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Making Each Other’s Daily Life: Nurse Assistants’ Experiences and Knowledge on Developing a Meaningful Daily Life in Nursing Homes

Identifieur interne : 000125 ( Pmc/Curation ); précédent : 000124; suivant : 000126

Making Each Other’s Daily Life: Nurse Assistants’ Experiences and Knowledge on Developing a Meaningful Daily Life in Nursing Homes

Auteurs : Inger James ; Carin Fredriksson ; Catrin Wahlström ; Annica Kihlgren ; Karin Blomberg

Source :

RBID : PMC:4168648

Abstract

Background:

In a larger action research project, guidelines were generated for how a meaningful daily life could be developed for older persons. In this study, we focused on the nurse assistants’ (NAs) perspectives, as their knowledge is essential for a well-functioning team and quality of care. The aim was to learn from NAs’ experiences and knowledge about how to develop a meaningful daily life for older persons in nursing homes and the meaning NAs ascribe to their work.

Methods:

The project is based on Participatory and Appreciative Action and Reflection. Data were generated through interviews, participating observations and informal conversations with 27 NAs working in nursing homes in Sweden, and a thematic analysis was used.

Result:

NAs developed a meaningful daily life by sensing and finding the “right” way of being (Theme 1). They sense and read the older person in order to judge how the person was feeling (Theme 2). They adapt to the older person (Theme 3) and share their daily life (Theme 4). NAs use emotional involvement to develop a meaningful daily life for the older person and meaning in their own work (Theme 5), ultimately making each other’s daily lives meaningful.

Conclusion:

It was obvious that NAs based the development of a meaningful daily life on different forms of knowledge: the oreticaland practical knowledge, and practical wisdom, all of which are intertwined. These results could be used within the team to constitute a meaningful daily life for older persons in nursing homes.


Url:
DOI: 10.2174/1874434601408010034
PubMed: 25246997
PubMed Central: 4168648

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PMC:4168648

Le document en format XML

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<journal-id journal-id-type="iso-abbrev">Open Nurs J</journal-id>
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<article-title>Making Each Other’s Daily Life: Nurse Assistants’ Experiences and Knowledge on Developing a Meaningful Daily Life in Nursing Homes</article-title>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>James</surname>
<given-names>Inger</given-names>
</name>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fredriksson</surname>
<given-names>Carin</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wahlström</surname>
<given-names>Catrin</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kihlgren</surname>
<given-names>Annica</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Blomberg</surname>
<given-names>Karin</given-names>
</name>
</contrib>
</contrib-group>
<aff>School of Health and Medical Sciences, Örebro University, Örebro, Sweden</aff>
<author-notes>
<corresp id="cor1">
<label>*</label>
Address correspondence to this author at the School of Health and Medical Sciences, Örebro University, S-70182 Örebro, Sweden; Tel: +46-19-30 10 95; Fax: +46-19-30 36 01; E-mail:
<email xlink:href="inger.james@oru.se">inger.james@oru.se</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>10</day>
<month>9</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="collection">
<year>2014</year>
</pub-date>
<volume>8</volume>
<fpage>34</fpage>
<lpage>42</lpage>
<history>
<date date-type="received">
<day>25</day>
<month>3</month>
<year>2014</year>
</date>
<date date-type="rev-recd">
<day>20</day>
<month>6</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>6</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>© James
<italic>et al</italic>
.; Licensee
<italic>Bentham Open</italic>
.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>James</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (
<uri xlink:type="simple" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</uri>
) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background:</title>
<p>In a larger action research project, guidelines were generated for how a meaningful daily life could be developed for older persons. In this study, we focused on the nurse assistants’ (NAs) perspectives, as their knowledge is essential for a well-functioning team and quality of care. The aim was to learn from NAs’ experiences and knowledge about how to develop a meaningful daily life for older persons in nursing homes and the meaning NAs ascribe to their work.</p>
</sec>
<sec>
<title>Methods:</title>
<p>The project is based on Participatory and Appreciative Action and Reflection. Data were generated through interviews, participating observations and informal conversations with 27 NAs working in nursing homes in Sweden, and a thematic analysis was used.</p>
</sec>
<sec>
<title>Result:</title>
<p>NAs developed a meaningful daily life by sensing and finding the “right” way of being (Theme 1). They sense and read the older person in order to judge how the person was feeling (Theme 2). They adapt to the older person (Theme 3) and share their daily life (Theme 4). NAs use emotional involvement to develop a meaningful daily life for the older person and meaning in their own work (Theme 5), ultimately making each other’s daily lives meaningful.</p>
</sec>
<sec>
<title>Conclusion:</title>
<p>It was obvious that NAs based the development of a meaningful daily life on different forms of knowledge: the oreticaland practical knowledge, and practical wisdom, all of which are intertwined. These results could be used within the team to constitute a meaningful daily life for older persons in nursing homes.</p>
</sec>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Knowledge</kwd>
<kwd>meaningful daily life</kwd>
<kwd>nurse assistants</kwd>
<kwd>nursing homes</kwd>
<kwd>older persons.</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" position="float">
<label>Fig. (1)</label>
<caption>
<p>NAs developed a meaningful daily life by sensing the older person’s and finding the "right" way of being which can be linked to
<italic>practicalwisdom</italic>
(Theme 1). They sense and read the older person in order to judge how the person is feeling that can be understood as
<italic>theoretical knowledge</italic>
(Theme 2). They adapt to the older person which can bee seen as
<italic>practical knowledge</italic>
(Theme 3) and share their daily life which could be describedas
<italic>practical wisdom</italic>
(Theme 4). NAs use emotional involvement to develop a meaningful daily life for the older person and meaning in their workand thereby making each other’s daily lives meaningful viewed as an
<italic>embodied way of knowing</italic>
(Theme 5).</p>
</caption>
<graphic xlink:href="TONURSJ-8-34_F1"></graphic>
</fig>
<table-wrap id="T1" position="float">
<label>Table 1</label>
<caption>
<p>NAs’ experiences and knowledge about how they can develop a meaningful daily life for older persons and the meaning they ascribe to their work. </p>
</caption>
<table frame="border" rules="all" width="100%">
<thead>
<tr>
<th rowspan="1" colspan="1">Main Themes </th>
<th rowspan="1" colspan="1">1. To Sense and Find the "Right" Way of Being</th>
<th rowspan="1" colspan="1">2. To Sense and Read the Older Person</th>
<th rowspan="1" colspan="1">3. To Adapt to the Older Person</th>
<th rowspan="1" colspan="1">4. To Share the Daily Life</th>
<th rowspan="1" colspan="1">5. To have Emotional Involvement</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" rowspan="1" colspan="1">
<italic>Sub-themes </italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To find and adapt the way of being</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To read how someone feels</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To adapt to the older person 's own choices</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To have joy with others</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To create a meaning</italic>
</td>
</tr>
<tr>
<td align="center" rowspan="1" colspan="1">
<italic>Sub-themes</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To use oneself as a creator of rhythm</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To have an initial picture</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To adapt daily life to the older person 's body</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To have a conversation thread</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To be close</italic>
</td>
</tr>
<tr>
<td align="center" rowspan="1" colspan="1">
<italic>Sub-themes</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To change the way of being</italic>
</td>
<td rowspan="1" colspan="1"></td>
<td align="center" rowspan="1" colspan="1">
<italic>To be the older persons extended arm</italic>
</td>
<td align="center" rowspan="1" colspan="1">
<italic>To do something together</italic>
</td>
<td rowspan="1" colspan="1"></td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
</record>

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