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Understanding the mental well-being of older adults in care homes / CAITLIN REID

Swansea University Author: CAITLIN REID

DOI (Published version): 10.23889/SUthesis.62364

Abstract

Older adults’ mental well-being is often overlooked, even though many stressors and triggers of mental health issues are experienced in later life. These may include the loss of family and friends through bereavement and the loss of ability and independence (Forbes-Thompson & Gessert, 2006). One...

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Published: Swansea 2022
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Musselwhite, Charles ; Coffey, Michael
URI: https://cronfa.swan.ac.uk/Record/cronfa62364
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first_indexed 2023-01-18T14:29:43Z
last_indexed 2023-01-19T04:16:25Z
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2023-01-18T15:07:58.9190467</datestamp><bib-version>v2</bib-version><id>62364</id><entry>2023-01-18</entry><title>Understanding the mental well-being of older adults in care homes</title><swanseaauthors><author><sid>b2ff28d5bccd43d61b0e4095f795f8ab</sid><firstname>CAITLIN</firstname><surname>REID</surname><name>CAITLIN REID</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2023-01-18</date><abstract>Older adults&#x2019; mental well-being is often overlooked, even though many stressors and triggers of mental health issues are experienced in later life. These may include the loss of family and friends through bereavement and the loss of ability and independence (Forbes-Thompson &amp; Gessert, 2006). One of the main findings from the Older People&#x2019;s Commissioner for Wales&#x2019; report &#x2018;A Place to Call Home?&#x2019; (2014) was that there was a risk that older adults in care homes become institutionalised. Being in this kind of environment would have a significant impact on an individual&#x2019;s mental well-being. To date there has been limited research into the experiences of older adults in care homes and what contributes to their mental well-being (Denning &amp; Milne, 2011). The purpose of this PhD research was to better understand the mental well-being of older adults in care homes and look at ways to maintain and promote it. A mixed methods research design was developed to address these questions. The first quantitative stage used the Mental Health Continuum Short Form (MHC) to measure the mental well-being of 141 older adults from 23 care homes in South Wales. One of the findings from the first stage were that younger residents were more likely to have lower levels of mental well-being. The findings were then used to inform and develop the interview questions for the second qualitative stage of the research. The second stage comprised of twenty interviews with residents from six care homes. The interviews aimed to explore what was important to residents&#x2019; mental well-being. Reflexive thematic analysis (RTA) was used to analyse the interviews and generate themes important to residents&#x2019; mental well-being. Analysis indicated that residents experienced many losses in later life and since moving to a care home which impacted their mental well-being. The themes generated from the Reflexive Thematic Analysis (RTA) of residents&#x2019; experiences of what contributed to their mental well-being were &#x2018;challenges to liberty&#x2019;, &#x2018;changes in identity&#x2019;, and &#x2018;importance of relatedness&#x2019;. By considering these three themes, it is possible to better understand and offer recommendation on how to help maintain and promote the mental well-being of older adults in care homes.</abstract><type>E-Thesis</type><journal/><volume/><journalNumber/><paginationStart/><paginationEnd/><publisher/><placeOfPublication>Swansea</placeOfPublication><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic/><keywords>Well-being, mental well-being, mental health, older adults, social care, care homes</keywords><publishedDay>20</publishedDay><publishedMonth>9</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-09-20</publishedDate><doi>10.23889/SUthesis.62364</doi><url/><notes/><college>COLLEGE NANME</college><CollegeCode>COLLEGE CODE</CollegeCode><institution>Swansea University</institution><supervisor>Musselwhite, Charles ; Coffey, Michael</supervisor><degreelevel>Doctoral</degreelevel><degreename>Ph.D</degreename><degreesponsorsfunders>Healthcare Management Trust</degreesponsorsfunders><apcterm/><funders/><projectreference/><lastEdited>2023-01-18T15:07:58.9190467</lastEdited><Created>2023-01-18T13:52:51.2223550</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">The Centre for Innovative Ageing</level></path><authors><author><firstname>CAITLIN</firstname><surname>REID</surname><order>1</order></author></authors><documents><document><filename>62364__26330__bd8779717eef4960bbe86c90b3eb12c5.pdf</filename><originalFilename>Reid_Caitlin_PhD_Thesis_Final_Redacted_Signature.pdf</originalFilename><uploaded>2023-01-18T15:06:31.8702729</uploaded><type>Output</type><contentLength>2336435</contentLength><contentType>application/pdf</contentType><version>E-Thesis &#x2013; open access</version><cronfaStatus>true</cronfaStatus><documentNotes>Copyright: The author, Caitlin Reid, 2022.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language></document></documents><OutputDurs/></rfc1807>
