Older people’s experiences of their free will in nursing homes

Tuominen, Leena; Leino‐Kilpi, Helena; Suhonen, Riitta

doi:10.1177/0969733014557119

Cited by 47 publications

(75 citation statements)

References 36 publications

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“…Legal regulations demand the protection of residents in nursing homes, but “such laws encourage institutional personnel to adopt paternalizing practices that impose protection at the cost of freedom” (McClean, , p. 111). Locked doors and coded elevators can also be seen as obstacles to free will (Tuominen et al, ). As restricted mobility is commonly linked to those who are a security threat to society (Moran, ), the feeling of being incarcerated is specifically connected to limiting an individual's mobility.…”

Section: “Locked Up”mentioning

confidence: 99%

Spatial control and care in Finnish nursing homes

Repo

2018

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This paper presents an analysis of the relationship between spatial control and care in nursing homes governed by Finnish municipalities. Although the attitude towards elderly care is gradually changing, most nursing homes governed by Finnish municipalities are still traditional, large institutions. In the study, I examine how care and control emerge spatially in nursing homes and how living in a limited environment shapes the everyday life of the residents. I argue that spatial practices affect the well-being of the residents, since a great deal of the control in Finnish nursing homes is spatiotemporal. The institutions use multiple methods to control residents, such as limiting mobility and daily routines, which can also result in unintended mistreatment. As the analysis demonstrates, staff and their attitudes have a significant effect on the residents' well-being. It also underlines how feelings of self-determination or "imagined" liberty can relieve anxiety and feelings of being confined. Control may be needed to keep residents safe; however, there is a risk that control can merge into care which affects staff culture and the well-being of residents. This paper responds to the call for greater diversity within carceral geography, and conceptualises the nursing home as a complex (quasi-)carceral environment that sits uneasily on the continuum between care and control.

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Section: “Locked Up”mentioning

confidence: 99%

Spatial control and care in Finnish nursing homes

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2018

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“…Some older people in nursing homes are not as lucky. For example, one study showed older people in a nursing home felt they did not possess complete free will . Although the residents had choice in many aspects of their lives, such as when to go to bed, this was not true of other activities; for example, when or how they get showered and go to the toilet.…”

Section: Taken From Ransom S (2000) This Table Denotes the Findings mentioning

confidence: 99%

“…For example, one study showed older people in a nursing home felt they did not possess complete free will. 10 Although the residents had choice in many aspects of their lives, such as when to go to bed, this was not true of other activities; for example, when or how they get showered and go to the toilet. The same study identified several barriers to nurses being able to offer a greater range of choice, including perceptions of work from an organizational perspective such as the need to provide meals at specific times.…”

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confidence: 99%

“…The same study identified several barriers to nurses being able to offer a greater range of choice, including perceptions of work from an organizational perspective such as the need to provide meals at specific times. 10 In conclusion, Love in the Time of Cholera offers a number of insights into how and why care for residents in nursing homes could be improved. These insights derive from themes that include the ageing process and the importance of autonomy, relationships, and purpose in life.…”

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confidence: 99%

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The Art of Ageing Well

Davis

Harper

2017

J American Geriatrics Society

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“…These disorders often restrict their activities and ultimately have an inappropriate effect on their daily life (3,5). Maintaining the health of the elderly requires the attention to their health throughout their lifespan, support of lifestyle changes that arise via a variety of occupational, cultural, social, and rehabilitation factors, and an appro-priate environment (6,7). In recent years, the provision of facilities including charities and pensions centers, etc.…”

Section: Introductionmentioning

confidence: 99%

Assessment the Interests of Elderly People Residing in Nursing Homes in Individual Activities

Rasoulzadeh

Mirshoja

Khalili

et al. 2015

Middle East J Rehabil Health

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Background:Aging is a process that happens over the course of human development in the last stage of life, the elderly have individual needs and interests which have been unknown due to differences between generations and lack of knowledge to them. Objectives: The aim of this study was to identify the interests of the elderly in the domain of individual activities to be used by institutions and organizations for planning. Patients and Methods:In this descriptive-analytical study, 80 elderly people in the age group 65 to 85 years residing in eight nursing homes in Tehran, Iran and affiliated with the Welfare Organization were studied. Their interest in three domains of individual activities daily activities, cultural educational affairs, and physical exercises were measured using a questionnaire and Interest Check List taken from Matsutessiu's and Klyczek et al.'s studies. To analyze the data, the frequency percentage, the Chi-square test, and the Fisher test were used with a significance level of 5% as determined via SPSS-18. Moreover, to evaluate the statistical validity of data, cluster analysis was used. Results: Investigation of the elderly people's interests in three domains of individual activities showed the greatest interest in the activities of daily living; elderly of both sexes were interested in putting on makeup up appearance dressing up , going shopping, and dust , while the women were interested in cooking (over 80%). Meanwhile significant difference was seen in the women's and men's interest in driving, cooking,and washing (P = 0.05). In terms of cultural-educational pursuits, both sexes were interested in scientific and religious studies, praying, and listening to lectures. However, men were more interested in historical studies and concert (over 80%). Moreover, a significant difference between the two genders was evident in terms of writing and math calculations (P < 0.05). Both sexes were interested in physical exercise, such as hiking and fitness. A significant difference between the two genders was observed in relation to activities like playing football, swimming, traditional sports, cycling, volleyball, tennis, and basketball (P > 0.001). Conclusions:The results showed that in the domain of individual activities in both sexes, the rates of interest in daily activities, culturaleducational pursuits, and physical exercise were very similar. However, in some cases, there were differences between the two sexes in terms of their interest in specific activities.

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Older people’s experiences of their free will in nursing homes

Abstract: Results may benefit ethical education and promote the ethical quality of older people's care practice and management.

Cited by 47 publications

References 36 publications

Spatial control and care in Finnish nursing homes

Spatial control and care in Finnish nursing homes

The Art of Ageing Well

Assessment the Interests of Elderly People Residing in Nursing Homes in Individual Activities

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