The article considers the potential of intergenerational encounters and family and social ties for alleviating loneliness and promoting older adults’ wellbeing. Loneliness has been widely recognized as one of the factors that are most deeply and pervasively detrimental to older adults’ wellbeing. We combine theoretical reflections with a comparative study of older adults in Denmark and China. Both countries have to deal with an aging population and growing number of cases of isolation and loneliness in an increasingly individualized society. They differ, however, with regard to how far they have developed a system of institutionalized care, as well as with regard to their culture-specific views of family life and parent-child relationships. We apply the notions of filial piety, known from Confucian philosophy but often misinterpreted as conservative and conformist, and generativity, to qualitative studies of older adults in Denmark and China. The great potential of intergenerational ties is confirmed. Our study also shows that filial piety is still highly valued, in both China and Denmark, and can be maintained even in a highly individualized society. There is, however, considerable uncertainty among both older adults and their younger relatives as to what is required and what can be expected; realism, and an emphasis on the quality, rather than the quantity of interaction, may be sensible coping strategies, but can also lead to unnecessary acquiescence and self-abnegation. Our study also serves to distinguish different aspects and effects on wellbeing of intergenerational relationships.
In recent decades, phenomenological concepts and methodological ideals have been adopted by qualitative researchers. Several influential strands of what we will refer to as Phenomenological Research (PR) have emerged. We will call into question whether PR has been sufficiently sensitive to the issue of the prerequisites, or basic conditions, for doing phenomenological research. The practical implementation of phenomenological key concepts is important in working with phenomenology as a research methodology. Core concepts such as “bracketing” seems to be particularly important in PR. The question we would like to raise is not whether “bracketing” is possible, or to what extent, nor how it should be understood. Rather, we wish to illuminate the prerequisites for bracketing itself. We believe that a fuller recognition of the embeddedness of research practices like PR does have some broadly practical implications, which we shall expand upon in the present article.
This interdisciplinary study is concerned with the well-being of older adults and how this relates to alcohol. Older adults’ use of alcohol in nursing homes is a rising challenge in Western societies, expected to increase in the coming 10–15 years. Alcohol use has consequences that go beyond mere health concerns and stretch into social, personal, and institutionalized life. The present study aims to develop procedures and guidelines for handling alcohol in elderly care, assist in handling value conflicts, ease the work of care workers, and more generally ensure a better quality of life for older adults. The study has four phases: (1) exploration, (2) interpretation in collaboration with practitioners, (3) developing practice-oriented product, and 4) implementation. Phase 1 was conducted in 2018. In this phase, observations were carried out in five care institutions in a Danish Municipality for a total of 25 days. These observations led to the development of interview guides. Based on the interview guides, 31 participants (residents, care workers, relatives and managers) were interviewed for 30–60 min at the five institutions. In Phase 2, data will be analyzed and interpreted by the researchers in collaboration with representatives from the five institutions. Phases 3 and 4 are forthcoming, and the study is scheduled to terminate in 2021.
In recent years, there has been an increased focus on patient involvement in treatment planning in the health care system. To reduce the risk of the clinician moving towards paternalism, various methods have been introduced—shared decision making, among others. The goal of shared decision making is for the clinician and patient to share available evidence on the best treatment and to raise awareness on the needs and preferences of the patient as to make a genuinely informed choice. However, in the present article, we discuss to which degree paternalism can be avoided in light of the clinician's role as an authority with certain knowledge and expertise. Through the philosophical theory of reasons‐responsiveness, we discuss to which extend free will and control applies to the patient. Through theoretical analysis, we come to suggest that the clinician has a role as an ally rather than manipulator.
This study aims to investigate the attitudes and opinions that are present among patients and health professionals towards addressing patients' alcohol use during a hospital stay. We conducted semistructured interviews with nine health professionals and five patients to explore their opinions and attitudes towards asking and being asked about alcohol during a hospital stay. The data were analyzed using an ad hoc method consisting of primarily close reading and meaning condensing. The main barriers about alcohol as a topic in healthcare lie with health professionals. While patients have reservations and preferences regarding when and how they are asked about alcohol, they all consider knowledge about alcohol habits as important for the health professional to have. The study's results suggest that actions to better preventive efforts regarding inexpedient alcohol use should mainly focus on breaking barriers hindering the health professionals in asking their patients. This can be done by focusing on education for the health professionals on this topic and developing tangible guidelines for when and how to ask patients for the health professionals to depend on.
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