Cited by 64Geriatric Care and Nursing HomesDementia and Cognitive Impairment ResearchAging, Elder Care, and Social Issues

Adjusting to life in a residential aged care facility: Perspectives of people with dementia, family members and facility care staff

Davison, Tanya E., Camões-Costa, Vera, Clark, Anna·2019·Journal of Clinical Nursing

Abstract

AIMS AND OBJECTIVES: To determine factors that facilitate or impede adjustment to residential aged care (RAC) from the perspectives of residents with dementia, families of residents with dementia and facility staff. BACKGROUND: The transition to a RAC facility can be highly stressful for people with dementia and their families, but we lack an understanding of how people with dementia experience this transition. Knowledge on adjustment to the new environment is essential in order to develop procedures and interventions that better support residents. DESIGN AND METHODS: This study consisted of interviews with 12 residents with dementia who had resided at a RAC facility for six months or less; 14 family members of RAC residents with dementia; and 12 RAC facility staff members. Parallel interview schedules were constructed, with questions on the experience of relocating to RAC for a person with dementia and views on enablers and barriers to successful adjustment. Thematic analysis guided the analysis of data. The study adhered to the consolidated criteria for reporting qualitative research (COREQ) guidelines (see Supplementary File S1). RESULTS: Adjustment to RAC appeared variable, with several residents reporting poor acceptance of their circumstances several months after the relocation. The three groups were largely congruent regarding the importance of support from families and staff, and the development of new relationships with other residents, but not all residents had succeeded in forming friendships. The provision of meaningful activities and opportunities to exert autonomy day-to-day were seen as critical, but staff experienced challenges in providing individualised care due to lack of dedicated time to engage with residents. CONCLUSION AND RELEVANCE TO CLINICAL PRACTICE: There is a need for evaluated interventions to help people with dementia to successfully transition to RAC. Attention should be paid to the way in which care is coordinated within the RAC sector, to enable staff to provide individualised approaches to facilitate adjustment.

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Crossref · 10.1111/jocn.14978

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Authors
Davison, T. E., Camões-Costa, V., & Clark, A.
Affiliations
  • Monash University (AU)
  • Health and Ageing Research Group School of Health Sciences Faculty of Health, Arts and Design Swinburne University of Technology Hawthorn Victoria Australia
Corresponding author
Davison, Tanya E.
Venue
Journal of Clinical Nursing
Publisher
Wiley
Published
2019-07-21
Volume
28
Issue
21-22
Pages
3901-3913
ISSN
  • 0962-1067 (ISSN-L)
  • 1365-2702
OpenAlex
W2956026513
Cited by
64
References
31
Citations by year
2026: 6 · 2025: 7 · 2024: 13 · 2023: 10 · 2022: 13 · 2021: 7 · 2020: 7 · 2019: 1
FWCI
9.54
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Clinical Nursing (publishedVersion)
  • PubMed (publishedVersion)
  • Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Funders
Dementia Collaborative Research Centres, Australia
Topics
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
Keywords
dementia, nursing homes, transition to residential care, family caregivers, care staff perspectives, individualized care, meaningful activities, autonomy, peer relationships, care coordination, barriers and facilitators
MeSH terms
Transitional Care, Adolescent, Adult, Aged, Aged, 80 and over, Dementia, Family, Female, Homes for the Aged, Humans, Male, Middle Aged, Nursing Homes, Professional-Family Relations, Quality of Life, Qualitative Research, Young Adult

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