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Time- and place-dependent experiences of loneliness in assisted living facilities

Published online by Cambridge University Press:  16 October 2019

Anu H. Jansson Open the ORCID record for Anu H. Jansson [Opens in a new window] ,
Antti Karisto  and
Kaisu H. Pitkälä
Anu H. Jansson*
Affiliation:
Department of General Practice and Helsinki University Hospital, Unit of Primary Health Care, University of Helsinki, Helsinki, Finland
Antti Karisto
Affiliation:
Faculty of Social Sciences, Social and Public Policy, University of Helsinki, Helsinki, Finland
Kaisu H. Pitkälä
Affiliation:
Department of General Practice and Helsinki University Hospital, Unit of Primary Health Care, University of Helsinki, Helsinki, Finland
*
*Corresponding author. Email: [email protected]
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Abstract

The purpose of the study is to explore feelings of loneliness among residents in assisted living facilities in terms of how loneliness is experienced and articulated, and what specific factors are related to the experiences. The study used a mixed-method approach. We individually interviewed 13 residents twice over six months. We conducted two focus group interviews and noted our observations each time we met the respondents. Data analysis leaned on abductive reasoning. The respondents described loneliness in versatile, rich ways. It proved to be time and place dependent. It was dependent on the time of day, days of the week and seasons. Lonely time was meaningless and filled with a feeling of waiting. Loneliness was also intertwined with place. None of the respondents called their apartment home; instead they called it a hospital, even a prison. They had to spend long periods of time in their apartments against their will, and their desire to interact with other residents was not met. The respondents felt invisible. Residents’ experiences of loneliness in assisted living facilities are unique and distinctive. Time- and place-dependent experiences of loneliness act as important signals for reflection on how care practices in these facilities could be more satisfying. Loneliness should therefore be a key topic and the target of prevention and interventions.

Keywords

lonelinessexperienceassisted living facilitieshome-likeolder people
Type
Article
Information
Ageing & Society , Volume 41 , Issue 3 , March 2021 , pp. 628 - 644
Copyright
Copyright © Cambridge University Press 2019

