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1- Shahid Chamran University of Ahvaz, Ahvaz, Iran. , z.abbaspour@scu.ac.ir
2- Shahid Chamran University of Ahvaz, Ahvaz, Iran.
2- Shahid Chamran University of Ahvaz, Ahvaz, Iran.
Abstract: (199 Views)
Objectives: Aging and the increasing elderly population in the 21st century has become a global phenomenon, with Iran experiencing a more rapid increase than many other countries. Transferring a parent to a nursing home is a challenging process for caregivers. Therefore, the aim of this study was to develop a model explaining the process of adapting to parental placement in a nursing home.
Materials and Methods: This qualitative research utilized grounded theory. The participants were 13 individuals who had placed their parents in a nursing home. Purposeful sampling was used, and data were collected through semi-structured interviews, continuing until theoretical saturation was achieved. Data analysis employed Corbin and Strauss's three-stage coding process: open, axial, and selective coding.
Findings: The main variable identified was "A challenging path and an expedient decision toward peace and stability." The general pattern included 64 initial codes, which were refined into 19 core components during the coding stages. Causal factors encompassed the caregiver's inability to meet the needs of the elderly parent and the child's perception of the parent's ongoing suffering. The underlying factors influencing the formation of the main variable included cultural and religious barriers, caregiver's insecure attachment, and physical, psychological, and financial limitations. Elements such as the parent's unconventional and inconsistent behaviors, the burden of caregiving-related injuries, lack of sibling responsibility in caregiving, family consensus on transferring the elderly, the elderly parent's consent to the transfer, fear of inadequate acceptance and care for the elderly parent, and difficulties and conflicts during the transfer process were identified as both facilitators and inhibitors.To address these challenges, participants employed strategies such as ensuring the maintenance and improvement of the parent's health, obtaining approval of the transfer from others, committing to maintaining continuous relationships with the elderly, and engaging in positive self-talk. The outcomes of this phenomenon included satisfaction for both the elderly and caregivers regarding the transfer, improvement in the elderly's condition post-transfer, and the persistence of internal conflicts within the caregiver due to the transfer.
Conclusion: The decision to place a parent in a nursing home is a challenging path with both positive and negative consequences. The findings of this research can assist counselors, psychologists, and therapists in geriatrics by making the decision to place a parent in a nursing home more rational and facilitating the caregivers' process. Ultimately, this can lead to better adaptation and greater peace and stability for the family.
Materials and Methods: This qualitative research utilized grounded theory. The participants were 13 individuals who had placed their parents in a nursing home. Purposeful sampling was used, and data were collected through semi-structured interviews, continuing until theoretical saturation was achieved. Data analysis employed Corbin and Strauss's three-stage coding process: open, axial, and selective coding.
Findings: The main variable identified was "A challenging path and an expedient decision toward peace and stability." The general pattern included 64 initial codes, which were refined into 19 core components during the coding stages. Causal factors encompassed the caregiver's inability to meet the needs of the elderly parent and the child's perception of the parent's ongoing suffering. The underlying factors influencing the formation of the main variable included cultural and religious barriers, caregiver's insecure attachment, and physical, psychological, and financial limitations. Elements such as the parent's unconventional and inconsistent behaviors, the burden of caregiving-related injuries, lack of sibling responsibility in caregiving, family consensus on transferring the elderly, the elderly parent's consent to the transfer, fear of inadequate acceptance and care for the elderly parent, and difficulties and conflicts during the transfer process were identified as both facilitators and inhibitors.To address these challenges, participants employed strategies such as ensuring the maintenance and improvement of the parent's health, obtaining approval of the transfer from others, committing to maintaining continuous relationships with the elderly, and engaging in positive self-talk. The outcomes of this phenomenon included satisfaction for both the elderly and caregivers regarding the transfer, improvement in the elderly's condition post-transfer, and the persistence of internal conflicts within the caregiver due to the transfer.
Conclusion: The decision to place a parent in a nursing home is a challenging path with both positive and negative consequences. The findings of this research can assist counselors, psychologists, and therapists in geriatrics by making the decision to place a parent in a nursing home more rational and facilitating the caregivers' process. Ultimately, this can lead to better adaptation and greater peace and stability for the family.
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