+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Autonomy and social functioning of recently admitted nursing home residents

Autonomy and social functioning of recently admitted nursing home residents

Aging and Mental Health 21(9): 910-916

This paper examines recently admitted nursing home residents' practical autonomy, their remaining social environment and their social functioning. In a cross-sectional design, 391 newly admitted residents of 67 nursing homes participated. All respondents were ≥65 years old, had mini-mental state examination ≥18 and were living in the nursing home for at least 1 month. Data were collected using a structured questionnaire and validated measuring tools. The mean age was 84, 64% were female, 23% had a partner, 80% children, 75% grandchildren and 59% siblings. The mean social functioning score was 3/9 (or 33%) and the autonomy and importance of autonomy score 6/9 (or 67%). More autonomy was observed when residents could perform activities of daily living more independently, and cognitive functioning, quality of life and social functioning were high. Residents with depressive feelings scored lower on autonomy and social functioning compared to those without depressive feelings. Having siblings and the frequency of visits positively correlated with social functioning. In turn, social functioning correlated positively with quality of life. Moreover, a higher score on social functioning lowered the probability of depression. Autonomy or self-determination and maintaining remaining social relationships were considered to be important by the new residents. The remaining social environment, social functioning, quality of life, autonomy and depressive feelings influenced each other, but the cause--effect relation was not clear.

(PDF emailed within 0-6 h: $19.90)

Accession: 057273921

Download citation: RISBibTeXText

PMID: 27177229

DOI: 10.1080/13607863.2016.1181711

Related references

Association Between Depressive Symptoms and Vitamin D Deficiency in Recently Admitted Nursing Home Residents. Journal of the American Geriatrics Society 64(4): 893-895, 2016

Precipitating events and prior formal and informal service use by recently admitted nursing home residents. Journal of the American Geriatrics Society 41(10 SUPPL ): SA60, 1993

Effectiveness of Special Care Unit (SCU) placements in reducing physically aggressive behaviors in recently admitted dementia nursing home residents. American Journal of Alzheimer's Disease and Other Dementias 14(5): 270-277, 1999

The effect of depression on social engagement in newly admitted Dutch nursing home residents. Gerontologist 43(2): 213-218, 2003

Psychological and social resources relate to biomarkers of allostasis in newly admitted nursing home residents. Aging and Mental Health 20(1): 88-99, 2016

Consumption of psychotropic drugs in nursing home residents: A prospective study in patients permanently admitted to a nursing home. International Journal of Geriatric Psychiatry 9(5): 387-391, 1994

Functioning and health service use among elderly nursing home residents with alcohol use disorders: findings from the National Nursing Home Survey. American Journal of Geriatric Psychiatry 13(6): 475-483, 2005

Comparison of nursing home residents admitted from home or hospital. Ulster Medical Journal 64(2): 137-141, 1995

Profile of Nursing Home Residents Admitted Directly From Home. Journal of the American Medical Directors Association 18(2): 131-137, 2017

Nursing assistant beliefs about their roles and nursing home residents: implications for nursing home social work practice. Social Work in Health Care 49(8): 718-733, 2011

Autonomy for nursing home residents. Modern Healthcare 44(47): 28, 2015

Nursing interventions for depression in newly admitted nursing home residents. Journal of Gerontological Nursing 25(3): 20-29, 1999

Autonomy for nursing home residents: the role of regulations. Behavioral Sciences and the Law 13(3): 415-423, 1995

Residents' autonomy: nursing home personnel's perceptions. Journal of Gerontological Nursing 28(2): 35-44, 2002

End-of-Life decision making for nursing home residents with dementia: a survey of nursing home social services staff. Health and Social Work 31(3): 189-199, 2006