A Narrative Approach to Quality Care in Long-Term Care Facilities
Autor: | Diane Heliker |
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Rok vydání: | 1997 |
Předmět: |
Nursing (miscellaneous)
Holistic Nursing Quality Assurance Health Care Institutionalisation Frail Elderly MEDLINE 050109 social psychology Nursing Methodology Research Life Change Events Nursing Memory Holistic nursing 0502 economics and business Health care Humans Medicine 0501 psychology and cognitive sciences Narrative Primary nursing Aged Aged 80 and over business.industry 05 social sciences Long-Term Care Long-term care Quality of Life Female business Life review 050203 business & management |
Zdroj: | Journal of Holistic Nursing. 15:68-81 |
ISSN: | 1552-5724 0898-0101 |
DOI: | 10.1177/089801019701500107 |
Popis: | The negative effects of institutionalization caused partially by homogeneity and uniformity of care prompts the exploration of personal and common meanings of nursing home residents. This study is viewed as an initial step in providing quality care as defined by the resident. Personal and common meanings embedded in the lived lives of five older women residing in a long-term care facility are interpreted using a seven-stage Heideggerian henneneutical phenomenological approach. An unstructured modified life review format is used to interview each participant on three separate occasions. Three constitutive patterns emerge: dwelling in remembering, living relatedly, and being after loss. These patterns endure across the life span of each woman and continue to endure after admission to the facility. The revelation of common and personal meanings provide new possibilities for the transformation of nursing practice to ensure quality care from the perspective of what is considered meaningful to each resident. |
Databáze: | OpenAIRE |
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