Date of Conferral

2023

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

David Segal

Abstract

AbstractPrevious studies have examined the quality of elderly healthcare offered in skilled nursing facilities (SNFs) among older adults, in general, but the studies have not emphasized ex-periences unique to African America baby boomers and the factors they consider when making SNF-related decisions for post-acute care. The purpose of the study was to exam-ine the lived experiences of African American baby boomers who are currently in or have been treated in SNFs for post-acute care to learn about their decisions to select an SNF. Andersen’s behavioral model of health services served as the conceptual framework. A descriptive phenomenological qualitative design was adopted. Research participants were recruited from a county in a southeastern U.S. state and interviewed via telephone. The data collected during the interviews was transcribed and coded using Nvivo 12. Thematic analysis resulted in the development of 11 themes that showcase African American baby boomer experiences and perceptions of SNFs. They include 1) need, 2) referral, 3) extra-care, 4) public image, 5) cost, 6) accessibility, 7) perceived quality of care, 8) perceived professionalism, 9) environment, 10) staffing, and 11) homecare. Participants were satis-fied with SNFs services; however, some of the participants considered home care services as the best alternative for their post-operative care. The project’s findings may support positive social change by helping promote more widespread use of SNFs by African American baby boomers to enhance quality post-acute care.

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