Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-03T02:49:39.828Z Has data issue: false hasContentIssue false
  • English
  • Français

Involuntary relocation and safe transfer of care home residents: a model of risks and opportunities in residents' experiences

Published online by Cambridge University Press:  30 October 2014

ANNA F. LEYLAND ,
JASON SCOTT  and
PAM DAWSON
ANNA F. LEYLAND
Affiliation:
Department of Psychology, University of Sheffield, UK.
JASON SCOTT*
Affiliation:
Institute of Health & Society, Newcastle University, UK.
PAM DAWSON
Affiliation:
Faculty of Health & Life Sciences, York St John University, UK.
*
Address for correspondence: Jason Scott, Institute of Health & Society, Newcastle University, Newcastle upon Tyne NE2 4AX, UK. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Few studies explore the application of literature on care home closures in practice or how it can influence residents' experiences. The aim of this study was to investigate from multiple perspectives how a protocol, designed by a local council for the involuntary relocation and safe transfer of older adult residents, was adhered to and the influence that the protocol had on the experiences of residents who relocated from two care homes. Interviews were conducted with 34 stakeholders, including relocated residents (N=11), relatives (N=2), care home staff (N=13), managers (N=6) and advocates (N=2), and analysed using framework analysis. The protocol covered key aspects of guidelines extracted from research evidence grouped into four themes: involvement; staff approaches; preparation; and consistency and familiarity, with the majority of the guidelines being followed in practice. Two further themes that centred on the processes of transitional adjustment and impact of relocation were influenced by the protocol but were also mediated by factors relating to the environment and the resident. Involvement of residents, relatives and advocates, extensive planning and a person-centred approach were of particular importance in improving residents' experiences of relocation. A model that places residents' experiences at the centre of relocations is proposed, which draws on and applies the themes identified in this study and applies them within the context of opportunities and risks.

