Elderly peoples’ experiences of nursing homes in Bam city

A qualitative study

Authors

  • Neda Mohammadinia Ph.D. Student in Health Education and Health Promotion, Faculty Member, Department of Community Health Nursing, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran

Keywords:

Aged, Qualitative study, Iran, nursing home

Abstract

Background: With the increasing number of elderly, especially in recent decades, transfer to nursing homes and the number of  centers has also increased but experiences and  problems of elders in these  centers  is less considered. So, the goal of this study is to explore the Elderly peoples’ experiences of nursing homes.

Methods: The current research was performed using a phenomenological approach in 2016. Participation in the study is comprised of the elderly residents in a nursing home in Bam city who were selected based on an objective-oriented approach. The sampling was done until data saturation. Data collection methods were observation and an unstructured and in-depth interview. Data were analyzed using seven-stage Colaizzi process. 

Results: In total, fifteen 68 - 82 years old people participated in our study and 52 primary and conceptual codes that were eventually categorized in five main themes (sense of rejection, sense of daily routine, impaired of communications, sense of hardship and mental obsession) and ten sub-themes emerged.

Conclusion: Overall, most of the elders were not satisfied with the conditions. It seems that helpful, community and family education to acculturate respect for the elderly in the community, teach proper coping strategies, use the elderly’s experiences, and consultation with them could be a way to maintain a sense of usefulness, independence and to prevent them from sensing monotonous and routine rhythm of life.

References

Higo M, TA Khan H. Global population aging: Unequal distribution of risks in later life between developed

and developing countries. Global Social Policy. 2015; 15(2): 146–66. doi: 10.1177/1468018114543157.

Yarbro CH, Goodman M, Hansen FM. Cancer Nursing: Principles and Practice. USA: Jones and Bartlett

International Pub; 2005: 653.

United Nations, Department of Economic and Social Affairs, Population Division. World Population

Ageing; 2013.

Taheri M, Mohammadi M, Paknia B, Mohammadbeigi A. Elderly Awareness on Healthy Lifestyle during

Aging. Trop Med Surg. 2013; 1: 139. doi: 10.4172/2329-9088.1000139.

United Nations. World Population Ageing: 1950-2050. Countries of area: Iran (Islamic Republic of):

Department of Economic and Social Affairs, Unite Nations; 2013.

Pruchno RA, Wilson-Genderson M, Rose M, Cartwright F. Successful aging: early influences and

contemporary characteristics. Gerontologist. 2010; 50(6): 821-33. PMID: 20513694. doi:

1093/geront/gnq041.

Grady P. Advancing the health of our aging population: A lead role for the nursing science. Nursing

Outlook. 2011; 59(4): 207-9. doi: 10.1016/j.outlook.2011.05.017. PMID: 21757076. PMCID:

PMC3197709.

Siam SH. Study on situation of elderly resident in Guilan disabilities and elderly nursing home. Guilan

University of Medical Sciences Journal. 2001; 10(39, 40).

Lunenfeld B, Stratton P. The clinical consequences of an ageing world and preventive strategies. Best Pract

Res Clin Obstet Gynaecol. 2013; 27(5): 643–59. doi: 10.1016/j.bpobgyn.2013.02.005. PMID: 23541823,

PMCID: PMC3776003.

WHO. Global Health and Aging- National Institute on Aging National Institutes of Health. U.S.

Department of Health and Human Services. National Institute on Aging, National Institutes of Health. NIH

Publication no. 1 1-7737 October 2011.

Harris-Kojetin L, Sengupta M, Park-Lee E, Valerie R. Long-term care services in the United States: 2013

Overview. Vital and Health Statistics. 2013; Series 3, Number 37

Rijnaard MD, van Hoof J, Janssen BM, Verbeek H, Pocornie W, Eijkelenboom A, et al. The Factors

Influencing the Sense of Home in Nursing Homes. A Systematic Review from the Perspective of Residents.

J Aging Res. 2016; 2016: 6143645. doi: 10.1155/2016/6143645. PMID: 27313892, PMCID: PMC4893593.

Lee DT, Woo J, Mackenzie AE. The Cultural Context of Adjusting to Nursing Home Life: Chinese Elders'

Perspectives. Gerontologist. 2002; 42(5): 667-75. doi: 10.1093/geront/42.5.667. PMID: 12351802.

Riedl M, Mantovan F, Them C. Being a Nursing Home Resident: A Challenge to One's Identity. Nursing

Research and Practice .2013:9 .ID 932381. doi: 10.1155/2013/932381.

