title: Experiences faced by next of kin during their older family members' transition into long-term care in a Norwegian nursing home.
abstract: OBJECTIVE
  To describe and explore experiences of next of kin during the older persons' transition into long-term care.
  
  
  BACKGROUND
  Moving into long-term care is a challenge for both resident and next of kin. Next of kin experience transitions at the same time as they play significant parts in their family members' transition into long-term care placement.
  
  
  METHODS
  Constructivist hermeneutical design.
  
  
  METHODS
  Ten next of kin to newly admitted eight residents were recruited by purposeful sampling and interviewed. Periodic participant observation periods following new residents on arrival day and the first week after admission and some written documentation were the backdrops to the interviews.
  
  
  RESULTS
  What happened prior to the long-term care placement as well as what happened in the initial period of transition influenced the experiences of next of kin. Characteristics of their experiences were: 'striving to handle the new situation', 'still feeling responsible', and 'maintaining dignity and continuity'.
  
  
  CONCLUSIONS
  Next of kin were unprepared for the transition and had little support from staff. Staff lacked awareness about next of kin's transition experiences. Their involvement with next of kin was unpredictable, and this added to the burdens of next of kin in this period.
  
  
  CONCLUSIONS
  Knowledge about experiences of next of kin needs to be acknowledged among healthcare professionals. Health professionals need to pay attention to what happens across institutional borders within families as well as between staff and family members. Individual family members need support in this period of change.
authors.affiliation: Department of Social Work and Health Science, Faculty of Social Sciences and Technology Management, NTNU, Trondheim, Norway; Faculty of Health and Social Studies, Telemark University College, Porsgrunn, Norway; Centre for Caring Research - Southern Norway, Grimstad, Norway.
authors.forename: Marianne
authors.initials: M
authors.lastname: Eika
authors.forename: Geir Arild
authors.initials: GA
authors.lastname: Espnes
authors.forename: Olle
authors.initials: O
authors.lastname: Söderhamn
authors.forename: Sigrun
authors.initials: S
authors.lastname: Hvalvik
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D017028:Caregivers; D002979:Climacteric; D016330:Frail Elderly / Q000523:psychology*; D006801:Humans; D008134:Long-Term Care; D009664:Norway; D009735:Nursing Homes
keywords: care home; family caregivers; family members; long-term care; relative; transition