Free Standard AU & NZ Shipping For All Book Orders Over $80!
Register      Login
Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Choosing to live in a nursing home: a culturally and linguistically diverse perspective

Cecilia A. Yeboah
+ Author Affiliations
- Author Affiliations

School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Level 4, 17 Young Street, Fitzroy MDC, Vic. 3065, Australia. Email: cecilia.yeboah@acu.edu.au

Australian Journal of Primary Health 21(2) 239-244 https://doi.org/10.1071/PY13164
Submitted: 6 December 2013  Accepted: 22 March 2014   Published: 27 May 2014

Abstract

As part of the findings of a study on culturally and linguistically diverse older people relocating to a nursing home, this paper contributes to our understanding of how older people draw on their cultural history to explain their decisions to relocate. Family reciprocity was identified by most participants as central to their decisions, regardless of their specific cultural origins. Using the grounded theory methodology, data were collected through progressive, semi-structured, repeated, in-person, individual interviews with 20 residents of four nursing homes in the northern suburbs of Melbourne, Australia. Culturally and linguistically diverse (CALD) older people, regardless of specific cultural origin, make relocation decisions based on the importance and meaning of reciprocity within families. Understanding their decisions as reflecting a culturally valued reciprocity offered a sense of cultural continuity to the relocation and was comforting to the older adults involved in the study. This study also suggests that culturally and linguistically diverse older people are much more active participants in the decision to relocate to a nursing home than is commonly recognised. The four nursing homes in the northern suburbs of Melbourne and the 20 participants studied constitute only a small proportion of all culturally and linguistically diverse older nursing home residents in Australia. Therefore, the findings may not be pertinent to other culturally and linguistically diverse elderly. Nonetheless, this study makes an important contribution to future discussions regarding cultural diversity in the nursing home relocation of culturally and linguistically diverse older Australians. The study findings provide some insight into the conditions and contexts that impact nursing home relocation.

Additional keywords: Australian, concurrent reciprocity, culture, grounded theory, historical reciprocity, individual reciprocity.


References

Albertini M, Kohli M, Vogel C (2007) Transfers of time and money among elderly Europeans and their children: common patterns. Journal of European Social Policy 17, 319–334.
Transfers of time and money among elderly Europeans and their children: common patterns.Crossref | GoogleScholarGoogle Scholar |

Anderberg P, Lepp M, Berglund AL, Segesten K (2007) Preserving dignity in caring for older adults: a concept analysis. Journal of Advanced Nursing 59, 635–643.
Preserving dignity in caring for older adults: a concept analysis.Crossref | GoogleScholarGoogle Scholar | 17727405PubMed |

Angel RJ, Angel JL (2006) Diversity and aging in the United States. In ‘Handbook of aging and the social sciences’. 6th edn. (Ed. R Binstock) pp. 94–110. (Academic Press: New York)

Angus J, Reeves P (2006) Ageism: a threat to ageing well in the 21st century. Journal of Applied Gerontology 25, 137–152.
Ageism: a threat to ageing well in the 21st century.Crossref | GoogleScholarGoogle Scholar |

Antonucci TC, Fuhrer R, Jackson JS (1990) Social support and reciprocity: a cross-ethnic and cross-national perspective. Journal of Social and Personal Relationships 7, 519–530.
Social support and reciprocity: a cross-ethnic and cross-national perspective.Crossref | GoogleScholarGoogle Scholar |

Attias-Donfut C, Ogg J, Wolff FC (2005) European patterns of intergenerational financial and time transfers. European Journal of Ageing 2, 161–173.
European patterns of intergenerational financial and time transfers.Crossref | GoogleScholarGoogle Scholar |

Australian Bureau of Statistics (2008) Population by age and sex, Australia, states and territories ABS Catalogue no. 3201.0. Australian Bureau of Statistics, Canberra.

Australian Institute of Health and Welfare (2007) Residential aged care in Australia 2005–06: a statistical overview. Australian Institute of Health and Welfare Aged Care statistics series no. 24. Australian Institute of Health and Welfare, Canberra.

Australian Institute of Health and Welfare (2009) Aged care packages in the community 2007–2008. Australian Institute of Health and Welfare Report on Government Services 2009. Australian Government Productivity Commission, Canberra.