Salarvand S, Abedi H. The elder Causes and motivations of resident in home nursing. Feiz journal. 2008;

(12).

Mokhtari F, Ghasemi N. Comparison of Elderlys “Quality of Life and mental health living in nursing

homes and members of retiered club of Shiraz city. Iranian journal of ageing. 2010; 5(18): 53-63.

Murphy K, O’Shea E, Cooney A, Shiel A, Hodgins M. Improving Quality of Life for Older People in

Long-Stay Care Settings in Ireland. National Council on Ageing and Older People. 2014.

Wiles JL, Leibing A, Guberman N, Reeve J, Allen RE. The meaning of “aging in place” to older people.

Gerontologist. 2012; 52(3): 357–66. doi: 10.1093/geront/gnr098. PMID: 21983126.

Cohen S. Social relationships and health. Am Psychol. 2004; 59(8): 676–84. doi: 10.1037/0003- 066X.59.8.676. PMID: 15554821.

Umberson D, Karas Montez J. Social Relationships and Health: A Flashpoint for Health Policy. J Health

Soc Behav. 2010; 51(S): S54–S66. doi: 10.1177/0022146510383501. PMID: 20943583, PMCID:

PMC3150158.

Goghataee M, Nejati. Study of the elder health status in Kashan city. Aging journal. 2006; 1(1): 3-8.

Groenewald T. A Phenomenological Research Design Illustrated. International Journal of Qualitative

Methods. 2004; 3(1).

Abedi. Applied of phenomenology research method in clinical sciences. Rahbord Journal. 2010; 19(54):

Leininger M, McFarland MR. Transcultural Nursing, 3 ed, New York, MC Graw-Hill and Medical Pub;

Anney VN. Ensuring the Quality of the Findings of Qualitative Research: Looking at Trustworthiness

Criteria. Journal of Emerging Trends in Educational Research and Policy Studies. 2014; 5(2): 272-81.

Bradshaw S, Playford D, Riazi A. Living well in care homes: a systematic review of qualitative studies.

Age Ageing. 2012; 41(4): 429-40. doi: 10.1093/ageing/afs069. PMID: 22678747.

Adib haj bagheri M, Rejaee M. Experiences the elder in nursing home: the qualitative study. Kermanshah

University of medical sciences. 2011; 15(5).

Buthania A. Daily Life Experience of Institutionalized Elderly People. Journal of US-China Medical

Science. 2014; 11(2): 85-93.

Lewinson T, Robinson-Dooley V, Grant KW. Exploring ‘home’ through residents' lenses: assisted living

facility residents identify homelike characteristics using photo voice. J Gerontol Soc Work. 2012; 55(8):

–56. doi: 10.1080/01634372.2012.684758. PMID: 23078609.

Galvin C, De Roiste A. Living in Care: Older Persons Experiences of Nursing Homes. Irish Journal of

Applied Social Studies. 2005; 6(1).

Chang SJ. Lived experiences of nursing home residents in Korea. Asian Nurs Res. 2013; 7: 83–90. doi:

1016/j.anr.2013.04.003. PMID: 25029926.

Tse MM, Ho SS. Pain management for older persons living in nursing homes: A pilot study. Pain Manag

Nurs. 2013; 14(2): 10-21. doi: 10.1016/j.pmn.2011.01.004. PMID: 23688367.

Yavari H, Akbari Kamrani A, Bakhshi A, Saboor M, Sahaf. Study of Relation poly pharmacy and

collective cognitive and social factors in the Kahrizak nursing home the elder. Aging Journal. 2013; 8(31).

Bollig G, Gjengedal E, Rosland JH. They know!-Do they? A qualitative study of residents and relatives

views on advance care planning, end-of-life care, and decision-making in nursing homes. Palliat Med.

; 30 (5): 456-70. doi: 10.1177/0269216315605753. PMID: 26396227, PMCID: PMC4838176.

Williams KN, Warren CA. Communication in assisted living. J Aging Stud. 2009; 23(1): 24-36. doi:

1016/j.jaging.2007.09.003. PMID: 20107612, PMCID: PMC2811280.

Safavi farokhi Z, Amoozadeh Khalil M, Pahlevanian A, Rasolzadeh M. Interests of individual activities in

elderly institutionalized persons. Journal of Semnan University of Medical Sciences. 2008; 10(1).

van Hoof j, Janssen ML, Heesakkers CM, van Kersbergen W, Severijns LE, Willems LAG, et al. The

importance of personal possessions for the development of a sense of home of nursing home residents.