spelling 2023-01-18T15:07:58.9190467 v2 62364 2023-01-18 Understanding the mental well-being of older adults in care homes b2ff28d5bccd43d61b0e4095f795f8ab CAITLIN REID CAITLIN REID true false 2023-01-18 Older adults’ mental well-being is often overlooked, even though many stressors and triggers of mental health issues are experienced in later life. These may include the loss of family and friends through bereavement and the loss of ability and independence (Forbes-Thompson & Gessert, 2006). One of the main findings from the Older People’s Commissioner for Wales’ report ‘A Place to Call Home?’ (2014) was that there was a risk that older adults in care homes become institutionalised. Being in this kind of environment would have a significant impact on an individual’s mental well-being. To date there has been limited research into the experiences of older adults in care homes and what contributes to their mental well-being (Denning & Milne, 2011). The purpose of this PhD research was to better understand the mental well-being of older adults in care homes and look at ways to maintain and promote it. A mixed methods research design was developed to address these questions. The first quantitative stage used the Mental Health Continuum Short Form (MHC) to measure the mental well-being of 141 older adults from 23 care homes in South Wales. One of the findings from the first stage were that younger residents were more likely to have lower levels of mental well-being. The findings were then used to inform and develop the interview questions for the second qualitative stage of the research. The second stage comprised of twenty interviews with residents from six care homes. The interviews aimed to explore what was important to residents’ mental well-being. Reflexive thematic analysis (RTA) was used to analyse the interviews and generate themes important to residents’ mental well-being. Analysis indicated that residents experienced many losses in later life and since moving to a care home which impacted their mental well-being. The themes generated from the Reflexive Thematic Analysis (RTA) of residents’ experiences of what contributed to their mental well-being were ‘challenges to liberty’, ‘changes in identity’, and ‘importance of relatedness’. By considering these three themes, it is possible to better understand and offer recommendation on how to help maintain and promote the mental well-being of older adults in care homes. E-Thesis Swansea Well-being, mental well-being, mental health, older adults, social care, care homes 20 9 2022 2022-09-20 10.23889/SUthesis.62364 COLLEGE NANME COLLEGE CODE Swansea University Musselwhite, Charles ; Coffey, Michael Doctoral Ph.D Healthcare Management Trust 2023-01-18T15:07:58.9190467 2023-01-18T13:52:51.2223550 Faculty of Medicine, Health and Life Sciences The Centre for Innovative Ageing CAITLIN REID 1 62364__26330__bd8779717eef4960bbe86c90b3eb12c5.pdf Reid_Caitlin_PhD_Thesis_Final_Redacted_Signature.pdf 2023-01-18T15:06:31.8702729 Output 2336435 application/pdf E-Thesis – open access true Copyright: The author, Caitlin Reid, 2022. true eng
title Understanding the mental well-being of older adults in care homes
spellingShingle Understanding the mental well-being of older adults in care homes
CAITLIN REID
title_short Understanding the mental well-being of older adults in care homes
title_full Understanding the mental well-being of older adults in care homes
title_fullStr Understanding the mental well-being of older adults in care homes
title_full_unstemmed Understanding the mental well-being of older adults in care homes
title_sort Understanding the mental well-being of older adults in care homes
author_id_str_mv b2ff28d5bccd43d61b0e4095f795f8ab
author_id_fullname_str_mv b2ff28d5bccd43d61b0e4095f795f8ab_***_CAITLIN REID
author CAITLIN REID
author2 CAITLIN REID
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publishDate 2022
institution Swansea University
doi_str_mv 10.23889/SUthesis.62364
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str The Centre for Innovative Ageing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}The Centre for Innovative Ageing
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description Older adults’ mental well-being is often overlooked, even though many stressors and triggers of mental health issues are experienced in later life. These may include the loss of family and friends through bereavement and the loss of ability and independence (Forbes-Thompson & Gessert, 2006). One of the main findings from the Older People’s Commissioner for Wales’ report ‘A Place to Call Home?’ (2014) was that there was a risk that older adults in care homes become institutionalised. Being in this kind of environment would have a significant impact on an individual’s mental well-being. To date there has been limited research into the experiences of older adults in care homes and what contributes to their mental well-being (Denning & Milne, 2011). The purpose of this PhD research was to better understand the mental well-being of older adults in care homes and look at ways to maintain and promote it. A mixed methods research design was developed to address these questions. The first quantitative stage used the Mental Health Continuum Short Form (MHC) to measure the mental well-being of 141 older adults from 23 care homes in South Wales. One of the findings from the first stage were that younger residents were more likely to have lower levels of mental well-being. The findings were then used to inform and develop the interview questions for the second qualitative stage of the research. The second stage comprised of twenty interviews with residents from six care homes. The interviews aimed to explore what was important to residents’ mental well-being. Reflexive thematic analysis (RTA) was used to analyse the interviews and generate themes important to residents’ mental well-being. Analysis indicated that residents experienced many losses in later life and since moving to a care home which impacted their mental well-being. The themes generated from the Reflexive Thematic Analysis (RTA) of residents’ experiences of what contributed to their mental well-being were ‘challenges to liberty’, ‘changes in identity’, and ‘importance of relatedness’. By considering these three themes, it is possible to better understand and offer recommendation on how to help maintain and promote the mental well-being of older adults in care homes.
published_date 2022-09-20T04:21:55Z
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