Journal
NURSING INQUIRY
Volume 25, Issue 2, Pages -Publisher
WILEY
DOI: 10.1111/nin.12217
Keywords
ageing; dementia; frailty; health-care practices; narrative ethnography; narrative methods; person-centered; residential care; social poetics
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Funding
- Vardalstiftelsen
- Swedish Research Council for Health, Working Life and Welfare
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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 6months. Data were analyzed through a narrative interpretative approach. The findings are presented in narrative form as exemplars. The exemplarsCraquelures as justification, Seeking a place for other life worlds and An almost perfect tripreveal 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.
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