“From living in a hotel to living in a home”: Stakeholders’ views about living and working in a nursing home which is undergoing culture change

Ulitsa, Natalie; Werner, Perla; Raz, Yaron

doi:10.1016/j.gerinurse.2021.02.007

Cited by 1 publication

(1 citation statement)

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“…As the last century has come to an end, the global movement for culture change in nursing homes has grown stronger, and with it the growing awareness that a broader, fundamental change in treatment and care [48,49] -towards person-centredness [50]-is needed. Despite this, nursing homes are still affected by a lack of home-like models and insufficient staffing [51,52].…”

Section: Discussion: Institutional Food Culture and Practicesmentioning

confidence: 99%

‘After mealtime is before mealtime’ – an ethnographic exploration of nursing home residents’ practices of dealing with meal requirements

2022

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Background In nursing homes, food is part of the care provided to residents, causing it to be strictly organised within the institutional framework. Moreover, once food has been integrated into the institutional logic, structural and economic aspects regarding organisation of food and eating may dictate individual and social needs, as a theoretical perspective informed by Goffman’s notion of the ‘total social institution’ suggests. This paper describes nursing home residents’ practices of dealing with meal requirements in two Austrian nursing homes, to understand how food integrates into the daily routine and how the institutional setting influences the social and material arrangement of food. Methods An ethnographic design was chosen to gain an in-depth understanding. Two urban nursing homes were studied over 21 months (approx. 800 h of participant observation and ethnographic interviews collected). Data analysis took place iteratively, following Grounded Theory strategies. Results As the thick descriptions resulting from this procedure show, observing everyday practices of eating in nursing homes reveals complex dimensions of residents being subject to institutional logics, and also demonstrates that residents develop elaborate strategies to deal with the institutional circumstances. Conclusion A better understanding of the resulting tensions between the restrictions of living in a formal organisation and the agencies of residents described, may contribute to better understanding the effects of structural constraints and to designing more flexible processes.

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