Relational aspects of mastery for frail, older adults

Autor: Lambotte, Deborah, Kardol, Martinus J. M., Schoenmakers, Birgitte, Fret, Bram, Smetcoren, A-S, De Roeck, Ellen E., Van der Elst, Michael, De Donder, Liesbeth, Dury, S., Dierckx, E., Duppen, D., Verte, D., Hoeyberghs, L. J., De Witte, N., Engelborghs, S., De Deyn, P. P., De Lepeleire, J., van der Vorst, A., Zijlstra, G. A. R., Kempen, G. I. J. M., Schols, J. M. G. A.
Přispěvatelé: D‐SCOPE Consortium, Faculty of Psychology and Educational Sciences, Educational Science, Faculty of Economic and Social Sciences and Solvay Business School, Belgian Ageing Studies, Brussels research center for Innovation in Learning and Diversity, RS: CAPHRI - R1 - Ageing and Long-Term Care, Promovendi PHPC, Health Services Research, RS: Academische Werkplaats Ouderenzorg, RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, Family Medicine
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Gerontology
Care process
PERCEPTIONS
Sociology and Political Science
Frail Elderly
media_common.quotation_subject
Decision Making
Frail Older Adults
PARTICIPATION
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
Sociology
PEOPLE
Secondary analysis
SUPPORT
SOCIAL CARE
Humans
030212 general & internal medicine
HOME
Everyday life
Empowerment
Competence (human resources)
older adults
Aged
media_common
Aged
80 and over
INDEPENDENCE
030503 health policy & services
Public Health
Environmental and Occupational Health
CENTERED CARE
Middle Aged
Health policy
EXPERIENCES
Integrated care
informal care
Caregivers
HEALTH-CARE
Female
relational aspects of mastery
Independent Living
Human medicine
secondary analysis
0305 other medical science
Psychology
Social Sciences (miscellaneous)
qualitative research
Qualitative research
Zdroj: Health and social care in the community
Health & Social Care in the Community, 27(3), 632-641. Wiley
ISSN: 0966-0410
DOI: 10.1111/hsc.12676
Popis: Frail, older care recipients are often thought of as individuals with a decreased mastery of everyday life skills. Various authors have proposed to acknowledge a relational dimension of mastery, defined as the ability to maintain control over one's life with the help of others. This study explores how frail, older adults experience relational aspects of mastery and the role of their informal caregivers in maintaining these aspects of mastery over the care process. Qualitative interviews (N = 121) were conducted in 2016 with potentially frail, community‐dwelling older adults participating in the Detection, Support and Care for Older people: Prevention and Empowerment (D‐SCOPE) project. A secondary analysis of 65 interviews reveals that, according to frail, older adults, informal caregivers contribute in various ways to the preservation of their mastery. This differs across the four elements of care: caring about (attentiveness), taking care of (responsibility), care‐giving (competence), and care‐receiving (responsiveness). However, in some cases, older adults experienced a loss of mastery; for example, when informal caregivers did not understand their care needs and did not involve them in the decision, organisation, and provision of care. A relational dimension of mastery needs to be acknowledged in frail, older care recipients since stimulating mastery is a crucial element for realising community care objectives and person‐centred and integrated care.
Databáze: OpenAIRE
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