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Preconceptions about institutionalisation at public nursing homes in Spain: views of residents and family members

Published online by Cambridge University Press:  01 November 2012

BEATRIZ RODRÍGUEZ-MARTÍN ,
MARÍA MARTÍNEZ-ANDRÉS ,
BEATRIZ CERVERA-MONTEAGUDO ,
BLANCA NOTARIO-PACHECO  and
VICENTE MARTÍNEZ-VIZCAÍNO
BEATRIZ RODRÍGUEZ-MARTÍN
Affiliation:
Health and Social Research Center, Castilla-La Mancha University, Cuenca, Spain. Occupational Therapy, Logopedia and Nursing Faculty, Castilla-La Mancha University, Talavera de la Reina, Spain.
MARÍA MARTÍNEZ-ANDRÉS
Affiliation:
Health and Social Research Center, Castilla-La Mancha University, Cuenca, Spain.
BEATRIZ CERVERA-MONTEAGUDO
Affiliation:
Health and Social Research Center, Castilla-La Mancha University, Cuenca, Spain.
BLANCA NOTARIO-PACHECO
Affiliation:
Health and Social Research Center, Castilla-La Mancha University, Cuenca, Spain.
VICENTE MARTÍNEZ-VIZCAÍNO*
Affiliation:
Health and Social Research Center, Castilla-La Mancha University, Cuenca, Spain.
*
Address for correspondence: Vicente Martínez-Vizcaíno, Centro de Estudios Sociosanitarios, Campus Universitario, Edificio Melchor Cano, C/ Santa Teresa Jornet s/n, 16071 Cuenca, Spain. E-mail: [email protected]
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Abstract

The aim of this article was to ascertain nursing home residents' preconceptions about institutionalisation and analyse the causes and circumstances of and the justification for their admission. Grounded theory was used to design and analyse a qualitative study based on in-depth interviews in a theoretical sampling of 20 persons aged over 65 years with no cognitive impairment, and eight proxy informants of residents with cognitive impairment, institutionalised at a public nursing home in Spain. Our analysis revealed that preconceptions about nursing homes differ between residents and relatives, and are strongly influenced by the views held by society about such centres and by previous experiences. Regarding the causes and circumstances underlying nursing home placement, while the principal cause of institutionalisation among residents with cognitive impairment was the ineffectiveness of informal care systems, in the case of residents without cognitive impairment reasons tended to revolve around two main themes: social causes (loneliness, not be a burden to the others, household-related, comfort and absence of relatives in the vicinity), and limitations in physical functioning, with the former predominating. This study shows society's perception of such centres and the circumstances surrounding admission. These points of view are useful for analysing why informal care systems prove inadequate, and are crucial for designing programmes targeted at acceptance and successful adaptation to institutionalisation when this becomes necessary.

Keywords

nursing home carequalitative researchplacement issuesolder people
Type
Articles
Information
Ageing & Society , Volume 34 , Issue 4 , April 2014 , pp. 547 - 568
Copyright
Copyright © Cambridge University Press 2012 

