Adjusting to life in a residential aged care facility: Perspectives of people with dementia, family members and facility care staff
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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Involving the person with dementia in the decision, where possible, was associated with greater satisfaction and lower distress.
“Involving the person with dementia in the decision, where possible, was associated with greater satisfaction and lower distress (Davison et al., 2019).”
From Mind the gap: a systematic review of barriers, facilitators, and experiences of care transitions for people living with dementia and their informal caregivers. (2026) · cites this paper as Davison et al., 2019
Caregivers described difficulty initiating the conversation about relocation and noted that individuals with dementia sometimes responded with anger, distress, or confusion.
“Caregivers described difficulty initiating the conversation about relocation and noted that individuals with dementia sometimes responded with anger, distress, or confusion (Davison et al., 2019; Rognstad et al., 2020).”
From Mind the gap: a systematic review of barriers, facilitators, and experiences of care transitions for people living with dementia and their informal caregivers. (2026) · cites this paper as Davison et al., 2019
People living with dementia experienced emotional consequences, reporting loss of independence, disconnection from community, and diminished quality of life when transitions were poorly managed.
“People living with dementia also experienced emotional consequences, reporting loss of independence, disconnection from community, and diminished quality of life when transitions were poorly managed (Davison et al., 2019; Johannessen et al., 2019).”
From Mind the gap: a systematic review of barriers, facilitators, and experiences of care transitions for people living with dementia and their informal caregivers. (2026) · cites this paper as Davison et al., 2019
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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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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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