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Holmgren, J.; Emami, A.; Eriksson, L. E.; Eriksson, H. (2014)
Publisher: University of Ottawa
Journal: Aporia
Languages: English
Types: Article
Subjects: RT1-120, RT, involvement, discourse analysis, nursing staff, nursing home, focus group interviews, Nursing
The aim of this study was to describe the biopolitics of involvement discourses articulated by nursing staff concerning relatives in nursing home institutions, using a Foucault-inspired discourse analytical approach. Previous research has described how relatives have not been involved in nursing homes on their own terms. This is partly due to a lack of communication and knowledge, but it is also a consequence of an unclear organizational structure. Results from a discourse analysis of six focus group interviews with nursing staff show that the “involvement discourse” in nursing homes can be described as a “new” vs “old” family rhetoric. This rhetoric can be said to uphold, legitimize and provide different subject positions for both nursing staff and relatives concerning the conditions for involvement in nursing homes. As part of a “project of possibility” in elderly care, it may be possible to adopt a critical pedagogical approach among nursing staff in order to educate, strengthen and support them in reflecting on their professional norming and how it conditions the involvement of relatives.
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    • 1.Hälso- och sjukvårdslag [Helth and Medical Services Act].
    • (SFS 1982:763). Stockholm: Socialdepartementet.
    • 2.Scialtjänstlag [Social Services Act], (2001:453). Stockholm: Socialdepartementet.
    • 3.Haesler E, Bauer M, Nay R. Staff-family relationships in the care of older people: a report on a systematic review.
    • Research in Nursing & Health 2007; 30(4): 385-98.
    • 4.Irving J. Beyond family satisfaction: Family‐perceived involvement in residential care. Australasian Journal on Ageing 2014 May 29.
    • 5.Hov R, Hedelin B, Athlin E. Nursing care for patients on the edge of life in nursing homes: obstacles are overshadowing opportunities. International Journal of Older People Nursing 2013; 8(1): 50-60.
    • 6.Caspari S, Lohne V, Rehnsfeldt AW, Saeteren B, Slettebø Å, Heggestad AKT, et al. Dignity and existential concerns among nursing homes residents from the perspective of their relatives. Clinical Nursing Studies 2014; 2(3): 22-34.
    • 7.Nakrem S, Vinsnes AG, Seim A. Residents' experiences of interpersonal factors in nursing home care: A qualitative study. International Journal of Nursing Studies 2011; 48(11): 1357-1366.
    • 8.James I, Blomberg K, Kihlgren A. A meaningful daily life in nursing homes-a place of shelter and a space of freedom: a participatory appreciative action reflection study. BMC Nursing 2014; 13(1): 19.
    • 9.Socialstyrelsen. Flytt och särskilt boende. [The National Board of Health and Welfare. Relocation and special housing]. Available from URL: http://www.socialstyrelsen.
    • se/nationellariktlinjerforvardochomsorgviddemenssjukdom/ centralarekommendationer/boende. Accessed 1 August 2014.
    • 10.Jegermalm M, Sundström G. Stereotypes about caregiving and lessons from the Swedish panorama of care. European Journal of Social Work 2014; March 10.
    • 11.Gaugler JE. Family involvement in residential long-term care: A synthesis and critical review. Aging & Mental Health 2005; 9(2): 105-18.
    • 12.Utley-Smith Q, Colón-Emeric CS, Lekan-Rutledge D, Ammarell N, Bailey D, Corazzini K, et al. Staff perceptions of staff-family interactions in nursing homes. Journal of Aging Studies 2009; 23(3): 168-77.
    • 13.Sandberg J. Placing a spouse in a care home for older people:(Re)-Constructing Roles and Relationships: Doctoral Dissertation. University of Linkoping, 2001.
    • 14.O'Shea F, Weathers E, McCarthy G. Family care experiences in nursing home facilities. Nursing Older People 2014; 26(2): 26-31.
    • 15.Lindahl B, Lidén E, Lindblad B-M. A meta-synthesis describing the relationships between patients, informal caregivers and health professionals in home-care settings.
    • Journal of Clinical Nursing 2011; 20(3-4): 454-63.
    • 16.Sandberg J, Nolan MR, Lundh U. Entering a New World: empathic awareness as the key to positive family/staff relationships in care homes. International Journal of Nursing Studies 2002; 39(5): 507-15.
    • 17.Nolan M, Grant G, Keady J, Lundh U. New directions for partnerships: relationship-centred care. In: Nolan M, Lundh, U, Grant, G, Keady, J (eds). Partnerships in Family Care: understanding the caregiving career. Berkshire: Open University Press, 2003; 257-91.
