RELOCATION OF ETHNIC ELDERS--DECISIONS AND SEQUELAE

尽管知道老年人的人口正在变得 种族日益多样化，意识到所有老年人 随着年龄的增长，少数民族面临搬迁，需要更多的支持 住房，人们对整个搬迁过程是如何发生的知之甚少 种族群体。过程的同质性可能是一个有害的假设 让护士在帮助少数民族老人搬迁方面做出贡献。民族 差异可能是促进积极搬迁结果的核心 因为搬迁是一个复杂的过程，包括评估老人的 需要，目前的生活安排和支助来源，确定 最合适的住房选择，准备搬迁、搬迁和 适应新家。很少有人对搬迁进行比较 在非裔美国人、西班牙裔和高加索长老中。从长远来看 研究人员的研究目标是开发和测试 供护士使用的对种族敏感的干预措施 重新安置老人。这项拟议的研究使用了横断面、 三个阶段的描述性设计，旨在勾勒出差异 跨种族：以前使用的正式和非正式支持来源 在搬迁过程中，促进和阻碍搬迁的因素，以及 搬迁的决策过程。在第一阶段中使用研究仪器 将在一群西班牙裔大学生中进行测试，以确保 西班牙语翻译的效度和可靠性。在第二阶段，长者 从养老院等候名单中招募的人将完成学习 乐器(n=70名非洲裔美国人、70名西班牙裔和70名高加索人)。 在第三阶段，不等待搬迁的老年社区居住对象 将完成学习工具(n=70名非洲裔美国人，70名西班牙裔美国人 70名高加索人)。在第四阶段，接受第二阶段采访的受试者将 在搬迁后，再次完成工具并接受采访。在每一个中 第二阶段和第三阶段的深度访谈将随机进行 选定的举报人分样本(每个族裔12人)，使用一个主题 列表(TL)。人口统计问卷(DQ)，爱荷华州自我评估 库存(ISAI)和影响安置库存(FAPI)的因素 将用于在第二阶段和第三阶段收集数据。在第四阶段，举报人 将接受面试，并将在以下时间内完成ISAI的五个分量表 6-8周的搬迁到养老院。

Despite knowledge that the population of older adults is becoming increasingly ethnically diverse, and awareness that older adults of all ethnic groups face relocation as they age and need more supportive housing, little is known about how the relocation process occurs across ethnic groups. Homogeneity of process may be an injurious assumption for nurses to make in helping ethnic elders relocate. Ethnic differences may be central to promoting positive relocation outcomes because relocation is a complex process including assessing the elder's needs, present living arrangement and support sources, identifying the most appropriate housing option, preparing to relocate, relocating, and adjusting to the new home. Few comparisons have been made of relocation among African-American, Hispanic and Caucasian elders. The long term objective of the investigator's research is to develop and test ethnically-sensitive interventions for nurses to use to assist relocating elders. The proposed study, uses a cross-sectional, descriptive design in three Phases, aiming to delineate the differences across ethnic groups in: formal and informal support sources used before and during relocation, factors promoting and preventing relocation, and the decision-making process of relocation. In Phase 1 study instruments will be tested with a group of Hispanic university students to insure validity and reliability of Spanish translations. In Phase 2, elders recruited from nursing home waiting lists will complete study instruments (n=70 African-Americans, 70 Hispanics and 70 Caucasians). In Phase 3, elderly, community-dwelling subjects not awaiting relocation will complete study instruments (n=70 African-Americans, 70 Hispanics and 70 Caucasians). In Phase 4, subjects interviewed in Phase 2 will again complete instruments and be interviewed after relocation. In each of Phases 2 and 3 in-depth interviews will be conducted with a randomly selected subsample of informants (n=12 per ethnic group) using a Topic List (TL). The Demographic Questionnaire (DQ), Iowa Self Assessment Inventory (ISAI), and the Factors Affecting Placement Inventory (FAPI) will be used to collect data in Phases 2 and 3. In Phase 4 informants will be interviewed and will complete five subscales of the ISAI within 6-8 weeks of relocation to the nursing home.