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References

Bowers, B. J., Fibich, B. and Jacobson, N. 2001. Care-as-service, care-as-relating, care-as-comfort: understanding nursing home residents’ definitions of quality. The Gerontologist, 41, 4, 439–45.Google Scholar
Buhr, G. T., Kuchibhatla, M. and Clipp, E. C. 2006. Caregivers’ reasons for nursing homes placement: clues for improving discussions with families prior to the transition. The Gerontologist, 46, 1, 52–61.Google Scholar
Caron, C. and Bowers, B. 2000. Methods and application of dimensional analysis: a contribution to concept and knowledge development in nursing. In Rodgers, B. and Knafl, K. (eds), Concept Development in Nursing: Foundations, Techniques, and Applications. Saunders, Philadelphia, 285–20.Google Scholar
Castle, N. and Ferguson, J. C. 2010. What is nursing home quality and how is it measured? The Gerontologist, 50, 4, 426–42.Google Scholar
Costa-Font, J. and García González, A. 2007. Long-term care reform in Spain. Eurohealth, 13, 1, 20–2.Google Scholar
Daatland, S. O. and Herlofson, K. 2003. ‘Lost solidarity’ or ‘changed solidarity’: a comparative European view of normative family solidarity. Ageing & Society, 23, 5, 537–60.Google Scholar
Damián, J., Valderrama-Gama, E., Rodríguez-Artalejo, F. and Martín-Moreno, J. M. 2004. Health and functional status among elderly individuals living in nursing homes in Madrid. Gaceta Sanitaria, 18, 4, 268–74.Google Scholar
Davies, S. 2005. Meleis's theory of nursing transitions and relatives’ experiences of nursing homes entry. Journal of Advanced Nursing, 52, 6, 658–71.CrossRefGoogle ScholarPubMed
Davies, S. and Nolan, M. 2004. ‘Making the move’: relatives’ experiences of the transition to a care home. Health and Social Care in the Community, 12, 6, 517–26.Google Scholar
de Veer, A. J. E. and Kerkstra, A. 2001. Feeling at home in nursing homes. Journal of Advanced Nursing, 35, 3, 427–34.CrossRefGoogle ScholarPubMed
Ellis, J. M. 2010. Psychological transition into a residential care facility: older people's experiences. Journal of Advanced Nursing, 66, 5, 1159–68.Google Scholar
Glaser, B. and Strauss, A. 1967. The Discovery of Grounded Theory. Aldine, Chicago.Google Scholar
Harrefors, C., Sävenstedt, S. and Axelsson, K. 2009. Elderly people's perceptions of how they want to be cared for: an interview study with healthy elderly couples in Northern Sweden. Scandinavian Journal of Caring Sciences, 23, 2, 353–60.Google Scholar
Hauge, S. and Kristin, H. 2008. The nursing home as a home: a field study of residents' daily life in the common living rooms. Journal of Clinical Nursing, 17, 4, 460–7.Google Scholar
Hodgson, N., Freedman, V., Granger, D. and Erno, A. 2004. Biobehavioral correlates of relocation in the frail elderly: salivary cortisol, affect, and cognitive function. Journal of the American Geriatrics Society, 52, 11, 1856–62.Google Scholar
Keefe, J. and Fancey, P. 2000. The care continues: responsibility for elderly relatives before and after admission to a long term care facility. Family Relations, 49, 3, 235–44.Google Scholar
Kong, E.-H., Deatrick, J. A. and Evans, L. K. 2010. The experience of Korean immigrant caregivers of non-English-speaking older relatives with dementia in American nursing homes. Qualitative Health Research, 20, 3, 319–29.Google Scholar
Lee, D. T. F. 1997. Residential care placement: perceptions among elderly Chinese people in Hong Kong. Journal of Advanced Nursing, 26, 3, 602–7.CrossRefGoogle ScholarPubMed
Lee, D. T. F. 1999. Transition to residential care: experiences of elderly Chinese people in Hong Kong. Journal of Advanced Nursing, 30, 5, 1118–26.Google Scholar
Lee, D. T. F., Woo, J. and Mackenzie, A. E. 2002 a. A review of older people's experiences with residential care placement. Journal of Advanced Nursing, 37, 1, 19–27.Google Scholar
Lee, D. T. F., Woo, J. and Mackenzie, A. E. 2002 b. The cultural context of adjusting to nursing home life: Chinese elders’ perspectives. The Gerontologist, 42, 5, 667–75.CrossRefGoogle ScholarPubMed
Lundh, U., Sandberg, J. and Nolan, M. 2000. ‘I don't have any other choice’: spouses' experiences of placing a partner in a care home for older people in Sweden. Issues and Innovations in Nursing Practice, 32, 5, 1178–86.Google Scholar
Murray, L. M. and Laditka, S. B. 2010. Care transitions by older adults from nursing homes to hospitals: implications for long-term care practice, geriatrics education and research. Journal of the American Medical Directors Association, 10, 4, 231–8.Google Scholar
Nolan, M. and Dellasega, C. 1999. ‘It's not the same as him being at home’: creating caring partnerships following nursing home placement. Journal of Clinical Nursing, 8, 6, 723–30.Google Scholar
Pfeiffer, E. 1975. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23, 10, 433–44.Google Scholar
Reed, J. and Roskell Payton, V. 1997. Understanding the dynamics of life in care homes for older people: implications for de-institutionalizing practice. Health and Social Care in the Community, 5, 4, 261–8.CrossRefGoogle Scholar
Rivera, J., Bermejo, F., Franco, M., Morales-González, J. M. and Benito-León, J. 2009. Understanding care of people with dementia in Spain: cohabitation arrangements, rotation and rejection to long term care institution. International Journal of Geriatric Psychiatry, 24, 2, 142–8.Google Scholar
Rogero-García, J. 2009. Distribution of formal and informal home care for people older than 64 years in Spain. Revista Española de Salud Pública, 83, 3, 393–405.Google Scholar
Ryan, A. A. and Scullion, H. F. 2000. Nursing home placement: an exploration of the experiences of family carers. Journal of Advanced Nursing, 32, 5, 1187–95.Google Scholar
Schulz, R., Belle, S. H., Czaja, S. J., McGinnis, K. A., Stevens, A. and Zhang, S. 2004. Long-term care placement of dementia patients and caregiver health and well-being. Journal of the American Medical Association, 292, 8, 961–7.Google Scholar
Sergeant, J. F. and Ekerdt, D. J. 2008. Motives for residential mobility in later life: post-move perspectives of elders and family members. International Journal of Aging and Human Development, 66, 2, 131–54.Google Scholar
Silverman, D. 2001. Interpreting Qualitative Data: Methods for Analyzing Talk, Text Interaction. Sage, London.Google Scholar
Strauss, A. and Corbin, J. 1998. Basic of Qualitative Research. Techniques and Procedures for Developing Grounded Theory. Sage, London.Google Scholar
Tornatore, J. B. and Grant, L. A. 2002. Burden among family caregivers of persons with Alzheimer's disease in nursing homes. The Gerontologist, 42, 4, 497–506.CrossRefGoogle ScholarPubMed
Tse, M. M. Y. 2007. Nursing home placement: perspectives of community-dwelling older persons. Journal of Clinical Nursing, 16, 5, 911–7.CrossRefGoogle ScholarPubMed