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References

Adam, B (2004) Time. Cambridge: Polity Press.Google ScholarPubMed
Andrew, N and Meeks, S (2016) Fulfilled preferences, perceived control, life satisfaction, and loneliness in elderly long-term care residents. Aging & Mental Health 22, 183–189.CrossRefGoogle ScholarPubMed
Bekhet, AK and Zauszniewski, JA (2012) Mental health of elders in retirement communities: is loneliness a key factor? Archives of Psychiatric Nursing 26, 214–224.CrossRefGoogle ScholarPubMed
Bolmsjö, I, Tengland, PA and Rämgård, M (2018) Existential loneliness: an attempt at an analysis of the concept and the phenomenon. Nursing Ethics 26, 1310–1325.CrossRefGoogle ScholarPubMed
Brownie, S and Horstmanshof, L (2011) The management of loneliness in aged care residents: an important therapeutic target for gerontological nursing. Geriatric Nursing 32, 318–325.CrossRefGoogle ScholarPubMed
Cacioppo, JT and Hawkley, LC (2009) Perceived social isolation and cognition. Trends in Cognitive Sciences 13, 447–454.CrossRefGoogle ScholarPubMed
Charmaz, K and Mitchell, R (2002) Grounded theory in ethnography. In Atkinson, P, Coffey, A, Delamont, S, Lofland, J and Lofland, L (eds), Handbook of Ethnography. London: Sage, pp. 160–174.Google Scholar
Cooney, A (2012) ‘Finding home’: a grounded theory on how older people ‘find home’ in long-term care settings. International Journal of Older People Nursing 7, 188–199.CrossRefGoogle ScholarPubMed
de Lange, F (2014) The end of straightforward living. Labyrinth ageing. Paper presented at the 8th International Conference on Cultural Gerontology, Meaning and Culture(s): Exploring the Life Course, Galway, Ireland, April.Google Scholar
Drageset, J, Eide, GE, Kirkevold, M and Ranhoff, AH (2012 a) Emotional loneliness is associated with mortality among mentally intact nursing home residents with and without cancer: a five-year follow-up study. Journal of Clinical Nursing 44, 106–114.Google Scholar
Drageset, J, Espehaug, B and Kirkevold, M (2012 b) The impact of depression and sense of coherence on emotional and social loneliness among nursing home residents without cognitive impairment – a questionnaire survey. Journal of Clinical Nursing 21, 965–974.CrossRefGoogle ScholarPubMed
Drageset, J, Kirkevold, M and Espehaug, B (2011) Loneliness and social support among nursing home residents without cognitive impairment: a questionnaire survey. International Journal of Nursing Studies 48, 611–619.CrossRefGoogle ScholarPubMed
Fessman, N and Lester, D (2000) Loneliness and depression among elderly nursing home patients. International Journal of Aging and Human Development 51, 137–141.CrossRefGoogle ScholarPubMed
Finlex (2012) Act on Supporting the Functional Capacity of the Older Population and on Social and Health Services for Older Persons (Act No. 980/2012). Helsinki: Ministry of Social Affairs and Health.Google Scholar
Foley, G and Timonen, V (2015) Using grounded theory method to capture and analyze health care experiences. Health Services Research 50, 1195–1210.CrossRefGoogle ScholarPubMed
Gerst-Emerson, K and Jayawardhana, J (2015) Loneliness as a public health issue: the impact of loneliness on health care utilization among older adults. American Journal of Public Health 105, 1013–1019.CrossRefGoogle ScholarPubMed
Harper, IG (2002) Daily life in a nursing home: has it changed in 25 years? Journal of Aging Studies 16, 345–359.CrossRefGoogle Scholar
Heyl, B (2001) Ethnographic interviewing. In Atkinson, P, Coffey, A, Delamont, S, Lofland, J and Lofland, L (eds), Handbook of Ethnography. London: Sage, pp. 369–383.CrossRefGoogle Scholar
Hwang, S (2008) Utilizing qualitative data analysis software: a review of Atlas.ti. Social Science Computer Review 26, 519–527.CrossRefGoogle Scholar
Jansson, AH, Muurinen, S, Savikko, N, Soini, H, Suominen, MM, Kautiainen, H and Pitkälä, KH (2017) Loneliness in nursing homes and assisted living facilities: prevalence, associated factors and prognosis. Journal of Nursing Home Research 3, 43–49.Google Scholar
