The impact of relocations within and between nursing homes on long-term care residents
The impact of relocations within and between nursing homes on long-term care residents
The documentary Uitgewoond highlighted emotional and health-related consequences of group relocations in Dutch nursing homes, prompting parliamentary questions and further research. To support this, the RELOCARE Consortium was established, uniting all six Academic Networks for Elderly Care to investigate the impact of relocations on residents and relatives, and to explore ways to improve relocation processes.
This thesis of Miranda Schreuder examined how often relocations occur and what impact they have, with insights from four complementary studies. Quantitative analyses of large datasets revealed how frequently relocations happen, what types occur, and how they relate to health outcomes. Qualitative research, including interviews, a focus group, and case studies, explored how relocations are experienced by residents and perceived by stakeholders.
The studies revealed that relocations were common, especially shortly after admission. Residents reported experiencing ambivalent emotions—ranging from stress and sadness to satisfaction and excitement—that varied across individuals and phases of the relocation. While measured mood and mortality risks were similar between relocated and non-relocated residents, relocation was associated with increased cognitive decline and loss of independence in daily activities.
The perceived impact of relocations on residents was shaped by residents’ mental resilience, social connections, the organization of the move, and the new care environment. Ensuring autonomy and continuity, through attention to residents’ familiar surroundings, personal belongings, and trusted caregivers, proved essential.. Above all, ongoing dialogue with each resident appeared to be key to ensuring they feel involved, respected, and supported throughout the process.