 28, 5611 AZ, Eindhoven, The Netherlands
| | - J J W M Sijstermans
- Fontys University of Applied Sciences, Fontys EGT - Centre for Healthcare and Technology, Dominee Theodor Fliednerstraat 2, 5631 BN, Eindhoven, The Netherlands.,Fontys University of Applied Sciences, Institute of Human Resource Management and Psychology, Emmasingel 28, 5611 AZ, Eindhoven, The Netherlands
| | - E J M Wouters
- Fontys University of Applied Sciences, Fontys EGT - Centre for Healthcare and Technology, Dominee Theodor Fliednerstraat 2, 5631 BN, Eindhoven, The Netherlands.,Fontys University of Applied Sciences, Institute of Allied Health Professions, Dominee Theodor Fliednerstraat 2, 5631 BN, Eindhoven, The Netherlands
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The Factors Influencing the Sense of Home in Nursing Homes: A Systematic Review from the Perspective of Residents. J Aging Res 2016; 2016:6143645. [PMID: 27313892 PMCID: PMC4893593 DOI: 10.1155/2016/6143645] [Citation(s) in RCA: 69] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2016] [Accepted: 04/12/2016] [Indexed: 11/23/2022] Open
Abstract
Purpose. To provide an overview of factors influencing the sense of home of older adults residing in the nursing home. Methods. A systematic review was conducted. Inclusion criteria were (1) original and peer-reviewed research, (2) qualitative, quantitative, or mixed methods research, (3) research about nursing home residents (or similar type of housing), and (4) research on the sense of home, meaning of home, at-homeness, or homelikeness. Results. Seventeen mainly qualitative articles were included. The sense of home of nursing home residents is influenced by 15 factors, divided into three themes: (1) psychological factors (sense of acknowledgement, preservation of one's habits and values, autonomy and control, and coping); (2) social factors (interaction and relationship with staff, residents, family and friends, and pets) and activities; and (3) the built environment (private space and (quasi-)public space, personal belongings, technology, look and feel, and the outdoors and location). Conclusions. The sense of home is influenced by numerous factors related to the psychology of the residents and the social and built environmental contexts. Further research is needed to determine if and how the identified factors are interrelated, if perspectives of various stakeholders involved differ, and how the factors can be improved in practice.
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