Poster Presentation
Friday, 21 July 2006
10:00 AM - 10:30 AM
Friday, 21 July 2006
3:00 PM - 3:30 PM
This presentation is part of : Poster Presentations III
Milieu Change and Relocation Adjustment in Elders
Abir K. Bekhet, RN, Jaclene A. Zauszniewski, PhD, RNC, FAAN, Elizabeth A. Madigan, PhD, RN, and May Wykle, PhD, FAAN, FGSA. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
Learning Objective #1: acknowledge that relocation to assisted living facilities adversely affect elders’ adjustment and ability to perform daily activities.
Learning Objective #2: acknowledge that positive cognitions and greater resourcefulness are associated with independence and healthy, productive lifestyles in elders.
With the increasing elderly population, more than 43% of elders are expected to use a senior living facility (SLF) during their lifetime.  Relocation to a SLF has been found to adversely affect elders’ adjustment and ability to perform daily activities.  Rosenbaum’s resourcefulness theory suggests that such adverse effects can be minimized by positive cognitions and resourcefulness and research shows that positive cognitions and greater resourcefulness are associated with independence and healthy, productive lifestyles in elders.  However, studies have not examined whether the effect of relocation on adjustment is moderated by positive cognitions or resourcefulness as is proposed in this cross-sectional study of 90 relocated, cognitively unimpaired elders (aged 65+).  Interviews and mailed questionnaires will provide the data on relocation, adjustment, positive cognitions, and resourcefulness, which will be measured by well-established, psychometrically sound instruments; data on demographic characteristics and other relocation variables is being collected for analysis as covariates.  Preliminary analysis of 42 subjects revealed that 66.7% of the sample were female, 9.5% reported poor health.  85.7% stated that their movement was anticipated and prepared for over time and 35.7% indicated that the type of preparation involved a site visit to the facility; 21.4% said that the facility is much different than their former home; 83.3% reported that their families give them the moral support they need; 78.6% were independent.  Half of the elders have moderate to high resourcefulness. 14.3% have a high positive cognition and almost the entire sample is voluntarily relocated.  Once all data are collected, hierarchical multiple regression will be used to examine moderating effects by positive cognitions and resourcefulness on the relationship between relocation and adjustment.  The study results will provide direction for the development and testing of nursing interventions to strengthen positive cognitions and teach resourcefulness skills to elders facing the need to relocate.

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