AIMS AND OBJECTIVES:
The
aim of this study was to report on an analysis of the concept of successful
ageing in lesbian, gay and
bisexual older people.
BACKGROUND:
Research
indicates that lesbian, gay and
bisexual older people experience significant health disparities. Yet there is a
lack of understanding on what factors contribute to successful ageing in this
population. Nursing has lagged behind other disciplines in investigating the
health of lesbian, gay and
bisexual older people.
DESIGN:
A concept
analysis using Rodgers' evolutionary method.
DATA SOURCES:
Twenty
studies were retrieved by searching PubMed, CINAHL, PsycInfo, EMBASE, Cochrane
Library and Scopus for English-language peer-reviewed studies published from
January 2004 to March 2014.
METHODS:
The
antecedents, attributes and consequences of the concept were identified through
the Rodgers' method of concept analysis.
RESULTS:
Attributes
included support from families of origin and/or families of choice, access to
lesbian, gay, and bisexual-friendly services and crisis
competence. Self-realisation of lesbian, gay and
bisexual identity (coming out to oneself) and age >50 were identified as
antecedents. Three consequences of successful ageing in lesbian, gay and bisexual older people were social
engagement, optimism and resilience.
CONCLUSION:
Successful
ageing in lesbian, gay and
bisexual older people is defined as a subjective and multifactorial concept
that is characterised by support from families of origin/families of choice,
access to lesbian, gay, and bisexual-friendly services and the
development of crisis competence skills which impact the ageing experience of
LGB individuals.
IMPLICATIONS FOR PRACTICE:
Successful
ageing models can provide a roadmap for developing culturally competent
interventions to address key healthcare issues present in this population. The
nursing profession's multidisciplinary knowledge and competence in providing
health promotion makes nurses well positioned to take a leading role in
reducing disparities of lesbian, gay and
bisexual older people.
- 1New York University College of Nursing, New York, NY, USA.
- 2Rockefeller University, New York, NY, USA.
- Int J Older People Nurs. 2016 Jan 12. doi: 10.1111/opn.12108.
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