1. Non-capable residents: Is the experience of dependence understood in nursing homes? A qualitative study.
- Author
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Palacios‐Ceña, Domingo, Gómez‐Calero, Cristina, Cachón‐Pérez, José Miguel, Brea‐Rivero, Miguel, Gómez‐Pérez, Daniel, and Fernández‐de‐las‐Peñas, César
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DEPENDENCY (Psychology) , *EXPERIENCE , *HEALTH status indicators , *INTERVIEWING , *NEUROPSYCHOLOGICAL tests , *PHENOMENOLOGY , *RESEARCH methodology , *NURSING home patients , *NURSING care facilities , *RESEARCH funding , *QUALITATIVE research , *JUDGMENT sampling , *ACTIVITIES of daily living , *ASSISTIVE technology , *DIARY (Literary form) , *PSYCHOLOGY - Abstract
Objective The aim of the present study was to describe how dependence was experienced by Spanish nursing home residents with functional limitations. Methods A qualitative phenomenological approach was followed. An initial purposeful sampling of Spanish residents in for-profit nursing homes in the southern area of Madrid was carried out. Theoretical sampling was also implemented in order to gain a more in-depth understanding of dependence. The inclusion criteria for nursing home residents were: aged 60 years old or older, having a functional impairment ( Barthel Index <90), and lack of any cognitive impairment ( Mini- Mental State Examination- Folstein >19) and able to communicate verbally in Spanish. Data were collected using unstructured and semi-structured interviews. The interviews were tape recorded and fully transcribed. Data collection was concluded once theoretical saturation was reached, and the data were analyzed using the Giorgi proposal. Results A total of 30 residents (15 female and 15 male) with a mean age of 83 years were included. Two main themes that describe the significance of dependence in nursing homes emerged from the data: (i) remaining 'capable', with one subtheme named 'building the difference', where residents described their own dependence classification of 'non-capable' residents; and (ii) 'sharing life', with two subthemes named 'living together with non-capable residents' and 'sharing the environment'. Being considered as 'non-capable' is labelling the resident forever. Conclusions The dependence experience of Spanish nursing home residents might help us gain a deeper insight into their expectations about functional limitations, as well as to understand the change in the relationship between residents considered 'non-capable', caregivers and the other residents. Geriatr Gerontol Int 2014; 14: 212-219. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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