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Autonomy and control in everyday life in care of older people in nursing homes
Linnaeus University, Faculty of Social Sciences, Department of Social Work. (DERG)
Linnaeus University, Faculty of Social Sciences, Department of Social Work. (REIS - Research on Elderly in Småland (DERG))
2014 (English)In: Journal of Housing for the Elderly, ISSN 0276-3893, E-ISSN 1540-353X, Vol. 28, no 1, 41-62 p.Article in journal (Refereed) Published
Abstract [en]

Self-control and autonomy are not guaranteed when people age and are in need of help from others, especially in institution-based housing. This occurs despite the fact that it is a generally accepted belief that care should be delivered with the greatest possible degree of independence and autonomy. This article discusses older people's experiences with and the opportunities for autonomy in institution-based housing. Through focus group interviews and observations, the daily lives of residents at two nursing homes in Sweden were studied through a comparative approach using the theoretical framework of organizational culture. Three themes emerged showing how autonomy was not a reality for the residents. The first theme revealed an ambivalent mission, indicating ambiguity as to whether the nursing home was a place to live in or a place in which to be cared for. The second theme was symbolic power, which encompassed the staff's power embedded in the organization. The third theme was the ageist approach to care, which was noted in the way staff considered the residents to be old people who were unable and unwilling to strive for autonomy. The three themes were embedded in the organizational culture and were created and recreated in the interaction between residents and staff. A key question for further research is how to change the culture to strengthen the residents’ autonomy.

Place, publisher, year, edition, pages
Taylor & Francis, 2014. Vol. 28, no 1, 41-62 p.
Keyword [en]
Older people, housing, autonomy
National Category
Social Work
Research subject
Social Sciences, Social Work
Identifiers
URN: urn:nbn:se:lnu:diva-25844DOI: 10.1080/02763893.2013.858092OAI: oai:DiVA.org:lnu-25844DiVA: diva2:629756
Projects
Mångprofessionella team för ett sammanhållet omhändertagande av de mest sjuka äldre - en studie av implementering och effekter
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2011-0524
Available from: 2013-06-17 Created: 2013-05-25 Last updated: 2016-01-18Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf