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Influencing everyday activities in a nursing home setting: A call for ethical and responsive engagement
Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
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.
Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United States.
Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0003-1727-369X
2018 (English)In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 25, no 2, article id e12217Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 25, no 2, article id e12217
Keywords [en]
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
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:hj:diva-59576DOI: 10.1111/nin.12217ISI: 000430111800004PubMedID: 28762593Scopus ID: 2-s2.0-85026556614OAI: oai:DiVA.org:hj-59576DiVA, id: diva2:1733348
Funder
Vårdal FoundationForte, Swedish Research Council for Health, Working Life and WelfareAvailable from: 2023-02-02 Created: 2023-02-02 Last updated: 2023-02-02Bibliographically approved

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