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Life around … : Staff’s Perceptions of Residents’ Adjustment into Long-Term Care*

Published online by Cambridge University Press:  06 August 2010

Elaine C. Wiersma
Elaine C. Wiersma*
Affiliation:
Lakehead University
*
†Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Elaine C. Wiersma, Ph.D., Master of Public Health Program, Lakehead University, 955 Oliver Rd., Thunder Bay, ON P7B 5E1 ([email protected])
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Abstract

The move to a long-term care facility can be particularly traumatic for new residents. Staff can make this transition easier in a number of ways. However, the staff’s perceptions of the transition process and residents’ experiences will play a significant part in determining the type of support that is given residents during the transition. The purpose of this research was to examine the staff’s perceptions of a person’s coming to live in a long-term care environment. Using in-depth interviews with staff from one long-term care facility, three main themes emerged that encompassed descriptions of residents’ lives. Essentially, the staff described how residents learned to live a life involving various factors in three main categories—life around losses, life around the institution, and life around the body.

Résumé

Le déménagement à un établissement de service de soins à long terme peut être particulière-ment traumatique pour de nouveaux résidents. Le personnel peut faciliter cette transition dans un certain nombre de façons. Cependant, les perceptions du personnel du processus de transition et les expériences des résidents joueront un rôle significatif en déterminant le type d’appui qui est donné aux résidents pendant cette transition. Le but de cette recherche était d’examiner les perceptions du personnel d’une personne venant à vivre dans un environnement de soins à long terme. Trois thèmes principaux ont émergé après l’analyse d’entrevues détaillées avec le personnel d’un service de soin à long terme qui englobaient les descriptions de la vie des résidents. Essentiellement, le personnel a décrit comment les résidents ont appris à vivre une vie autour de divers facteurs en trois catégories principaux: une vie autour des pertes, une vie autour de l’établissement résidentiel, et une vie autour du corps.

Keywords

ajustements aux soins de longue duréeexpériences des résidents de soins de longue duréeperceptions du personnel de soins de longue duréeadjustment to long-term careresidents’experiences of long-term carestaff perceptions of long-term care
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 29 , Issue 3 , September 2010 , pp. 425 - 434
Copyright
Copyright © Canadian Association on Gerontology 2010

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Footnotes

*

This research was supported by a Canada Graduate Scholarship from the Social Sciences and Humanities Research Council of Canada. The author would like to thank Dr. Sherry Dupuis, University of Waterloo, for her assistance and guidance.

References

Cheek, J., & Ballantyne, A. (2001). Moving them on and in: The process of searching for and selecting an aged care facility. Qualitative Health Research, 11(2), 221–237.CrossRefGoogle ScholarPubMed
Davies, S., & Nolan, M. (2003). “Making the best of things”: Relatives’ experiences of decisions about care home entry. Ageing & Society, 23(4), 429–450.CrossRefGoogle Scholar
Diamond, T. (1992). Making gray gold: Narratives of nursing home care. Chicago: The University of Chicago Press.CrossRefGoogle Scholar
Dupuis, S.L., & Wiersma, E. (2006, November) Meanings attached to responsive behaviours in long-term care settings. Paper Presented at the Alzheimer Society of Canada conference, Toronto, Ontario, Canada.Google Scholar
Dupuis, S.L., & Wiersma, E.C. (2007, November). Pathologizing behaviour: The role of long-term care. 36th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology (p. 133). Calgary, AB: Canadian Association on Gerontology.Google Scholar
Foner, N. (1995). The caregiving dilemma: Work in an American nursing home. Berkeley: University of California Press.Google Scholar
Gubrium, J.F. (1975). Living and dying at Murray Manor. New York: St. Martin’s Press.Google Scholar
Halldorsdottir, S., & Hamrin, E. (1997). Caring and uncaring encounters within nursing and health care from the cancer patient’s perspective. Cancer Nursing, 20(2), 120–128.CrossRefGoogle ScholarPubMed
Henderson, J.N. (1995). The culture of care in a nursing home: Effects of a medicalized model of long-term care. In Henderson, J.N. & Vesperi, M.D. (Eds.), The culture of long-term care: Nursing home ethnography (pp. 37–54). Westport, CT: Bergin & Garvey.Google Scholar
Jones, M. (1999). Gentlecare: Changing the experience of Alzheimer’s disease in a positive way. Vancouver, BC, Canada: Hartley & Marks.Google Scholar
Kahn, D.L. (1999). Making the best of it: Adapting to the ambivalence of a nursing home environment. Qualitative Health Research, 9(1), 119–132.CrossRefGoogle Scholar
Kitwood, T. (1997). Dementia reconsidered: The person comes first. Philadelphia, PA: Open University Press.Google Scholar
Lopez, S.H. (2006). Culture change management in long-term care: A shop-floor view. Politics & Society, 34(1), 55–79.CrossRefGoogle Scholar
Merleau-Ponty, M. (1962). Phenomenology of perception. New York: Routledge & Kegan Paul.Google Scholar
Nikku, N., & Eriksson, B.E. (2006). Microethics in action. Bioethics, 20(4), 169–179.CrossRefGoogle ScholarPubMed
Paterniti, D.A. (2000). The micropolitics of identity making in adverse circumstance: A study of identity making in a total institution. Journal of Contemporary Ethnography, 29(1), 93–119.CrossRefGoogle Scholar
Paterniti, D.A. (2003). Claiming identity in a nursing home. In Gubrium, J.F. & Holstein, J.A. (Eds.), Ways of aging (pp. 58–74). Malden, MA: Blackwell Publishing.CrossRefGoogle Scholar
Patton, M.Q. (1990). Qualitative evaluation and research methods (2nd ed.). Newbury Park, CA: Sage.Google Scholar
Schirm, V., Albanese, T., Garland, T.N., Gipson, G., & Blackmon, D.J. (2000). Caregiving in nursing homes: Views of licensed nurses and nursing assistants. Clinical Nursing Research, 9(3), 280–297.CrossRefGoogle ScholarPubMed
Shapiro, S.B. (1999). Pedagogy and the politics of the body: A critical praxis. New York: Garland Publishing.Google Scholar
Thomas, W.H. (1996). Life worth living: The Eden Alternative in action. Acton, MA: VanderWyk & Burnham.Google Scholar
Twigg, J. (2004). The body, gender, and age: Feminist insights in social gerontology. Journal of Aging Studies, 18, 59–73.CrossRefGoogle Scholar
Van Manen, M. (1997). Researching lived experience: Human science for an action sensitive pedagogy (2nd ed.). London: Althouse Press.Google Scholar
Wiersma, E.C. (2007). Making institutional bodies: Socialization into the nursing home environment. Ph.D. Dissertation, University of Waterloo, Waterloo, Ontario, Canada.Google Scholar
Wilson, S.A. (1997). The transition to nursing home life: A comparison of planned and unplanned admissions. Journal of Advanced Nursing, 26, 864–871.CrossRefGoogle ScholarPubMed