Ambiguous Loss Among Aging Migrants: A Concept Analysis- and Nursing Care-Oriented Model

Area of Science:

• Gerontology
• Migration Studies
• Psychology

Background:

• Ambiguous loss is a significant, yet under-researched, issue for aging migrants.
• Migration disrupts belonging, identity, and continuity, exacerbated by aging and isolation.
• Lack of conceptual analysis hinders culturally responsive care for this population.

Purpose of the Study:

• To identify defining attributes of ambiguous loss in aging migrants.
• To develop a conceptual definition for enhanced understanding and practice.
• To inform future research and culturally sensitive interventions.

Main Methods:

• Walker and Avant's eight-step concept analysis framework was utilized.
• Systematic literature search across four databases (2010-2024) and gray literature.
• PRISMA (2020) guidelines followed, with 74 studies included after screening.

Main Results:

• Four attributes identified: physical/social/emotional loss, displacement, eroded identity/agency, and cultural bereavement.
• Ambiguous loss defined as multifaceted disconnection, intensified by aging and hardship.
• Antecedents include forced migration; consequences include diminished well-being and integration barriers.

Conclusions:

• Ambiguous loss in aging migrants is a complex, multidimensional construct.
• Conceptual clarity supports developing culturally responsive care models.
• Findings promote adaptation, resilience, and social inclusion for older migrants.