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Comparing the aging experiences of older adults living in nursing homes and in the community: a qualitative study

Year: 2026
Type: article
Abstract: The aim of this study was to compare the ageing experiences of older adults living in nursing homes and those living in the community. This comparative qualitative descriptive study included 40 older adults aged 65–77 years (20 nursing home residents and 20 community-dwelling older adults) in Ankara, Turkiye. Data were collected through face-to-face, semi-structured individual interviews using a 10-question interview guide. Interviews lasted approximately 20–30 min and were audio-recorded and transcribed verbatim. Data were analyzed using Braun and Clarke’s six-phase thematic analysis. Four overarching themes and nine subthemes were generated from the thematic analysis: (1) Making Sense of Ageing: Between Loss and Personal Growth (two subthemes) (2), Navigating the Emotional Landscape of Ageing (two subthemes) (3), Maintaining Agency and Connection Through Everyday Participation (three subthemes), and (4) Looking Ahead: Preserving Independence While Facing Uncertainty (two subthemes). Across both living contexts, participants described ageing through experiences of change, adaptation, relationships, and concerns about maintaining independence. Nursing home residents’ accounts particularly highlighted physical decline, loneliness, dependency, and uncertainty about the future, whereas community-dwelling participants’ accounts emphasized accumulated experience, independence, social connection, and continuity in everyday life. Differences were also evident in how participants described opportunities for everyday activity, social participation, autonomy, and expectations for the future. The findings revealed differences in ageing experiences between older adults living in nursing homes and those living in the community. Participants’ accounts suggest that ageing experiences may be related not only to health status and chronological age but also to the physical and social context, opportunities for autonomy, and social participation. These findings highlight the importance of person-centred approaches that support autonomy, meaningful social participation, and psychological well-being while responding to the needs of older adults across different living contexts. Not applicable.
Source: BMC Nursing
DOI: 10.1186/s12912-026-05644-2
Language: English
Open Access status: gold
Estimated APC paid: $3,090
OpenAlex ID: W7225315080
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