Journal of Housing for the Elderly. 2016; 30(1): 35–51. doi: 10.1080/02763893.2015.1129381.

Cooney A. 'Finding home': a grounded theory on how older people 'find home' in long-term care settings.

Int J Older People Nurs. 2011; 7(3): 188–99 .doi: 10.1111/j.1748-3743.2011.00278.x. PMID: 21631889.

Klaassens M, Meijering L. Experiences of home and institution in a secured nursing home ward in the

Netherlands: a participatory intervention study. J Aging Stud. 2015; 34(3): 92–102. doi:

1016/j.jaging.2015.05.002. PMID: 26162729.

Adib hagibagheri M, Yamini effat A. Experiences of Kashan elementary students from nursing home.

Researches in behavioral sciences. 2011; 9(2): 123-32.

Ferrah N, Murphy BJ, Ibrahim JE, Bugeja LC, Winbolt M, LoGiudice D, et al. Resident-to-resident

physical aggression leading to injury in nursing homes: a systematic review. Age Ageing. 2015; 44(3): 356- 64. doi: 10.1093/ageing/afv004. PMID: 25630802.

Slettibo A. Safe but lonely: Living in nursing home. Nordic Journal of Nursing Research. 2008; 28(1): 22–

doi: 10.1177/010740830802800106.

Halter JB, Ouslander JG, Tinetti M, Studenski S, High KP, Asthana S. Hazzard's Geriatric Medicine and

Gerontology. Sixth ed. McGraw-Hill New York; 2009.

Afzali M, Eatemadifar S, Aslani Hasan poor A, Keivani Z. Study of physical and psychiatric health status

in the elder resident in Shahr kord welfare centers. Nursing and Obstetrics Journal of Hamadan University

of Medical Sciences. 2011; 15(1).

Falconer M, O'Neill D. Profiling disability within nursing homes: a census-based approach. Age Ageing.

; 36(2): 209-13. doi: 10.1093/ageing/afl185. PMID: 17296601.

Forjaz MJ, Rodriguez-Blazquez C, Ayala A, Rodriguez-Rodriguez V, de Pedro-Cuesta J, Garcia-Gutierrez

S, et al. Chronic conditions, disability, and quality of life in older adults with multimorbidity in Spain. Eur J

Intern Med. 2015; 26(3): 176-81. doi: 10.1016/j.ejim.2015.02.016. PMID: 25724771.

Sari Stenholm, Erkki Kronhol, Päivi Sainio, Katja Borodulin, Pertti Era, Mikael Fogelholm, et al. Sleeprelated Factors and Mobility in older Men and Women. J Gerontology a Biol Sci Med Sci. 2010; 65(6):

–57. doi: 10.1093/gerona/glq017. PMID: 20159778, PMCID: PMC2904593.

Haghighatyan M, Hashemifar A. Blordi Experience Of aging and the elder identification challenges:

qualitative study. Journal of qualitative research in health sciences. 2015; 4(3); 339-50.

McKee G, Kearney PM, Kenny RA. The factors associated with self-reported physical activity in older

adults living in the Community-Gabrielle. Age Ageing. 2015; 44(4): 586-92. doi: 10.1093/ageing/afv042.

PMID: 25863770.

Naseh H, Arzaghi M, Ghasemzadeh Roraim A, Kamali M, Arastoo A. Study of problem dimensions from

diabet in diabetic elder in Kahrizak nursing home. Iran diabet and lipid journal. 2012; 11(5).

Drageset J, Eide GE, Dysvik E, Furnes B, Hauge S. Loneliness, loss, and social support among cognitively

intact older people with cancer, living in nursing homes--a mixed-methods study. Clin Interv Aging. 2015;

: 1529–36. doi: 10.2147/CIA.S88404, PMID: 26451093, PMCID: PMC4590337.

Kocheki G, Hojati H, Sanagoo A. Relation between alone sense with satisfaction of living in the elder

(Gorgan and Gonbad city). Reaserch development in nursing and obstetrics journal. 2011; 9(1); 61-8.

Wu S, White a, Cash K, Foster S. Nursing home care for older people in Taiwan: a process of forced

choice. J Clin Nurs. 2009; 18(14): 1986-93. doi: 10.1111/j.1365-2702.2008.02697.x. PMID: 19638058.

Published

2022-01-18

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