The factors influencing adjustment to nursing home admissions as perceived by caregivers of persons living with dementia

Abstract

This dissertation investigates the factors that influence adjustment for persons with dementia when admitted to nursing homes as perceived by their informal caregivers. Background of the Study: When persons with dementia are admitted to nursing homes it can be very difficult for them to adjust, especially with a new environment and routine. By understanding the factors that influence adjustment, their transition can be made easier throughout all the phases - pre, mid, and post transition. This can improve their quality of life at the nursing home, especially during the transition process. Key Research Question: What are the factors influencing adjustment to nursing home admissions as perceived by the caregivers of persons with dementia? Methodology: This dissertation is a narrative qualitative approach. Six semi-structured interviews were conducted during the months of October and November 2022. The TRANSCIT model was used to critically discuss the findings. Key Results: The findings were analysed using a software called MAXQDA which is a tool for qualitative data analysis and data management. The themes generated were: nursing home environment, regular visits, maintaining a routine, nursing home staff and engaging activities. Conclusion and Recommendations: Optimum adjustment requires an organised transition from hospital/home to nursing home which should include a pre-transition phase. A person-centred approach that supports individualised activities can facilitate the transition process. Staff education and training on person centred dementia care especially to acute hospital staff is needed. Moreover, a dementia friendly environment in residential homes is recommended.