Promoting and Protecting Against Stigma in Assisted Living and Nursing Homes.

TitlePromoting and Protecting Against Stigma in Assisted Living and Nursing Homes.
Publication TypeJournal Article
Year of Publication2016
AuthorsZimmerman, S, Dobbs, D, Roth, EG, Goldman, S, Peeples, AD, Wallace, B
Date Published2016 06
ISSN Number1758-5341
KeywordsAged, Aged, 80 and over, Aging, Anthropology, Cultural, Assisted Living Facilities, Attitude of Health Personnel, Female, Humans, Male, Nursing homes, Prejudice, Social Stigma

PURPOSE OF THE STUDY: To determine the extent to which structures and processes of care in multilevel settings (independent living, assisted living, and nursing homes) result in stigma in assisted living and nursing homes.

DESIGN AND METHODS: Ethnographic in-depth interviews were conducted in 5 multilevel settings with 256 residents, families, and staff members. Qualitative analyses identified the themes that resulted when examining text describing either structures of care or processes of care in relation to 7 codes associated with stigma.

RESULTS: Four themes related to structures of care and stigma were identified, including the physical environment, case mix, staff training, and multilevel settings; five themes related to processes of care and stigma, including dining, independence, respect, privacy, and care provision. For each theme, examples were identified illustrating how structures and processes of care can potentially promote or protect against stigma.

IMPLICATIONS: In no instance were examples or themes identified that suggested the staff intentionally promoted stigma; on the other hand, there was indication that some structures and processes were intentionally in place to protect against stigma. Perhaps the most important theme is the stigma related to multilevel settings, as it has the potential to reduce individuals' likelihood to seek and accept necessary care. Results suggest specific recommendations to modify care and reduce stigma.

User Guide Notes

Endnote Keywords

Assisted living, stigma, older adults, independence

Alternate JournalGerontologist
Citation Key8474
PubMed ID24928555
PubMed Central IDPMC4873761
Grant ListR01 AG028469 / AG / NIA NIH HHS / United States