Keywords

older adultsinvoluntary relocationcare homesnursing homesrisk
Type
Articles
Information
Ageing & Society , Volume 36 , Issue 2 , February 2016 , pp. 376 - 399
Copyright
Copyright © Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alzheimer's Society 2012. This is Me. Available online at http://www.alzheimers.org.uk/site/scripts/download_info.php?downloadID=399 [Accessed 22 October 2012].Google Scholar
Bekhet, A. K., Zauszniewski, J. A. and Nakhla, W. E. 2011. Psychometric properties of the pressure to move scale in relocated American older adults: further evaluation. Issues in Mental Health Nursing, 32, 11, 711–6.CrossRefGoogle ScholarPubMed
Brugler, C. J., Titus, M. and Nypaver, J. M. 1993. Relocation stress syndrome. A patient and staff approach. Journal of Nursing Administration, 23, 1, 45.CrossRefGoogle ScholarPubMed
Buri, H. and Dawson, P. 2000. Caring for a relative with dementia: a theoretical model of coping with fall risk. Health, Risk & Society, 2, 3, 283–93.CrossRefGoogle Scholar
Castle, N. G. 2001. Relocation of the elderly. Medical Care Research and Review, 58, 3, 291–333.CrossRefGoogle ScholarPubMed
Castle, N. G. 2005. Nursing home closures, changes in ownership, and competition. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 42, 3, 281–92.CrossRefGoogle ScholarPubMed
Castle, N. G., Engberg, J., Lave, J. and Fisher, A. 2009. Factors associated with increasing nursing home closures. Health Services Research, 44, 3, 1088–9.CrossRefGoogle ScholarPubMed
Gallagher, E. M. and Walker, G. 1990. Vulnerability of nursing home residents during relocations and renovations. Journal of Aging Studies, 4, 1, 31–46.CrossRefGoogle Scholar
Hallewell, C., Morris, J. and Jolley, D. 1994. The closure of residential homes: what happens to residents. Age and Ageing, 23, 2, 158–161.CrossRefGoogle ScholarPubMed
Hodgson, N., Freedman, V. A., Granger, D. A. 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, 1856–2.CrossRefGoogle ScholarPubMed
Holder, J. M. and Jolley, D. 2012. Forced relocation between nursing homes: residents’ health outcomes and potential moderators. Reviews in Clinical Gerontology, 22, 4, 301–19.CrossRefGoogle Scholar
Holzapfel, S. K., Schoch, C. P., Dodman, J. B. and Grant, M. M. 1992. Responses of nursing home residents to intra institutional relocation. Geriatric Nursing, 13, 4, 192–5.CrossRefGoogle Scholar
Jolley, D., Jefferys, P., Katona, C. and Lennon, S. 2011. Enforced relocation of older people when Care Homes close: a question of life and death? Age and Ageing, 40, 5, 534–537.CrossRefGoogle Scholar
Kasl, S. V. 1972. Physical and mental health effects of involuntary relocation and institutionalization on the elderly – a review. American Journal of Public Health, 62, 3, 377–384.CrossRefGoogle ScholarPubMed
Korman, N. and Glennerster, H. 1985. Closing a Hospital: The Darenth Park Project. Bedford Square Press, London.Google Scholar
Laughlin, A., Parsons, M., Kosloski, K. D. and Bergman-Evans, B. 2007. Predictors of mortality following involuntary interinstitutional relocation. Journal of Gerontological Nursing, 33, 9, 20–26.Google ScholarPubMed
Le Mesurier, N. and Littlechild, R. 2011. A Review of Published Literature on the Experience of Closure of Residential Care Homes in the UK. Institute of Applied Social Studies, University of Birmingham, Birmingham, UK.Google Scholar
Manion, P. S. and Rantz, M. J. 1995. Relocation stress syndrome: a comprehensive plan for long-term care admissions. Geriatric Nursing (New York), 16, 3, 108–112.CrossRefGoogle ScholarPubMed
McCourt Perring, C. 1993. The Experience of Psychiatric Hospital Closure: An Anthropological Study. Avebury, Aldershot, UK.Google Scholar
Mikhail, M. L. 1992. Psychological responses to relocation to a nursing home. Journal of Gerontological Nursing, 18, 3, 35–39.CrossRefGoogle ScholarPubMed
Netten, A., Darton, R. and Williams, J. 2003. Nursing home closures: effects on capacity and reasons for closure. Age and Ageing, 32, 3, 332–7.CrossRefGoogle ScholarPubMed
Netten, A., Williams, J., Darton, R. and Netten, A. N. N. 2005. Care-home closures in England: causes and implications. Ageing & Society, 25, 6, 319–38.CrossRefGoogle Scholar
Pruchno, R. A. and Resch, N. L. 1988. Intrainstitutional relocation: mortality effects. The Gerontologist, 28, 3, 311–7.CrossRefGoogle ScholarPubMed
Reason, J. 2000. Human error: models and management. British Medical Journal, 320, 7237, 768–70.CrossRefGoogle ScholarPubMed
Ritchie, J. and Spencer, L. 1994. Qualitative data analysis for applied policy research. In Bryman, A. and Burgess, R. G. (eds), Analyzing Qualitative Data. Routledge, London, 173–94.CrossRefGoogle Scholar
Robinson, S., Glasby, J. and Allen, K. 2013. ‘It ain't what you do it's the way that you do it’: lessons for health care from decommissioning of older people's services. Health & Social Care in the Community, 21, 6, 614–22.Google Scholar
Rowland, K. F. 1977. Environmental events predicting death for the elderly. Psychological Bulletin, 84, 2, 349–72.CrossRefGoogle ScholarPubMed
Thomasma, M., Yeaworth, R. C. and McCabe, B. W. 1990. Moving day: relocation and anxiety in institutionalized elderly. Journal of Gerontological Nursing, 16, 7, 18–25.CrossRefGoogle ScholarPubMed
Thorson, J. A. and Davis, R. E. 2000. Relocation of the institutionalized aged. Journal of Clinical Psychology, 56, 1, 131–8.3.0.CO;2-S>CrossRefGoogle ScholarPubMed
van Malderen, L., Mets, T. and Gorus, E. 2013. Interventions to enhance the Quality of Life of older people in residential long-term care: a systematic review. Ageing Research Reviews, 12, 1, 141–50.CrossRefGoogle ScholarPubMed
Williams, J. M., Netten, A. P. and Ware, P. 2003. The closure of care homes for older people: relatives’ and residents’ experiences and views of the closure process. Available online at: http://www.pssru.ac.uk/pdf/dp2012_3.pdf (Accessed 14 March 2014).Google Scholar
Woolham, J. 2001. Good practice in the involuntary relocation of people living in residential care. Social Work in Action, 13, 4, 49–60.Google Scholar