Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-26T07:40:05.408Z Has data issue: false hasContentIssue false
  • English
  • Français

Do not hear, see, or speak: views of older residents and their adult children about the nursing unit in the continuing care retirement community

Published online by Cambridge University Press:  13 July 2016

Liat Ayalon
Liat Ayalon*
Affiliation:
Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel
*
Correspondence should be addressed to: Liat Ayalon, PhD, School of Social Work, Bar Ilan University, Ramat Gan, 52900, Israel. Email: liat.ayalon@biu.ac.il.
Get access

Abstract

Background:

The present study evaluated views of continuing care retirement community (CCRC) residents and their adult children concerning the nursing unit (NU) within the CCRC.

Methods:

Qualitative interviews with older adults and their adult children were conducted. Analysis consisted of 187 interviews with older adults and their adult children over a period of up to six years. Analysis relied on constant comparisons within the same interview, over interviews of the same person over time, and between CCRC residents and their adult children. Major themes were identified to construct a coherent storyline.

Results:

The NU was viewed as a different universe that should be avoided at all costs. This was attributed to: (1) the association of the NU with one's impending decline and dependence and (2) beliefs about substandard care in the NU.

Conclusions:

The findings point to the ambivalence expressed by CCRC residents and their adult children concerning the NU, even though to some degree, the NU represents the main reason for the transition to a CCRC.

