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A qualitative study of older people with minimal care needs experiences of their admission to a nursing home with Registered Nurse care

A qualitative study of older people with minimal care needs experiences of their admission to a nursing home with Registered Nurse care
A qualitative study of older people with minimal care needs experiences of their admission to a nursing home with Registered Nurse care
Purpose
– Residential care for older people in the UK includes care homes with and without 24-hour Registered Nurse (RN) care. Reduced autonomy and personal wealth can result when people assessed as having minimal care needs, enter and reside in care homes with RN care. The purpose of this paper is to explore the experiences of older people with minimal care needs admission to care homes with RN care.

Design/methodology/approach
– A qualitative study using a grounded theory method was undertaken. In total, 12 care home with RN care residents assessed as not requiring nursing care were interviewed. Initial sampling was purposive and progressed to theoretical. Interviews were analysed using the grounded theory analysis method of constant comparison and theory development.

Findings
– Two main categories emerged: “choosing the path”, which concerned the decision to enter the home, and “settling in”, which related to adaptation to the environment. Findings suggested participants who perceived they had greater control over the decision-making process found it easier to settle in the care home. The two categories linked to form an emerging framework of “crossing the bridge” from independent living to care home resident.

Research limitations/implications
– The findings contribute to the understanding of factors influencing admission of older people with minimal care needs to care homes with RN care and highlight the importance of informed decision making.

Practical implications
– Health and social care professionals must give informed support and advice to older people seeking care options to ensure their needs are best met.

Originality/value
– This study enabled older people with minimal care needs admission to care homes with RN care to voice their experiences.
older adults, qualitative study, grounded theory, minimal care needs, nursing home admission, nursing home residents
1471-7794
94-105
Stevens, A.
ee290275-c6b9-473b-a798-8cc38ee51cb5
Raphael, H.
28814c35-1b9d-48d7-b91d-736911ebc8c8
Green, S.M.
1075a760-2a75-443c-96c7-194d0d90ede8
Stevens, A.
ee290275-c6b9-473b-a798-8cc38ee51cb5
Raphael, H.
28814c35-1b9d-48d7-b91d-736911ebc8c8
Green, S.M.
1075a760-2a75-443c-96c7-194d0d90ede8

Stevens, A., Raphael, H. and Green, S.M. (2015) A qualitative study of older people with minimal care needs experiences of their admission to a nursing home with Registered Nurse care. Quality in Ageing and Older Adults, 16 (2), 94-105.

Record type: Article

Abstract

Purpose
– Residential care for older people in the UK includes care homes with and without 24-hour Registered Nurse (RN) care. Reduced autonomy and personal wealth can result when people assessed as having minimal care needs, enter and reside in care homes with RN care. The purpose of this paper is to explore the experiences of older people with minimal care needs admission to care homes with RN care.

Design/methodology/approach
– A qualitative study using a grounded theory method was undertaken. In total, 12 care home with RN care residents assessed as not requiring nursing care were interviewed. Initial sampling was purposive and progressed to theoretical. Interviews were analysed using the grounded theory analysis method of constant comparison and theory development.

Findings
– Two main categories emerged: “choosing the path”, which concerned the decision to enter the home, and “settling in”, which related to adaptation to the environment. Findings suggested participants who perceived they had greater control over the decision-making process found it easier to settle in the care home. The two categories linked to form an emerging framework of “crossing the bridge” from independent living to care home resident.

Research limitations/implications
– The findings contribute to the understanding of factors influencing admission of older people with minimal care needs to care homes with RN care and highlight the importance of informed decision making.

Practical implications
– Health and social care professionals must give informed support and advice to older people seeking care options to ensure their needs are best met.

Originality/value
– This study enabled older people with minimal care needs admission to care homes with RN care to voice their experiences.

Text
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More information

e-pub ahead of print date: May 2015
Keywords: older adults, qualitative study, grounded theory, minimal care needs, nursing home admission, nursing home residents
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 377017
URI: http://eprints.soton.ac.uk/id/eprint/377017
ISSN: 1471-7794
PURE UUID: edcbf234-f2e1-4e01-b174-c40c12e98bb9
ORCID for S.M. Green: ORCID iD orcid.org/0000-0003-1760-3679

Catalogue record

Date deposited: 18 May 2015 12:46
Last modified: 14 Mar 2024 19:54

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Contributors

Author: A. Stevens
Author: H. Raphael
Author: S.M. Green ORCID iD

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