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mcinnes e., seers k. & tutton l. (2011) Older people's views in relation to risk of falling and need for intervention: a meta-ethnography. Journal of Advanced Nursing 67(12), 2525-2536. Abstract Aim. This paper is a report of a meta-ethnography of qualitative studies of older peoples' views on risk of falling and need for intervention. Background. Falls and falls-related injuries in older people are worldwide problems. A conceptual understanding of older people's views about falls risk and need for intervention is useful for understanding factors likely to impact on acceptance of risk and recommended interventions. Data Sources. Seven electronic databases were searched 1999-2009. Reference lists of included articles were screened for eligible papers. Review Methods. Assessment of quality was carried out. Themes and concepts were extracted using a meta-ethnographic approach to compare similarities and differences across the retrieved studies. A line of argument was developed to produce an explanatory framework of the extracted themes and concepts. Results. Eleven relevant qualitative research articles of reasonable quality were identified. Six key concepts were identified: beyond personal control; rationalizing; salience; life-change and identity; taking control and self-management. A line of argument synthesis describes how older people approach self-appraisal of falls risk and intervention need, and how they cope and adapt to falls risk and intervention need. Conclusion. In response to having an elevated risk status and perceived associations with frailty and impact on an independent life-style, some prefer to adapt to this reality by taking control and implementing self-management strategies. Healthcare professionals should take into account beliefs about risk and negotiate choices for intervention, recognizing that some individuals prefer to drive the decision-making process to preserve identity as a competent and independent person. [ABSTRACT FROM AUTHOR]

This paper draws on in-depth interviews undertaken eight years apart to provide a reflection upon the nature of transnational relationships and settlement over time. It follows the lives of five immigrant families between 1999 and 2007, and focuses in particular on the accounts provided by the women. These individuals migrated to Canada from Hong Kong or Taiwan during the 1990s, and then 'stuck it out', when most of their friends, in contrast, had returned home. The paper uncovers changes in their familial and personal circumstances as a consequence of migration to Canada and their subsequent experiences of transnationalism, and provides insights into the longevity and durability of transnational relationships. It contributes to debates around the persistence of transnationalism over time and the relationship between transnationalism and integration for migrants, whilst also making a methodological point about the need for more longitudinal qualitative accounts of immigrants' lives. [ABSTRACT FROM AUTHOR]