Altering the boundaries of everyday life in a nursing home context

Mondaca, MargaritaKarolinska Institutet,Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy, Huddinge, Sweden (author)

Background: Despite global and local policy frameworks that explicitly aim to privilege participation and active engagement of older adults living in nursing homes, this group often has limited possibilities to engage in occupations and to have influence in their everyday lives. Aim: To explore how older adults’ engagement and influence in an occupation can emerge in everyday life in a nursing home setting.Material and methods: A participatory qualitative approach was applied. Older adults living in a nursing home participated in a Book Club that was created collaboratively between researchers, residents, and the nursing home community.Findings: The analysis identified qualities of altering the boundaries of everyday life and addressing the uncertain conditions for influence and engagement as processes actualized by the residents when engaging in the Book Club. Further analysis identified how these processes involved ordinariness, familiarity, fellowship, and connectedness.Conclusion and Significance: Engagement and influence in occupation in a nursing home is possible when enabling partnerships and resourcefulness among the residents. However, such enablement is not guaranteed and needs to be actively upheld by the nursing home community in order to build practices aligned with policy frameworks of participation.

Josephsson, StaffanKarolinska Institutet,Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy, Huddinge, Sweden; Norway University of Technology and Science, Department of Applied Social Sciences, NTNU, Trondheim, Norway (author)
Borell, LenaKarolinska Institutet,Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy, Huddinge, Sweden (author)
Katz, ArleneDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, Cambridge, MA, United States (author)
Rosenberg, LenaKarolinska Institutet,Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy, Huddinge, Sweden(Swepub:hj)roslen (author)
Karolinska InstitutetKarolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy, Huddinge, Sweden (creator_code:org_t)

In:Scandinavian Journal of Occupational Therapy: Taylor & Francis26:6, s. 441-4511103-81281651-2014

By the author/editor: Mondaca, Margari ...; Josephsson, Staf ...; Borell, Lena; Katz, Arlene; Rosenberg, Lena

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Occupational The ...

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