2.50
Hdl Handle:
http://hdl.handle.net/10755/158950
Type:
Presentation
Title:
The Long Term Care Decision Making of Older Lesbians: A Narrative Analysis
Abstract:
The Long Term Care Decision Making of Older Lesbians: A Narrative Analysis
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Gabrielson, Marcena, PhD (c)
P.I. Institution Name:Illinois State University
Title:Nursing
Contact Address:905 Charlotte Drive, Normal, IL, 61761, USA
Contact Telephone:309-262-5165
Co-Authors:M.L. Gabrielson, Nursing, Mennonite College of Nursing at Illinois State University, Normal, IL; M.L. Gabrielson, Nursing, University of Iowa, Iowa City, IA;
As larger numbers of LGBT elders plan for retirement and attendant living arrangements, there is a need to understand factors impacting their decision making. Little is known about this phenomenon, and we need to understand it to support development of culturally appropriate care delivery across settings. The purpose of this descriptive, exploratory qualitative study was to identify factors impacting older lesbians' decision making about long term care. Open-ended interviews were conducted with a convenience sample of 10 older lesbians (aged 55 and over) who have made a financial commitment to live in a continuous care retirement center (CCRC) specializing in lesbian, gay, bisexual and transgender (LGBT) care. Transcripts were analyzed using across-case, thematic and within-case, narrative analysis. Themes identified in the across-case analysis were interpreted in the context of patterns in the narrative analysis. Themes were organized temporally into past, present and future narratives. This facilitated the ability to view at once the whole as well as individual and identify salient themes and representative stories. Key findings were that past negative experiences with family (being ignored, rendered invisible, or ostracized) relating to the participants' sexual orientation, as well as past positive experiences within their lesbian friendship circles or "families of choice" (being recognized, included, and supported) were widespread. Negative past experiences impact expectations for mistreatment in future elder care. Additionally, lack of biological children contributes to the participants' perceptions of vulnerability. The conceptual framework emerged from the analysis and depicts the findings. The participants have concluded that preventing experiences of homophobia and discrimination in old age is promoted by the decision to live in a LGBT CCRC. Practice implications with lesbian elders include exploring existing supports, plans for and concerns about elder care and elder care options.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Long Term Care Decision Making of Older Lesbians: A Narrative Analysisen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158950-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Long Term Care Decision Making of Older Lesbians: A Narrative Analysis</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gabrielson, Marcena, PhD (c)</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Illinois State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">905 Charlotte Drive, Normal, IL, 61761, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">309-262-5165</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mlgabri@ilstu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">M.L. Gabrielson, Nursing, Mennonite College of Nursing at Illinois State University, Normal, IL; M.L. Gabrielson, Nursing, University of Iowa, Iowa City, IA;</td></tr><tr><td colspan="2" class="item-abstract">As larger numbers of LGBT elders plan for retirement and attendant living arrangements, there is a need to understand factors impacting their decision making. Little is known about this phenomenon, and we need to understand it to support development of culturally appropriate care delivery across settings. The purpose of this descriptive, exploratory qualitative study was to identify factors impacting older lesbians' decision making about long term care. Open-ended interviews were conducted with a convenience sample of 10 older lesbians (aged 55 and over) who have made a financial commitment to live in a continuous care retirement center (CCRC) specializing in lesbian, gay, bisexual and transgender (LGBT) care. Transcripts were analyzed using across-case, thematic and within-case, narrative analysis. Themes identified in the across-case analysis were interpreted in the context of patterns in the narrative analysis. Themes were organized temporally into past, present and future narratives. This facilitated the ability to view at once the whole as well as individual and identify salient themes and representative stories. Key findings were that past negative experiences with family (being ignored, rendered invisible, or ostracized) relating to the participants' sexual orientation, as well as past positive experiences within their lesbian friendship circles or &quot;families of choice&quot; (being recognized, included, and supported) were widespread. Negative past experiences impact expectations for mistreatment in future elder care. Additionally, lack of biological children contributes to the participants' perceptions of vulnerability. The conceptual framework emerged from the analysis and depicts the findings. The participants have concluded that preventing experiences of homophobia and discrimination in old age is promoted by the decision to live in a LGBT CCRC. Practice implications with lesbian elders include exploring existing supports, plans for and concerns about elder care and elder care options.</td></tr></table>en_GB
dc.date.available2011-10-26T21:33:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:33:21Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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