PTOTSLPQualitativeHong Kong journal of occupational therapy : HKJOT2024

Re-designing the experience of transition into nursing homes: A Singapore study.

Benjamin Wei Ming Lim, Agnes Lishan Xue, Irene Toh and 1 others

PMID 39539411

WHAT IT FOUND

Ten nursing home residents described four transition phases and four distinct personas, from 'Lone Rangers' to 'Working Retired'.

Their experiences highlight that administrative admission processes often override emotional preparation and autonomy, leading to unmet needs.

Key findings

01Participants identified four distinct phases of transition: pre-transition, preparation, initial transition, and adjustment.

02Four personas emerged based on social support and background: Lone Rangers, Resilient Kin-keepers, Unforgotten Ones, and Working Retired.

03Administrative requirements for admission frequently superseded the emotional and biopsychosocial needs of residents during the transition.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

Small sample size (n=10) from three nursing homes in one city-state limits generalizability. Participants had good cognitive function (MMSE >=18), excluding those with dementia or severe impairment. Data was collected retrospectively, potentially influencing recall accuracy. Convenience sampling may introduce selection bias.

Declared interests

No conflicts of interest declared. Funded by SIT-Research Scholarship Funding.

The easy way to misread this

Do not treat the four personas as a validated classification tool or assume these findings apply to patients with cognitive impairment or non-English speakers, as these groups were excluded.

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