This article aims to define the concept of maintenance of continuity in older adulthood (MCOA) and assist nurses to better understand the concept of MCOA.
METHODS
The method by Walker and Avant was used for this concept analysis.
FINDINGS
In the literature, MCOA is defined as a psychosocial adaptation strategy by searching for preference and familiarity, making a sense of connection, and creating coherence.
CONCLUSIONS
MCOA has potential to improve psychosocial adjustment to difficult life transitions as a coping mechanism.
IMPLICATION FOR NURSING PRACTICE
Insights about MCOA in nursing may contribute to improved patient care outcomes by assisting nurses to understand the elderly's experience during age-related challenges from a life course perspective.
AgahiN.AhacicK.ParkerM. G. (2006). Continuity of leisure participation from middle age to old age. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 61(6), 340–346.
2.
AtchleyR. C. (1971). Retirement and leisure participation: Continuity or crisis?Gerontologist, 11(1), 13–17.
3.
AtchleyR. C. (1974). The meaning of retirement. Journal of Communication, 24(4), 97–100.
4.
AtchleyR. C. (1989). A continuity theory of normal aging. Gerontologist, 29(2), 183–190.
5.
AyalonL. (2016). Transition and adaptation to the continuing care retirement community from a life course perspective: Something old, something new, and something borrowed. Journal of Applied Gerontology, 37, 267–288. https://doi.org/10.1177/0733464816637851
6.
CavanR. S.BurgessE. W.HavinghurstR. J.GoldhammerH. (1949). Personal adjustment in old age. Chicago: Science Research Associates.
7.
ElderG. H.JohnsonM. K.CrosnoeR. (2003). The emergence and development of life course theory. In MortimerJ. T.ShanahanM. J. (Eds.), Handbook of the life course (Handbooks of sociology and social research). Boston, MA: Springer.
8.
EriksonE. H.EriksonJ. M. (1998). The life cycle completed. New York, NY: Norton.
9.
FreundA. M.BaltesP. B. (2002). Life-management strategies of selection, optimization, and compensation: Measurement by self-report and construct validity. Journal of Personality and Social Psychology, 82, 642–662.
10.
HerdmanT. H.KamitsuruS., (Eds.). (2014). NANDA International Nursing Diagnoses: Definitions and classification (pp. 2015–2017). Oxford: Wiley Blackwell.
11.
HooglandA. I. (2015). Continuity of change: The dynamic of beliefs, values, and the aging experience. Journal of Aging Studies, 32, 32–39. https://doi.org/10.1016/j.jaging.2014.12.004
12.
HutchinsonS. L.NimrodG. (2012). Leisure as a resource for successful aging by older adults with chronic health conditions. International Journal of Aging & Human Development, 74(1), 41–65.
13.
KaufmanS. (1986). The ageless self: Sources of meaning in late life. Madison, Wisconsin:University of Wisconsin Press.
14.
KorenC. (2011). Continuity and discontinuity: The case of second couplehood in old age. The Gerontologist, 51(5), 687–698. https://doi.org/10.1093/geront/gnr018
15.
LernerR. M. (2002). Concepts and theories of human development(3rd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
16.
LiebermanM. A.TobinS. S. (1983). The experience of old age: Stress, coping, and survival. New York: Basic Books.
17.
LockenhoffC. E.RuttJ. L. (2017). Age differences in self-continuity: Converging evidence and directions for future research. The Gerontologist, 57(3), 396–408. https://doi.org/10.1093/geront/gnx010
18.
Merriam-webster.com. (2017). Dictionary by Merriam-Webster: America's most-trusted online dictionary. [online] Available at: Retrieved from https://www.merriam-webster.com/ [Accessed 9 May 2017].
19.
Mahoney FI.BarthelD. W. (1965). Functional evaluation: The Barthel index. Maryland State Med Journal, 14, 61–65.
20.
