Older adults' reasons for applying to a nursing home - a document analysis.

IF 1.9 4区 医学 Q2 REHABILITATION Scandinavian Journal of Occupational Therapy Pub Date : 2024-12-01 Epub Date: 2024-12-06 DOI:10.1080/11038128.2024.2436585
Lisa Spang, Kajsa Lidström-Holmqvist, Marie Holmefur, Cecilia Pettersson
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Abstract

Background: Ageing in place is the social norm in Sweden, yet older adults apply for a nursing home on a daily basis which suggests that ageing in place needs further study as it is not suitable for everyone. Aim: to study descriptions of older adults' reasons for applying to a nursing home in documents of granted nursing home decisions.

Materials and methods: One hundred and sixty decisions were analyzed through document analysis with a deductive content analysis using the Canadian Model of Occupational Performance-Engagement (CMOP-E) as a framework.

Results: Reasons for applying were represented in the three factors of the CMOP-E. In personal factors, reason for applying was e.g. connected to severe anxiety. In environmental factors, family culture had an influence in the application. In occupational factors, the ability to perform self-care and mobility greatly affected decisions to apply to nursing homes.

Conclusion: Descriptions of the older adults' activities in daily life were limited. If OTs were further involved in nursing home applications, adults ageing in place could be better supported and a move to a nursing home may be prevented. Significance: this study contributes to the understanding of why older adults chose to apply to a nursing home.

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老年人申请养老院的原因——一份文件分析。
背景:就地养老是瑞典的社会规范,然而老年人每天都在申请养老院,这表明就地养老需要进一步研究,因为它并不适合每个人。目的:研究批准疗养院决定文件中老年人申请疗养院的原因描述。材料和方法:以加拿大职业绩效-敬业度模型(CMOP-E)为框架,通过文献分析和演绎内容分析,对160项决策进行了分析。结果:应用原因在CMOP-E的三个因素中均有体现。在个人因素方面,申请的原因与严重的焦虑有关。在环境因素中,家庭文化对应用有影响。在职业因素中,执行自我护理和流动性的能力极大地影响了申请养老院的决定。结论:老年人对日常生活活动的描述有限。如果家庭护理人员进一步参与养老院的申请,可以更好地支持在当地养老的成年人,并可以防止他们搬到养老院。意义:本研究有助于理解老年人为何选择申请养老院。
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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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