Preparing for the Future While Living in the Present: Older Adults' Experiences Creating a Legacy of Values.
Preparing for the Future While Living in the Present: Older Adults' Experiences Creating a Legacy of Values.
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活在当下，为未来做好准备：老年人的经历创造了价值观的遗产。
DOI：
10.1093/geront/gnad019
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Towsley,GailL
中科院分区：
文献类型：
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作者：
Neller,SarahA;Cloyes,KristinG;Edelman,LindaS;Wong,Bob;Baines,Barry;Towsley,GailL
背景和目的价值观遗产（如遗赠信）是一种有意与他人沟通无形资产（如价值观、人生经验、情感和支持性指导）的非法律方式。在姑息治疗背景之外，关于遗产创造的研究很少，也没有研究探索社区居住的老年人创造价值遗产的经历。研究设计和方法作为探索性顺序混合方法研究的一部分，我们对先前创造了价值遗产的老年人（N= 16）进行了半结构化访谈。我们使用解释性描述方法分析了转录的访谈。我们根据文献中确定的敏感概念（存在幸福感、临终准备和完成、生成性和复原力）和基于参与者描述的归纳性，反复对访谈进行演绎编码。代码按照动机、内容、结果和意义的模式进行分类，并按主题进行总结。结果我们将创造价值遗产的整体体验概念化为“活在当下，为未来做准备”，并确定了4个主题：为你和我保存无形的东西、分享我想让你知道的东西、通过反思和准备获得和平、活在持续的遗产中。参与者获得了平静，意识到他们的生活并不完整，并受到挑战，要通过创造遗产来有意识地生活。讨论与启示创造价值遗产可以同时为老年人的生命终结和余生做好准备。这些发现为促进老年人有意识生活的生成行为提供了见解。
Background and ObjectivesA legacy of values (e.g., legacy letter) is a nonlegal way to intentionally communicate intangible assets (e.g., values, life lessons, and emotional and supportive instruction) with others. There is scant research on legacy creation outside of a palliative care context, and no studies have explored the experiences of community-dwelling older adults creating a legacy of values.Research Design and MethodsAs part of an exploratory sequential mixed methods study, we conducted semistructured interviews with older adults (N= 16) who had previously created a legacy of values. We analyzed transcribed interviews using an interpretive descriptive approach. We iteratively coded interviews deductively with sensitizing concepts identified in the literature (existential well-being, end-of-life preparation and completion, generativity, and resilience), and inductively, based on participants’ descriptions. Codes were categorized by patterns of motivations, content, outcomes, and meaning, and thematically summarized.ResultsWe conceptualized the overall experience of creating a legacy of values asPreparing for the Future While Living in the Presentand identified 4 themes:Preserving the Intangible for You and for Me,Sharing What I Want You to Know,Obtaining Peace through Reflection and Preparation, andLiving into a Continuing Legacy. Participants attained peace, realized their life was not complete, and were challenged to live intentionally through legacy creation.Discussion and ImplicationsCreating a legacy of values may concurrently prepare older adults for the end of life and the remainder of life. These findings offer insight into a generative act that can promote intentional living among older adults.