Adaptation to Residential Care: Voices from New Zealand

Abstract

This article explores the adaptation process of older adults in residential care facilities in New Zealand. Through a phenomenological approach, this study provides clarity on how older adults adjust in residential care despite losses and challenges. Qualitative data on 24 older adults, 6 residential care facilities, and 10 staff were collected. Utilising qualitative software the following were identified: loss, support, acceptance and meaningful support. Initially, the unfamiliar environment and faces, structured routines, lack of interaction, absence of familiar activities, and limited visits from family and friends increased residents’ feelings of loneliness with institutionalisation. In time, they adapted to the routines and came to accept the facilities as, if not “home,” then “like home.” Participation in activities and support from staff and family contributed to this process. Activities can facilitate adjustment by promoting social contact, providing meaning and helping residents to establish new identities. The participants’ stories revealed that, despite the challenges of relocation, they adapted well to the residential environment.