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Influencing everyday activities in a nursing home setting : A call for ethical and responsive engagement

Mondaca, Margarita (författare)
Karolinska Institutet,Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
Josephsson, Staffan (författare)
Karolinska Institutet,Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden; Department of Applied Social Sciences, Norway University of Technology and Science (NTNU), Trondheim, Norway
Katz, Arlene (författare)
Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United States
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Rosenberg, Lena (författare)
Karolinska Institutet,Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
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 (creator_code:org_t)
2017-08-01
2018
Engelska.
Ingår i: Nursing Inquiry. - : John Wiley & Sons. - 1320-7881 .- 1440-1800. ; 25:2
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • This study focuses on influence that older adults, living in nursing homes, have over everyday activities. Everyday activities are key to sustain a sense of stability, predictability, and enjoyment in the local world of people's everyday and therefore a critical dimension of the person-centeredness framework applied within gerontology. This narrative ethnographic study aimed to shed light on how influence can be situated contextually, and how it can emerge through activities as well as how it is negotiated in everyday by frail older adults living in a nursing home. Residents, staff members, and significant others from one nursing home in an urban area of Sweden participated in this study. Data were gathered through fieldwork, including participant observation and formal and informal conversations during a period of 6 months. Data were analyzed through a narrative interpretative approach. The findings are presented in narrative form as exemplars. The exemplars—Craquelures as justification, Seeking a place for other life worlds and An almost perfect trip—reveal a gap between the client-centeredness framework and lived experiences regarding older adults’ influence in everyday activities. The role of everyday activities in the context of frailty is discussed in terms of ethical and responsive engagement, and implications for health-care practices are considered.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Arbetsterapi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Occupational Therapy (hsv//eng)

Nyckelord

ageing
dementia
frailty
health-care practices
narrative ethnography
narrative methods
person-centered
residential care
social poetics
aged
cultural anthropology
female
frail elderly
human
male
medical ethics
nursing home
organization and management
patient care
procedures
psychology
Sweden
verbal communication
very elderly
Aged
80 and over
Anthropology
Cultural
Ethics
Nursing
Humans
Narration
Nursing Homes
Patient-Centered Care

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