NilssonC.BartfaiA.LofgrenM. (2011). Holistic group rehabilitation–a short cut to adaptation to the new life after mild acquired brain injury. Disability & Rehabilitation, 33(12), 969–978. https://doi.org/10.3109/09638288.2010.528141
21.
NimrodG.KleiberD. A. (2007). Reconsidering change and continuity in later life: Toward an innovation theory of successful aging. International Journal of Aging & Human Development, 65(1), 1–22.
22.
Nuttman-ShwartzO. (2008). Bridging the gap: The creation of continuity by men on the verge of retirement. Ageing & Society, 28, 185–202. https://doi.org/10.1017/s0144686x07006459
23.
Oxford English Dictionary. (2017). Oxford English Dictionary. Oxford: Oxford University Press. Retrieved from https://www.oed.com on 9 May 2017.
24.
ParkY. S. (2011). The effects of an integrated intervention program for persons with dementia using familiarity based on Korean tradition. Doctor Dissertation, Hanyang University, Seoul.
25.
PushkarD.ArbuckleT.ConwayC.ChaikelsonJ.MaagU. (1997). Everyday activity parameters and competence in older adults. Psychology and Aging, 12, 600–609.
26.
PushkarD.ChaikelsonJ.ConwayM.EtezadiJ.GiannopoulusC.LiK.WroschC. (2010). Testing continuity and activity variables as predictors of positive and negative affect in retirement. Journals of Gerontology Series B: Psychological Sciences & Social Sciences, 65B(1), 42–49 48p. Retrieved from https://doi.org/Geronb/gbp079
27.
RichardsonV.KiltyK. M. (1991). Adjustment to retirement–continuity versus discontinuity. International Journal of Aging & Human Development, 33(2), 151–169. https://doi.org/10.2190/6rpt-u8gn-vucv-p0tu
28.
SecrestJ. A.ThomasS. P. (1999). Continuity and discontinuity: The quality of life following stroke. Rehabilitation Nursing, 24, 240–246.
SecrestJ. S.ZellerR. (2003). Measuring continuity and discontinuity following stroke. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau, 35(3), 243–247.
31.
SpencerJ. C.DavidsonH. A.WhiteV. K. (1996). Continuity and change: Past experience as adaptive repertoire in occupational adaptation. American Journal of Occupational Therapy, 50(7), 526–534.
32.
UtzR. L.CarrD.NesseR.WortmanC. B. (2002). The effect of widowhood on older adults' social participation: An evaluation of activity, disengagement, and continuity theories. Gerontologist, 42(4), 522–533.
33.
VonBonsdorffM. E.ShultzK. S.LeskinenE.TanskyJ. (2009). The choice between retirement and bridge employment: A continuity theory and life course perspective. International Journal of Aging & Human Development, 69(2), 79–100.
34.
WadenstenB. (2006). An analysis of psychosocial theories of ageing and their relevance to practical gerontological nursing in Sweden. Scandinavian Journal of Caring Sciences, 20, 347–354. https://doi.org/10.1111/j.1471-6712.2006.00414.x
35.
WalkerL. O.AvantK. C. (2011). Strategies for theory construction in nursing(5th ed.). Boston, MA: Prentice Hall.
36.
WalkerE.McNamaraB. (2013). Relocating to retirement living: An occupational perspective on successful transitions. Australian Occupational Therapy Journal, 60(6), 445–453 449p. https://doi.org/10.1111/1440-1630.12038
37.
WaltersA. H.OyebodeJ. R.RileyG. A. (2010). The dynamics of continuity and discontinuity for women caring for a spouse with dementia. Dementia, 9(2), 169–189.
38.
WhitbourneS. K. (1985). The psychological construction of the life span. In BirrenJ. E.SchaieK. W. (Eds.), Handbook of the psychology of aging(2nd ed.). New York: Van Nostrand Reinhold.
39.
WilliamsS.MurrayC. (2013). The lived experience of older adults’ occupational adaptation following a stroke. Australian Occupational Therapy Journal, 60(1), 39–47. https://doi.org/10.1111/1440-1630.12004