    • 18.Baumbusch J, Phinney A. Invisible Hands: The Role of Highly Involved Families in Long-Term Residential Care.
    • Journal of Family Nursing 2013 October 11.
    • 19.Haesler E, Bauer M, Nay R. Recent evidence on the development and maintenance of constructive staff-family relationships in the care of older people-a report on a systematic review update. International Journal of EvidenceBased Healthcare 2010; 8(2): 45-74.
    • 20.Holmgren J, Emami A, Eriksson LE, Eriksson H. Being perceived as a 'visitor' in the nursing staff's working arena-the involvement of relatives in daily caring activities in nursing homes in an urban community in Sweden. Scandinavian Journal of Caring Sciences 2013; 27(3): 677-85.
    • 21.Ryan AA, McKenna H. 'It's the little things that count'.
    • Families' experience of roles, relationships and quality of 24.Nay R. Relatives' Experiences of Nursing Home Life: characterised by Tension. Australasian Journal on Ageing 1997; 16(1): 24-9.
    • 25.Foucault M. Vetandets arkeologi. [The archaeology of knowledge]. Lund: Arkiv förlag/A-Z förlag, 2012.
    • 26.Foucault M. Sexualitetens historia 1. Viljan att veta. [The History of Sexuality. The Will to Knowledge]. Göteborg: Bokförlaget Daidalos, 2002.
    • 27.Foucault M. Övervakning och straff: fängelsets födelse.
    • [Discipline and Punish]. Lund: Arkiv förlag/A-Z förlag, 2004.
    • 28. Foucault M. Power/Knowledge. Selected Interviews and Other Writings, 1972-1977. USA: Vintage books. A Division of Random House USA Inc, 1988.
    • 29. Folkhälsomyndigheten. [Public HealthAgancy of Sweden].
    • Accessed 7 August 2014.
    • 30.Allen D, Hardin PK. Discourse analysis and the epidemiology of meaning. Nursing Philosophy 2001; 2(2): 163-76.
    • 31.Bryman A. Social research methods: Stockholm: Liber, 2013.
    • 32.Association TWM. WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects. Available from URL: http://www.wma.net/ en/30publications/10policies/b3/index.html. Accessed 27 March 2014.
    • 33.Vabø M, Szebehely M. A caring state for all older people? In: Anttonen A, Häikiö L, Stéfnsson, K (eds). Welfare State, Universalism and Diversity. UK: Edward Elgar Publishing Inc., 2012; 121.
    • 34.Larsson B, Letell M, Thörn H. Transformations of the Swedish Welfare State: Social Engineering, Governance and Governmentality. In: Larsson B, Letell M, Thörn H (eds). Transformations of the Swedish Welfare State: Social Engineering, Governance and Governmentality. Hampshire: Palgrave Macmillan, 2012; 3-22.
    • 35.Wilson CB, Davies S, Nolan M. Developing personal relationships in care homes: realising the contributions of staff, residents and family members. Ageing and society 2009; 29(07): 1041-63.
    • 36.Davies S, Nolan M. 'Making the move': relatives' experiences of the transition to a care home. Health & Social Care in the Community 2004; 12(6): 517-26.
    • 37.Cheek J, Porter S. Reviewing Foucault: possibilities and problems for nursing and health care. Nursing Inquiry 1997; 4(2): 108-19.
    • 38.Walker K. Crossing borders: Nursing practice, teaching and research together into the 21st century. International Journal of Nursing Practice 1995; 1(1): 12-7.
    • 39.Josephsen J. Critically Reflexive Theory: A Proposal for Nursing Education. Advances in Nursing 2014, July 24.
    • 40.Björkman L. En skola i frihet-med “misstagens hjälp. (A school in freedom - by the “help of mistakes”. In: Bromseth J, Darj F (eds). Normkritisk pedagogik: Makt, lärande och strategier för förändring. (Normcritical pedagogy: Power, learning and strategies for change). Uppsala: Centrum för genusvetenskap, 2010; 155-82.
    • 41.Freire P. Pedagogy of the opressed. 30th Anniversary Edition. London: Continuum International Publishing Group Ltd, 2000.
    • 42.Ng S-M, Fong TCT, Wang X-l. The role of holistic care culture in mitigating burnout and enhancing engagement: a study among elderly service workers in Hong Kong. Aging & Mental Health 2011; 15(6): 712-9.
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