title: Nursing staff's actions during older residents' transition into long-term care facility in a nursing home in rural Norway.
abstract: Working in long-term care units poses particular staff challenges as these facilities are expected to provide services for seriously ill residents and give help in a homelike atmosphere. Licensed and unlicensed personnel work together in these surroundings, and their contributions may ease or inhibit a smooth transition for recently admitted residents. The aim of the study was to describe and explore different nursing staff's actions during the initial transition period for older people into a long-term care facility. Participant observation periods were undertaken following staff during 10 new residents' admissions and their first week in the facility. In addition 16 interviews of different staff categories and reading of written documents were carried out. The findings show great variations of the staff's actions during the older residents' initial transition period. Characteristics of their actions were (1) in the preparation period: "actions of sharing, sorting out, and ignoring information"; (2) on admission day: "actions of involvement and ignorance"; and (3) in the initial period: "targeted and random actions," "actions influenced by embedded knowledge," and "actions influenced by local transparency."
authors.affiliation: Department of Social Work and Health Science, Faculty of Social Sciences and Technology Management, Research Center for Health Promotion and resources Hist-NTNU, NTNU, Trondheim, Norway; Department of Social Work and Health Science, Faculty of Health and Social Studies, Telemark University College, Porsgrunn, Norway; Center for Caring Research-Southern Norway, Grimstad, Norway; Marianne.eika@hit.no.
authors.forename: Marianne
authors.initials: M
authors.lastname: Eika
authors.affiliation: Department of Social Work and Health Science, Faculty of Social Sciences and Technology Management, Research Center for Health Promotion and resources Hist-NTNU, NTNU, Trondheim, Norway.
authors.forename: Geir Arild
authors.initials: GA
authors.lastname: Espnes
authors.affiliation: Department of Social Work and Health Science, Faculty of Health and Social Studies, Telemark University College, Porsgrunn, Norway; Center for Caring Research-Southern Norway, Grimstad, Norway.
authors.forename: Sigrun
authors.initials: S
authors.lastname: Hvalvik
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003266:Continuity of Patient Care / Q000592:standards; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008134:Long-Term Care / Q000592:standards*; D008297:Male; D008875:Middle Aged; D009664:Norway; D009732:Nursing Care / Q000592:standards*; D009735:Nursing Homes; D009740:Nursing Staff; D010343:Patient Admission / Q000592:standards*; D019035:Rural Health Services; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Residential long-term care; admission; context; nursing staff; rural community