Keywords

long-term carecontinuing careageismstigmafunctional declineautonomy
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 11 , November 2016 , pp. 1867 - 1877
Copyright
Copyright © International Psychogeriatric Association 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ayalon, L. (2014). “Do foreigners deserve rights?”—Revisited: the role of familiarity and satisfaction with foreign home care services. Educational Gerontology, 40, 816–824.Google Scholar
Ayalon, L. (2015). Perceptions of old age and aging in the continuing care retirement community. International Psychogeriatrics, 27, 611–620.CrossRefGoogle ScholarPubMed
Ayalon, L. (2016). Intergenerational perspectives on autonomy following a transition to a continuing care retirement community. Research on Aging, 38, 127–149.Google Scholar
Ayalon, L. and Greed, O. (2015). A typology of new residents’ adjustment to continuing care retirement communities. Gerontologist, gnu121.Google ScholarPubMed
Ayalon, L. and Green, O. (2015). Live-in versus live-out home care in Israel: satisfaction with services and caregivers’ outcomes. The Gerontologist, 55, 628–642.Google Scholar
Ayalon, L. and Green, V. (2012). Grief in the initial adjustment process to the continuing care retirement community. Journal of Aging Studies, 26, 394–400.Google Scholar
Ayalon, L. and Green, V. (2013). Social ties in the context of the continuing care retirement community. Qualitative Health Research, 23, 396–406.Google Scholar
Ayalon, L., Kaniel, M. and Rosenberg, L. (2008). Social workers' perspectives on care arrangements between vulnerable elders and foreign home care workers: lessons from Israeli/Filipino caregiving arrangements. Home Health Care Servives Quarterly, 27, 121–142.Google Scholar
Bodner, E. (2009). On the origins of ageism among older and younger adults. International Psychogeriatrics, 21, 1003–1014.Google Scholar
Brodsky, G., Snoor, Y. and Beer, S. (2011). Elderly in Israel: facts and figures. Jerusalem: Myers-JDC-Brookdale Institute. Available at: http://brookdale.jdc.org.il/_Uploads/dbsAttachedFiles/FactsFiguresElderly-ENGLISH-2011.pdf; last accessed April, 2016.Google Scholar
Creswell, J. W. (1998). Qualitative Inquiry and Research Design: Choosing Among Five Traditions. Thousand Oaks, CA: Sage.Google Scholar
Creswell, J. W. and Miller, D. L. (2000). Determining validity in qualitative inquiry. Theory into Practice, 39, 124–130.Google Scholar
Dobbs, D. et al. (2008). An ethnographic study of stigma and ageism in residential care or assisted living. Gerontologist, 48, 517–526.Google Scholar
Doron, I. and Lightman, E. (2003). Assisted-living for older people in Israel: market control or government regulation?. Ageing and Society, 23, 779–795.CrossRefGoogle Scholar
Evans, S. (2009). ‘That lot up there and us down here’: social interaction and a sense of community in a mixed tenure UK retirement village. Ageing and Society, 29, 199–216.CrossRefGoogle Scholar
Fogiel-Bijaoui, S. (2002). Familism, postmodernity and the state: the case of Israel. Journal of Israeli History, 21, 38–62.Google Scholar
Friese, S. (2012). Qualitative Data Analysis with ATLAS.ti. London: Sage.Google Scholar
Gardner, I. L., Browning, C. and Kendig, H. (2005). Accommodation options in later life: retirement village or community living?. Australasian Journal on Ageing, 24, 188–195.Google Scholar
Greenberg, J., Schimel, J. and Martens, A. (2002). Ageism: denying the face of the future. In Nelson, T. D. (ed.), Ageism: Stereotyping and Prejudice Against Older Persons (pp. 27–48). Cambridge, MA: MIT Press.CrossRefGoogle Scholar
Hays, J. C., Galanos, A. N., Palmer, T. A., McQuoid, D. R. and Flint, E. P. (2001). Preference for place of death in a continuing care retirement community. Gerontologist, 41, 123–128.CrossRefGoogle Scholar
Iecovich, E. (2012). The long-term care insurance law in Israel: present and future. Journal of Aging & Social Policy, 24, 77–92.Google Scholar
John, B. (2013). Patterns of ageism in different age groups. Journal of European Psychology Students, 4, 16–36.Google Scholar
Kapp, M. B. and Wilson, K. B. (1995). Assisted living and negotiated risk: reconciling protection and autonomy. Journal of Ethics Law and Aging, 1, 5–13.Google ScholarPubMed
Kite, M. E., Wagner, L. S. and Nelson, T. (2002). Attitudes toward older adults. In Nelson, T. D. (ed.), Ageism: Stereotyping and Prejudice Against Older Persons (pp. 129–161). Cambridge, MA: MIT Press.Google Scholar
Lamb, S. (2014). Permanent personhood or meaningful decline? toward a critical anthropology of successful aging. Journal of Aging Studies, 29, 41–52.Google Scholar
Lavee, Y. and Katz, R. (2003). The family in Israel: between tradition and modernity. Marriage & Family Review, 35, 193–217.Google Scholar
Liang, J. and Luo, B. (2012). Toward a discourse shift in social gerontology: from successful aging to harmonious aging. Journal of Aging Studies, 26, 327–334.Google Scholar
Lowenstein, A. and Daatland, S. O. (2006). Filial norms and family support in a comparative cross-national context: evidence from the OASIS study. Ageing & Society, 26, 203–223.Google Scholar
Mirovsky, A. (2008, 19.2.2007). Dun and bradstreet: an increase of 8% in the number of continuing care retirement communities. The Marker. Available at: http://www.themarker.com/realestate/1.402546 in Hebrew; last accessed April, 2016.Google Scholar
National Insurance Institute of Israel (2011). Annual Review: Long Term Care Community Law [Hebrew]. Jerusalem: National Insurance Institute of Israel.Google Scholar
Neale, B. and Flowerdew, J. (2003). Time, texture and childhood: the contours of longitudinal qualitative research. International Journal of Social Research Methodology, 6, 189–199.Google Scholar
Nelson, T. D. (2005). Ageism: prejudice against our feared future self. Journal of Social Issues, 61, 207–221.Google Scholar
O'Connor, M. L. and McFadden, S. H. (2012). A terror management perspective on young adults’ ageism and attitudes toward dementia. Educational Gerontology, 38, 627–643.Google Scholar
Patton, M. (1990). Purposeful sampling. Qualitative Evaluation and Research Methods, 2, 169–186.Google Scholar
Roth, E. G., Eckert, J. K. and Morgan, L. A. (2015). Stigma and discontinuity in multilevel senior housing's continuum of care. Gerontologist, gnv055.Google Scholar
Sheinberg, J. E. N. (1999). An interpretive poetics of languages of the unsayable. Making Meaning of Narratives, 6, 77.Google Scholar
Sherwood, S., Rucklin, H. S., Sherwood, C. C. and Morris, S. A. (1997). Continuing Care Retirement Communities. Baltimore: Johns Hopkins University Press.Google Scholar
Shippee, T. P. (2009). “But I am not moving”: residents' perspectives on transitions within a continuing care retirement community. Gerontologist, 49, 418–427.Google Scholar
Stimson, R. J. (2002). The Retirement Village Industry in Australia: Evolution, Prospects, Challenges. Queensland, Australia: The University of Queensland Press.Google Scholar
Strauss, A. and Corbin, J. (1998). Basics of Qualitative Research Techniques and Procedures for Developing Grounded Theory. London: Sage Publication.Google Scholar
Tajfel, H. and Turner, J. C. (1979). An integrative theory of intergroup conflict. The Social Psychology of Intergroup Relations, 33, 74.Google Scholar
Tal-Sapiro, O. (2013). Findings of a survey of health care services in privately owned continuing care retirement communities. Jerusalem, Haknesset: Knowledge and Information Center.Google Scholar
Thomson, R. and Holland, J. (2003). Hindsight, foresight and insight: the challenges of longitudinal qualitative research. International Journal of Social Research Methodology, 6, 233–244.Google Scholar
Wu, S. C. and Chuang, K.-Y. (2001). Aging in place. Taiwan Journal of Public Health, 20, 192–201.Google Scholar
Zarem, J. E. (2010). Today's continuing care retirement community (CCRC). CCRC Task Force, American Seniors Housing Association. Available at: https://www.leadingage.org/uploadedFiles/Content/Consumers/Paying_for_Aging_Services/CCRCcharacteristics_7_2011.pdf; last accessed April, 2016.Google Scholar