“‘Call Security’: Locks, Risk, Privacy and Autonomy in Long-term Residential Care”

Tufford, Frances; Lowndes, Ruth; Struthers, James; Chivers, Sally

doi:10.1007/s12126-017-9289-3

Cited by 16 publications

(34 citation statements)

References 14 publications

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“…Most LTC homes, including the sites for the current study, have locked units and door alarms to monitor or control the movement of residents, especially those at risk of leaving. Although locked units can provide a sense of safety and security, this restriction can also be an indication of power over accessing and exiting the LTC home and subsequently make residents feel entrapped and excluded (Tuff ord, Lowndes, Struthers, & Chivers, 2018). Th erefore, walking may be an expression of control (autonomy) and agency for residents (Dewing, 2011).…”

Section: Discussionmentioning

confidence: 99%

Wandering Behavior From the Perspectives of Older Adults With Mild to Moderate Dementia in Long-Term Care

Adekoya¹,

Guse²

2019

Research in Gerontological Nursing

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Wandering is often described as aimless and disruptive in long-term care (LTC) facilities. Kitwood's Enriched Model of Dementia challenges one to focus on the person, not the behavior. The current exploratory study addressed a gap in knowledge of wandering behavior by gaining the perspectives of older adults with mild to moderate dementia residing in LTC. Walking interviews were conducted with eight older adults. Six themes emerged from their perspectives: Walking as Enjoyable, Walking for Health Benefi ts, Walking as Purposeful, Walking as a Lifelong Habit, Walking as a Form of Socialization, and Walking to Be With Animals. These results suggest a reconceptualization of wandering behavior from aimless walking and disruption to a purposeful and benefi cial activity.

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Section: Discussionmentioning

confidence: 99%

Wandering Behavior From the Perspectives of Older Adults With Mild to Moderate Dementia in Long-Term Care

Adekoya¹,

Guse²

2019

Research in Gerontological Nursing

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“…The above mentioned sites were in contrast with other homes where residents were inside locked units with little ability to move about, a concern that some of us have written about elsewhere (Tufford, Lowndes, Struthers, & Chivers, 2018). Residents lacked opportunities for social participation because few activities were organized in their living areas, and they could not go to structured programs happening in areas away from their floor.…”

Section: Physical Spacesmentioning

confidence: 99%

Social Participation in Long-term Residential Care: Case Studies from Canada, Norway, and Germany

2020

Self Cite

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Meaningful social engagement in everyday activities can enhance resident quality of life in nursing homes. In this article, we draw on data collected in a multidisciplinary, international study exploring promising practices in long-term care homes across Canada, Norway, and Germany, to investigate conditions that either allow for or create barriers to residents’ social participation. Within a feminist political economy framework using a team-based rapid ethnography approach, observations and in-depth interviews were conducted with management, staff, volunteers, students, families, and residents. We argue that the conditions of work are the conditions of care. Such conditions as care home location, building layout, staffing levels, and work organization, as well as governing regulations, influence if and how residents can and do engage in meaningful everyday social life in/outside the nursing home. The presence of promising conditions that facilitate resident social participation, particularly those promoting flexibility and choice for residents, directly impacts their overall health and well-being.

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“…Privacy 20,24,59,62 Other residents 46,54 Participation in social activities 32,36,46,54,61 Visits from friends and realtives 22,23,52,56 satisfaction with their lives 22 and decreased depression. 22,53 However, relatives could also hinder older people's perceived autonomy, by deciding who could access and visit them 56 or putting pressure on older people to make decisions in line with their own views.…”

Section: Social Care Facilitatorsmentioning

confidence: 99%

Older people’s perceived autonomy in residential care: An integrative review

Moilanen¹,

Kangasniemi

Papinaho

et al. 2020

Nurs Ethics

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Autonomy has been recognised as a key principle in healthcare, but we still need to develop a consistent understanding of older people’s perceived autonomy in residential care. This study aimed to identify, describe and synthesise previous studies on the perceived autonomy of older people in residential care. Ethical approval was not required, as this was a review of published literature. We carried out an integrative review to synthesise previous knowledge published in peer-review journals in English up to September 2019. Electronic and manual searches were conducted using the CINAHL, Philosopher’s Index, PubMed, SocINDEX, Scopus and Web of Science databases. The data were analysed using the constant comparison method. The review identified 46 studies. Perceived autonomy referred to the opportunities that older people had to make their own choices about their daily life in residential care, and achieving autonomy promoted both health and quality of life. Autonomy was linked to older people’s individual capacities, including their level of independence, physical and mental competence, personal characteristics, and whether relatives shared and supported their perceived autonomy. Professionals could facilitate or hinder older peoples’ autonomy in a number of ways, including providing opportunities for autonomy, how daily care needs and activities were managed, and controlling older people’s choices. Professionals’ characteristics, such as education and attitudes, and the older people’s living environments were also associated with their perceived autonomy and included organisational characteristics and physical and social care facilitators. Older people’s perceived autonomy promoted health and quality of life in residential care. However, their autonomy was associated with a number of protective and restrictive individual and environmental factors, which influenced whether autonomy was achieved.

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“‘Call Security’: Locks, Risk, Privacy and Autonomy in Long-term Residential Care”

Cited by 16 publications

References 14 publications

Wandering Behavior From the Perspectives of Older Adults With Mild to Moderate Dementia in Long-Term Care

Wandering Behavior From the Perspectives of Older Adults With Mild to Moderate Dementia in Long-Term Care

Social Participation in Long-term Residential Care: Case Studies from Canada, Norway, and Germany

Older people’s perceived autonomy in residential care: An integrative review

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