Jansson, A, Savikko, N and Pitkälä, K (2018) Training professionals to implement a group model for alleviating loneliness among older people – 10-year follow-up study. Educational Gerontology 44, 119–127.CrossRefGoogle Scholar
Kapuscinski, R (1994) Imperium. London: Granta.Google Scholar
Karisto, A and Tiilikainen, E (2017) Yksinäisyys ja aika [Loneliness and time]. Yhteiskuntapolitiikka 82, 527–537.Google Scholar
Katz, S (2000) Busy bodies: activity, aging and management of everyday life. Journal of Aging Studies 14, 135–152.CrossRefGoogle Scholar
Kirkevold, M, Moyle, W, Wilkinson, C, Meyer, J and Hauge, S (2013) Facing the challenge of adapting to a life ‘alone’ in old age: the influence of losses. Journal of Advanced Nursing 69, 394–403.CrossRefGoogle ScholarPubMed
Kissane, DW (2012) The relief of existential suffering. Archives of Internal Medicine 172, 1501–1505.CrossRefGoogle ScholarPubMed
Larsson, H, Edberg, AK, Bolmsjö, I and Rämgård, M (2018) Contrasts in older persons’ experiences and significant others’ perceptions of existential loneliness. Nursing Ethics 26, 1623–1637.CrossRefGoogle ScholarPubMed
Latour, B (2005) Reassembling the Social. An Introduction to Actor-Network-Theory. Oxford: Oxford University Press.Google Scholar
Luanaigh, CO and Lawlor, BA (2008) Loneliness and the health of older people. International Journal of Geriatric Psychiatry 23, 1213–1221.CrossRefGoogle ScholarPubMed
Mikkola, H (2005) Yksinäisyyden verho ympärillä ihmisten ohi kuljen – yksinäisyyskertomukset Sukupolveni unta -kirjoituskilpailuaineistossa [I am passing people, curtain of loneliness around me – stories of loneliness]. In Jokinen, K (ed.), Yksinäisten sanat. Kirjoituksia omasta tilasta, erillisyydestä ja yksinolosta (Nykykulttuurin tutkimuskeskuksen julkaisuja No. 84). Jyväskylä, Finland: University of Jyväskylä, pp. 129–187.Google Scholar
Nikander, P (2014) Laadullinen pitkittäistutkimus ja terveys [Qualitative longitudinal research and health]. Sosiaalilääketieteellinen aikakauslehti, Metodinumero [Journal of Social Medicine] 51, 243–252.Google Scholar
Nord, C (2013) A day to be lived. Elderly peoples’ possessions for everyday life in assisted living. Journal of Aging Studies 27, 135–142.CrossRefGoogle Scholar
Nyqvist, F, Cattan, M, Andersson, L, Forsman, AK and Gustafson, Y (2013) Social capital and loneliness among the very old living at home and in institutional settings: a comparative study. Journal of Aging and Health 25, 1013–1035.CrossRefGoogle ScholarPubMed
Ojala, H (2010) Opiskelemassa tavallaan. Vanhat naiset ikäihmisten yliopistossa [Studying in More Ways Than One. Aged Women at the University of the Third Age in Finland] (Acta Universitatis Tamperensis No. 1025). Tampere, Finland: Tampere University Press.Google Scholar
Oldenburg, R (1989) The Great Good Place. Cafes, Coffee Shops, Community Centres, General Stores, Bars, Hangouts, and How They Get You Through the Day. New York, NY: Paragon House.Google Scholar
Peplau, LA, Miceli, M and Morasch, B (1982) Loneliness and self-evaluation. In Peplau, LA and Perlman, D (eds), Loneliness: A Sourcebook of Current Theory, Research and Therapy. New York, NY: Wiley, pp. 135–151.Google Scholar
Peplau, LA and Perlman, D (1982) Perspectives on loneliness. In Peplau, LA and Perlman, D (eds), Loneliness: A Sourcebook of Current Theory, Research and Therapy. New York, NY: Wiley, pp. 1–18.Google Scholar
Perlman, D and Peplau, LA (1982) Theoretical approaches to loneliness. In Peplau, LA and Perlman, D (eds), Loneliness: A Sourcebook of Current Theory, Research and Therapy. New York, NY: Wiley, pp. 123–134.Google Scholar
Pirhonen, J (2017) Good Human Life in Assisted Living for Older People (Acta Universitatis Tamperensis No. 2272). Tampere, Finland: Tampere University Press.Google Scholar
Pirhonen, J and Pietilä, I (2016) Perceived resident–facility fit and sense of control in assisted living. Journal of Aging Studies 31, 47–56.CrossRefGoogle Scholar
