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Altering the boundaries of everyday life in a nursing home context
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy, Huddinge, Sweden.
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.
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy, Huddinge, Sweden.
Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, Cambridge, MA, United States.
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2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 26, no 6, p. 441-451Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Taylor & Francis, 2019. Vol. 26, no 6, p. 441-451
Keywords [en]
hermeneutic analysis, older adults, participatory methods, persons with dementia, residential care facilities, third space, aged, female, human, human relation, leisure, male, nursing home, occupational therapy, quality of life, very elderly, Aged, 80 and over, Humans, Interpersonal Relations, Leisure Activities, Nursing Homes
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:hj:diva-59572DOI: 10.1080/11038128.2018.1483426ISI: 000466582700005PubMedID: 29938554Scopus ID: 2-s2.0-85048985659OAI: oai:DiVA.org:hj-59572DiVA, id: diva2:1733358
Funder
Forte, 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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