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I Never Thought I Would End Up Here: the Context of Nursing Home Relocation Among Lithuanian Older Adults 我从未想过我会在这里终老:立陶宛老年人搬迁养老院的背景
Pub Date : 2023-12-17 DOI: 10.15388/stepp.2023.27.1
Jūratė Charenkova
Nursing home relocation is considered one of the most significant and stressful events in older age. Research shows that a variety of factors influence the decision to move to a nursing home and that the circumstances of the move have an impact on the post-move adaptation process and the quality of life in the nursing home. This paper aimed to reveal the context of the nursing home relocation of older people. Research data was gathered through life story interviews with 18 nursing home residents. Life story interviews were supplemented with semi-structured interview questions. The research revealed that the decision to move and the subjective experience of nursing home relocation is shaped not only by micro-environmental factors of an older person, such as health status or certain personality traits, but also by the conditions of the broader socio-economic, political and historical context. The interaction of these factors, which can be conditionally distinguished at the individual, family (community) and societal levels, creates a unique context in which older people decide to move to a nursing home. On an individual level, such factors as a person’s health, values and beliefs, personality traits, circumstances of the nursing home relocation and knowledge of possible alternatives to residential care affect the relocation decision-making. On the family or community level, the influence of family members, recommendations from social workers, doctors and acquaintances, community social support networks and access to social services play an important role. And lastly, on the societal level such factors as cultural norms and values (i.e. societal attitudes towards residential care and attitudes towards parental care), organisation of the social services system and history of the country (Soviet era) affect the nursing home relocation decision-making.
养老院搬迁被认为是老年人生活中最重要、压力最大的事件之一。研究表明,有多种因素会影响搬迁到养老院的决定,而搬迁的环境则会对搬迁后的适应过程和养老院的生活质量产生影响。本文旨在揭示老年人搬迁养老院的背景。研究数据是通过对 18 名养老院居民的生活故事访谈收集的。生活故事访谈辅以半结构化访谈问题。研究显示,搬迁的决定和养老院搬迁的主观体验不仅受老年人微观环境因素(如健康状况或某些个性特征)的影响,还受更广泛的社会经济、政治和历史背景条件的影响。这些因素在个人、家庭(社区)和社会层面上有条件地相互作用,形成了老年人决定入住养老院的独特环境。在个人层面上,个人的健康状况、价值观和信仰、个性特征、养老院搬迁的环境以及对其他可能的养老院选择的了解等因素都会影响搬迁决策。在家庭或社区层面,家庭成员的影响、社工、医生和熟人的建议、社区社会支持网络以及获得社会服务的途径都起着重要作用。最后,在社会层面,文化规范和价值观(即社会对住宿护理的态度和对父母护理的态度)、社会服务系统的组织和国家历史(苏联时期)等因素都会影响养老院搬迁决策。
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Socialinė teorija, empirija, politika ir praktika
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