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Older adults worked through 3 phases as they made the initial transition to permanent residence in a nursing home

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Question What are the initial experiences of older adults who are admitted to nursing homes on a planned or unplanned basis as they make the transition to nursing home life?


Grounded theory.


3 long term care facilities with religious affiliations in a large city in Midwestern USA.


15 adults ≥65 years (age range 76–97 y, all of Euro-American origin, 73% women) who were admitted to a nursing home for expected permanent residence, were able to understand and speak English, were able to give informed consent, and who passed a short mental status questionnaire. 2 of the adults had mild confusion.


Indepth semistructured interviews lasting 45–60 minutes were conducted with each participant every other day for 2 weeks and 1 month after admission. Discussion focused on adjustments to institutional …

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  • Source of funding: not stated.

  • For article reprint: Dr S A Wilson, Marquette University College of Nursing, Clark Hall, PO Box 1881, Milwaukee, WI 53201–1881, USA. Fax +1 414 288 1597.