Transitions of older adults with cognitive impairments to the institutional care from the perspectives of family caregivers and nursing home administrators

Abstract This study investigated the transition of cognitively impaired older adults into institutional care, focusing on the experiences and decision-making processes of family caregivers and facility administrators. Using a qualitative approach, data were collected from 15 family caregivers who had recently sent their loved ones to care facilities and 5 administrators. Deductive content analysis was applied to understand four types of long-term care admission experiences based on Nolan and Dellasega’s model. Care challenges, such as cognitive impairment, refusal of care, limited training, and caregivers’ own health issues, led to the decision to move older adults to institutional care. Families and administrators engaged in constructive dialogue to address caregiving needs and resources. Establishing a harmonious relationship before the transition helped minimize resistance. Families typically chose facilities based on proximity and care quality. Post-relocation collaboration between families and administrators was essential for facilitating older adults’ adjustment to their new environment. The study highlights the importance of providing guidance to caregivers during the transition and customizing interventions to meet their individual needs.