title: Attachment/detachment: forces influencing care of the dying in long-term care.
abstract: Death occurs among older adults in institutions more often than at home with family and friends. The older people are, the more likely they are to die in a nursing home. The purpose of this study was to describe staff and administrator's perspectives on death and dying in long-term care and to explore problems in providing humane care to dying residents that fosters gentle closure to life. Using focus group interviews as the primary data collection method, 22 focus group sessions were conducted in 11 nursing homes. Separate group sessions were held for staff and administrators in the nursing homes. The core variable identified in this study was the attachment of staff to residents in long term care. Attachment enhanced the quality of terminal care and fostered a gentle closure to life. Mediating forces influencing the process of attachment were identified as individual forces, as well as forces internal and external to the nursing home.
authors.affiliation: College of Nursing, Marquette University, Milwaukee, Wisconsin 53201-1881, USA.
authors.forename: S A
authors.initials: SA
authors.lastname: Wilson
authors.forename: B J
authors.initials: BJ
authors.lastname: Daley