Brennan D (2007) Generations of care: demographic change and public policy in Australia. In ‘Generational change and social policy challenges’. (Ed. R. Phillips) pp. 115–139. (Sydney University Press: Sydney)

Collingridge M, Miller S (1997) Filial responsibility and the care of the aged. Journal of Applied Philosophy 14, 119–128.
Filial responsibility and the care of the aged.Crossref | GoogleScholarGoogle Scholar |

Daatland SO, Lowenstein A (2005) Intergenerational solidarity and the family-welfare state balance. European Journal of Ageing 2, 174–182.
Intergenerational solidarity and the family-welfare state balance.Crossref | GoogleScholarGoogle Scholar |

Donorfio L, Sheehan N (2001) Relationship dynamics between aging mothers and care giving daughters: filial expectations and responsibilities. Journal of Adult Development 8, 39–49.
Relationship dynamics between aging mothers and care giving daughters: filial expectations and responsibilities.Crossref | GoogleScholarGoogle Scholar |

Esping-Andersen G, Sarasa S (2002) The generational contract reconsidered. Journal of European Social Policy 12, 5–21.
The generational contract reconsidered.Crossref | GoogleScholarGoogle Scholar |

Gans D, Silverstein M (2006) Norms of filial responsibility for aging parents across time and generations. Journal of Marriage and the Family 68, 961–976.
Norms of filial responsibility for aging parents across time and generations.Crossref | GoogleScholarGoogle Scholar |

Gouldner AW (1960) The norm of reciprocity: a preliminary statement. American Sociological Review 25, 161–178.
The norm of reciprocity: a preliminary statement.Crossref | GoogleScholarGoogle Scholar |

Harrison L, Huntington S (2001) ‘Culture matters: how values shape human progress.’ (Basic Books: New York)

Holmes ER, Holmes LD (1995) ‘Other cultures, elder years’, 2nd edn. (Sage Publications: Thousand Oaks, CA)

Holstein B, Bria G (1998) Reciprocity in parent-child relationships? Theoretical considerations and empirical evidence. Berliner Journal fur Soziologie 8, 7–22.

Mehta K, Thang LL (2006) Interdependence in Asian families: the Singapore case. Journal of Intergenerational Relationships 4, 117–125.
Interdependence in Asian families: the Singapore case.Crossref | GoogleScholarGoogle Scholar |

Morse JM, Stern PN, Corbin JM, Bowers B, Clarke AE, Charmaz KC (2009) ‘Developing grounded theory: the second generation.’ (Left Coast Press: Walnut Creek, CA)

Philbrick C, Fitzgerald M (2007) Women in business-owning families: a comparison of roles, responsibilities and predictors of family functionality. Journal of Family and Economic Issues 28, 618–634.
Women in business-owning families: a comparison of roles, responsibilities and predictors of family functionality.Crossref | GoogleScholarGoogle Scholar |

Reid C, Moss S, Hyman G (2005) Caregiver reciprocity: the effect of reciprocity, carer self-esteem and motivation on the experience of caregiver burden. Australian Journal of Psychology 57, 186–196.
Caregiver reciprocity: the effect of reciprocity, carer self-esteem and motivation on the experience of caregiver burden.Crossref | GoogleScholarGoogle Scholar |

Rossi PH, Rossi AS (1990) ‘Of human bonding: parent-child relations across the life course.’ (Aldine de Gruyter: New York)

Schultz E, Lavenda RH (2009) ‘Cultural anthropology: a perspective on the human condition’, 7th edn. (Oxford University Press: New York)

Shreffler KM, Pirretti AE, Drago R (2010) Work-family conflict and fertility intentions: does gender matter? Journal of Family and Economic Issues 31, 228–240.
Work-family conflict and fertility intentions: does gender matter?Crossref | GoogleScholarGoogle Scholar |

Van der Geest S (2002) Respect and reciprocity: care of elderly people in rural Ghana. Journal of Cross-Cultural Gerontology 17, 3–31.
Respect and reciprocity: care of elderly people in rural Ghana.Crossref | GoogleScholarGoogle Scholar | 14617973PubMed |

Wentowski GJ (1981) Reciprocity and the coping strategies of older people: cultural dimensions of network building. The Gerontologist 21, 600–609.
Reciprocity and the coping strategies of older people: cultural dimensions of network building.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaL387ktVWqtQ%3D%3D&md5=8855460a8aba5ced647567a5f9fb0f9dCAS | 7333486PubMed |

Zhan HJ (2004) Willingness and expectations: intergenerational differences in attitudes toward filial responsibility in China. Marriage & Family Review 36, 175–200.
Willingness and expectations: intergenerational differences in attitudes toward filial responsibility in China.Crossref | GoogleScholarGoogle Scholar |