Older Adults’ Participation in Nursing Home Placement Decisions

Rebecca Johnson, Lori L. Popejoy and M. Elise Radina
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Rebecca Johnson: University of Missouri, Columbia, MO, USA, Rajohnson@missouri.edu
Lori L. Popejoy: University of Missouri, Columbia, MO, USA
M. Elise Radina: Miami University, Oxford, OH, USA

Clinical Nursing Research, 2010, vol. 19, issue 4, 358-375

Abstract: African American ( n = 7) and European American ( n = 9) older adults newly relocated to a nursing home described the extent of their relocation decision-making participation via semistructured interviews. Additionally, the study identified whether sense of coherence, functional ability, and physical functioning were related to decision participation. Two themes emerged, “They put me in here†and “I/we made the decision (together with others).†Older adults whose decisions were in the “They†category were younger, were African American, had more children, had lower Mini Mental State Examination scores, and had less education than those in the “I/we†category. Findings suggest older adults’ participation in nursing home relocation decisions may be determined more by informal support than ability to participate. No significant differences were found in sense of coherence, functional ability, or physical functioning across decision-making categories. Decision-making participation approached significance in a positive association with social support.

Keywords: older adults; discharge planning; decision-making participation; decision making; African Americans; nursing homes (search for similar items in EconPapers)
Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:19:y:2010:i:4:p:358-375

DOI: 10.1177/1054773810372990

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