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The role of community staff in care home placement in Sweden
Linköping University, Department of Neuroscience and Locomotion, Geriatrics. Linköping University, Faculty of Health Sciences.
Gerontological Nursing, University of Sheffield, UK.
Linköping University, Department of Medicine and Care, Nursing Science. Linköping University, Faculty of Health Sciences.
2002 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 11, no 4, 488-497 p.Article in journal (Refereed) Published
Abstract [en]

• The role of community staff in placing a relative in a care home is a relatively unexplored area of practice.

•  Interviews with a variety of community staff in Sweden suggest that they play a significant role in helping family carers, particularly spouses, research the decision about the need for placement.

•  This role can include recognition that placement is required (seeing the need), initiating and sustaining discussions about placement (sowing the seed and nurturing the seed) and legitimating the decision.

•  However, once the decision has been made relatively little attention is given to the emotional consequences of the move and attention is focused largely on instrumental aspects.

•  Despite showing sensitivity in the decision-making phase, community staff could do more to help carers deal with the guilt they experience and to initiate contact with the care home.

Place, publisher, year, edition, pages
2002. Vol. 11, no 4, 488-497 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-27933DOI: 10.1046/j.1365-2702.2002.00619.xLocal ID: 12694OAI: oai:DiVA.org:liu-27933DiVA: diva2:248485
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2012-09-03Bibliographically approved
In thesis
1. Placing a spouse in a care home for older people: (re)-constructing roles and relationships
Open this publication in new window or tab >>Placing a spouse in a care home for older people: (re)-constructing roles and relationships
2001 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis explores the process of placing a spouse in a care home for older people from the perspectives of the key actors involved. Due to the lack of previous studies in this area in Sweden and the desire to generate new insights that have the potential to inform practice developments a grounded theory methodology was adopted.

Data were collected using semi-structured interviews (70 in total) with spouses, adult children, community based staff and staff in care homes. Analyses of these data suggested that placement is best interpreted as a temporal experience comprising four stages: making the decision, making the move, adjusting to the move and reorientation. Each of the key actors offered differing insights into the way that the process as a whole was experienced with it emerging that in the initial two phases the primacy focus was on the practical and instrumental aspects of the move, with the emotional consequences being largely overlooked. This is a key issue as spouses were usually unprepared for the sense of separation and loss that the placement caused. Subsequently, spouses placed particular importance on maintaining their sense of involvement with their partner by a variety of 'keeping' activities. However, children and staff in care homes shared varying degrees of 'awareness' which influenced the way that relationships were forged.

Based on a synthesis of the data the core category and basic social process that emerged was termed '(re)-constructing roles and relationships'. This highlights the subtle and dynamic way that placement unfolds and reinforces the importance of understanding the process from multiple perspectives. In addition to providing new theoretical insights the thesis identifies a number of ways in which the placement process could be improved and suggests the need for more open and explicit discussion of a number of aspects, particularly the ways in which expectations of roles and relationships change over time. Thls is essential if spouses are to be better prepared and supported both for the sense of separation from their partner and for the need to integrate into the care home setting.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2001. 71 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 710
Keyword
family carers, care home placement, partnership, adult children, community staff, nursing staff, carer support, grounded theory
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-28076 (URN)12840 (Local ID)91-7373-148-X (ISBN)12840 (Archive number)12840 (OAI)
Public defence
2001-12-13, Berzeliussalen, Universitetssjukhuset, Linköping, 09:00 (Swedish)
Opponent
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2012-11-09Bibliographically approved

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Sandberg, JonasLundh, Ulla

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