Pirhonen, J and Pietilä, I (2018) Active and non-active agents: residents’ agency in assisted living. Ageing & Society 38, 19–36.CrossRefGoogle Scholar
Pirhonen, J, Tiilikainen, E and Pietilä, I (2017) Ruptures of affiliation: social isolation in assisted living for older people. Ageing & Society 38, 1868–1886.CrossRefGoogle Scholar
Prieto-Flores, ME, Fernandez-Mayoralas, G, Forjaz, MJ, Rojo-Perez, F and Martinez-Martin, P (2011) Residential satisfaction, sense of belonging and loneliness among older adults living in the community and in care facilities. Health and Place 17, 1183–1190.CrossRefGoogle ScholarPubMed
Roos, JP (1998) Behind the happiness barrier. Social Indicators Research 20, 141–163.CrossRefGoogle Scholar
Roth, EG and Eckert, JK (2011) The vernacular landscape of assisted living. Journal of Aging Studies 25, 215–224.CrossRefGoogle ScholarPubMed
Routasalo, P and Pitkälä, KH (2003) Loneliness among older people. Reviews in Clinical Gerontology 13, 303–311CrossRefGoogle Scholar
Routasalo, PE, Savikko, N, Tilvis, RS, Strandberg, TE and Pitkälä, KH (2006) Social contacts and their relationship to loneliness among aged people – a population-based study. Gerontology 52, 181–187.CrossRefGoogle ScholarPubMed
Saari, J (2016) Suomalaisten Yksinäisyys [Loneliness of Finnish people]. In Saari, J (ed.), Yksinäisten Suomi [Finland of Lonely People]. Helsinki: Gaudeamus, pp. 33–51.Google Scholar
Savikko, N (2008) Loneliness of Older People and Elements of an Intervention for its Alleviation (Annales Universitatis Turkuensis, Serie D 808). Turku, Finland: Universitatis Turkuensis.Google Scholar
Savikko, N, Routasalo, P, Tilvis, RS, Strandberg, TE and Pitkälä, KH (2005) Predictors and subjective causes of loneliness in an aged population. Archives of Gerontology and Geriatrics 41, 223–233.CrossRefGoogle Scholar
Slettebø, Å (2008) Safe, but lonely: living in a nursing home. Vård i Norden 28, 22–25.Google Scholar
Smith, KJ and Victor, C (2019) Typologies of loneliness, living alone and social isolation, and their associations with physical and mental health. Ageing & Society 39, 1709–1731.CrossRefGoogle Scholar
Taube, E, Jakobsson, U, Midlöv, P and Kristensson, J (2016) Being in a bubble: the experience of loneliness among frail older people. Journal of Advanced Nursing 72, 631–640.CrossRefGoogle Scholar
Theurer, K, Mortenson, WB, Stone, R, Suto, M, Timonen, V and Rozanova, J (2015) The need for social revolution in residential care. Journal of Aging Studies 35, 201–210.CrossRefGoogle ScholarPubMed
Tiilikainen, E (2016) Yksinäisyys ja elämänkulku. Laadullinen seurantatutkimus ikääntyvien yksinäisyydestä [Loneliness and Life Course. Qualitative Longitudinal Research on Loneliness Among Older People] (Publications of the Faculty of Social Sciences No. 4). Helsinki: University of Helsinki.Google Scholar
Tiilikainen, E and Seppänen, M (2017) Lost and unfulfilled relationships behind emotional loneliness in old age. Ageing & Society 37, 1068–1088.CrossRefGoogle Scholar
Tilvis, RS, Routasalo, P, Karppinen, H, Strandberg, TE and Pitkälä, KH (2011) Social isolation, social activity and loneliness as survival indicators in old age; a nationwide survey with a 7-year follow-up. European Geriatric Medicine 3, 18–22.CrossRefGoogle Scholar
Timonen, V (2016) Beyond Successful and Active Ageing: A Theory of Model Ageing. Bristol, UK: Policy Press.Google Scholar
Vaarama, M, Mukkila, S and Hannikainen-Ingman, K (2014) 80 vuotta täyttäneiden elämänlaatu ja elinolot [Quality of life and living conditions of people over 80]. In Vaarama, M, Karvonen, S, Kestilä, L, Moisio, P and Muuri, A (eds), Suomalaisten hyvinvointi [The Well-being of Finnish People]. Tampere, Finland: Juvenes Print – Suomen Yliopistopaino Oy, pp. 40–58.Google Scholar
Yang, K and Victor, C (2011) Age and loneliness in 25 European nations. Ageing & Society 31, 1368–1388.CrossRefGoogle Scholar