title: Relocation experiences with unplanned admission to a nursing home: a qualitative study.
abstract: In many countries, people over 85 years of age are relocated involuntarily or unplanned to a nursing home. In Switzerland, 43% of elderly over 85 years are admitted to nursing homes after hospital discharge. This percentage is higher than in the USA with 32.5% or in Germany with only 19%. Despite those more frequent Swiss admissions, no research has been conducted exploring how unplanned admissions to nursing homes affect the adaptation. Therefore, the aim of this study was to gain an in-depth understanding into unplanned admissions to nursing homes and to explore its impact on adaptation.
  
  
  
  The study used a qualitative interview design based on Meleis' transition model. Secondary data analysis was guided by Mayring's qualitative content analysis. Face-to-face interviews with elderly over 77 years (n = 31) were conducted from a convenience sample in Switzerland between January and March 2013.
  
  
  
  The following four patterns of adaptation emerged from the analysis: "being cut-off," "being restricted," "being cared for," and "moving on." The patterns evaluate the relocation into nursing homes and provide an opportunity to appraise the stages of adaption.
  
  
  
  This study presents a model of analysis to evaluate patterns of adaptation following an unplanned admission to a nursing home after hospital discharge.
authors.affiliation: Institute of Nursing,Zurich University of Applied Sciences,Winterthur,Switzerland (ZHAW).
authors.forename: Andrea Luise
authors.initials: AL
authors.lastname: Koppitz
authors.affiliation: Institute of Nursing,Zurich University of Applied Sciences,Winterthur,Switzerland (ZHAW).
authors.forename: Jutta
authors.initials: J
authors.lastname: Dreizler
authors.affiliation: Waid City Hospital,Zurich,Switzerland.
authors.forename: Jeanine
authors.initials: J
authors.lastname: Altherr
authors.affiliation: Department of Geriatrics,University Hospital Zurich,Zurich,Switzerland.
authors.forename: Georg
authors.initials: G
authors.lastname: Bosshard
authors.affiliation: Center of Clinical Nursing Science,University Hospital Zurich,Zurich,Switzerland.
authors.forename: Rahel
authors.initials: R
authors.lastname: Naef
authors.affiliation: Institute of Nursing,Zurich University of Applied Sciences,Winterthur,Switzerland (ZHAW).
authors.forename: Lorenz
authors.initials: L
authors.lastname: Imhof
mesh_terms: D000223:Adaptation, Psychological / Q000145:classification*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D017533:Marital Status / Q000706:statistics & numerical data; D009735:Nursing Homes / Q000706:statistics & numerical data*; D010351:Patient Discharge; D036301:Qualitative Research; D012189:Retrospective Studies; D013557:Switzerland; D000069341:Transitional Care / Q000592:standards
keywords: adaptation; nursing home; older adults; relocation; transition