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A reciprocal relationship - an opportunity and a solution for a meaningful daily life in home care: the older person’s perspective
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Äldres hälsa och livsvillkor)ORCID iD: 0000-0002-2873-4247
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-9209-5179
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Äldres Hälsa och livsvillkor)
2015 (English)In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 3, no 1, 71-81 p.Article in journal (Refereed) Published
Abstract [en]

Background: Shortcomings in elderly care have been reported in many parts of the world, including Sweden. National guidelines for elderly care have been introduced in Sweden, which contain core values and local guarantees of dignity. These highlight the need for dignity and well-being and organizing the older person’s daily life so that she/he perceives it as meaningful. Therefore, the aim of the present study was to explore opportunities, obstacles and search for solutions as described by the older person in order to create a meaningful daily life.

Methods: The design is based on the underpinning view of seeing the older persons as narrators of their own stories and interpreters of their own lives. Participatory Appreciative Action Reflection (PAAR) was used when collecting the data. Fifteen older persons participated, and repeated interviews were carried out as reflective conversations, in total 30 interviews. The older persons provided their analyses and reflections on what had been said regarding a meaningful daily life. Finally, an analysis of the data was done, based on interpretative description, and an inductive approach built on the key axioms of naturalistic inquiry.

Results: The older persons’ experiences and knowledge of opportunities, obstacles and solutions to a meaningful daily life can be summarized into four themes: (1) to live as usual, (2) collaboration with the staff, (3) the relationship carries everyday life, and (4) belonging to something. In the discussion, we choose to further develop these four themes by using Buber’s philosophy of dialogue.

Conclusions: An opportunity and a solution for meaningful daily life for the older person were seen in the relationship to oneself, to staff, to others, and the family. The reciprocal relationship, which occurred in the interaction between the staff and the older person, was the opportunity and solution for a meaningful daily life. It was the ongoing conversation between the older person and the staff who became "the glue" and formed the relationship. If the staff could support the older persons to maintain their habits and routines, these were solutions for creating a meaningful daily life. A meaningful daily life could be obtained in an I-Thou relation in a shared everyday life, where the relationship and the continuing dialogue becomes the power of balance. The relationship is also relevant for the staff and in line with Buber’s thoughts on how we are shaped by humans in the encounter with others.

Place, publisher, year, edition, pages
2015. Vol. 3, no 1, 71-81 p.
Keyword [en]
Action research, Home care, I-Thou relation, Meaningful daily life, Reciprocal relationship
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-39821DOI: 10.5430/cns.v3n1p71OAI: oai:DiVA.org:oru-39821DiVA: diva2:772145
Available from: 2014-12-16 Created: 2014-12-16 Last updated: 2017-03-30Bibliographically approved

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Kihlgren, AnnicaBlomberg, KarinJames, Inger
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