'The everlasting trial of strength and patience': transitions in home care nursing as narrated by patients and family members

Efraimsson, Eva Österlund; Höglund, Ingela; Sandman, Per‐Olof

doi:10.1046/j.1365-2702.2001.00539.x

Cited by 30 publications

(43 citation statements)

References 14 publications

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“…As already mentioned in the introduction, when nursing researchers have been researching and analysing phenomena, lived experiences and human nature, they have been inspired by Ricoeur's theory of interpretation, but in quite different ways. When researching lived experiences, nursing researchers have used narratives in many parts of the research process: in data collection (Pedersen 1999; Efraimsson, Hoglund and Sandman 2001 among others), in the interpretation (Pedersen 1999; Rasmussen, Jansson and Norberg 2000; Lindahl, Sandman and Rasmussen 2003; Lindseth and Norberg 2004; Delmar et al. 2006 among others), and as a way of presenting data (Wiklund, Lindholm and Lindstrom 2002 among others).…”

Section: Discussionmentioning

confidence: 99%

Distanciation in Ricoeur's theory of interpretation: narrations in a study of life experiences of living with chronic illness and home mechanical ventilation

2009

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Within the caring science paradigm, variations of a method of interpretation inspired by the French philosopher Paul Ricoeur's theory of interpretation are used. This method consists of several levels of interpretation: a naïve reading, a structural analysis, and a critical analysis and discussion. Within this paradigm, the aim of this article is to present and discuss a means of creating distance in the interpretation and the text structure by using narration in a poetic language linked to the meaning of the text. Ricoeur's 'Hermeneutical function of distanciation' will be introduced, and this concept of distanciation will be illustrated with reference to narrations from a study of patient's life experiences living with chronic illness and home mechanical ventilation in Denmark. Distanciation in the interpretation objectifies the text, and narration in a poetic language creates a particular kind of mediation in the interpretation. That narration represents an interpreted understanding of the whole, which facilitates an appropriate and evocative presentation of the interpreted data. This way of objectifying the text through narration can contribute yet another perspective to Ricoeur's rich and varied theory of interpretation.

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Section: Discussionmentioning

confidence: 99%

Distanciation in Ricoeur's theory of interpretation: narrations in a study of life experiences of living with chronic illness and home mechanical ventilation

2009

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“…, 2002). When older people become dependent on such care, they face many new situations; their private home becomes a public room and they must accept encounters with unknown individuals (Efraimsson et al. , 2001).…”

Section: Introductionmentioning

confidence: 99%

“…According to Strandberg and Jansson (2003), being dependent on care means a miserable loss of self‐determination and self‐esteem, and being exposed to caregivers’ decisions and power. Studies have shown that older people receiving care in their homes were not involved in planning and decisions concerning their own care (Efraimsson et al. , 2001; Millard et al.…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have also pointed to deficiencies in the care of older people offered by the community care services (Walters et al, 2001;Iezzoni et al, 2002). When older people become dependent on such care, they face many new situations; their private home becomes a public room and they must accept encounters with unknown individuals (Efraimsson et al, 2001). According to Strandberg and Jansson (2003), being dependent on care means a miserable loss of self-determination and self-esteem, and being exposed to caregivers' decisions and power.…”

Section: Introductionmentioning

confidence: 99%

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The meaning of good and bad care in the community care: older people’s lived experiences

From¹,

Johansson²,

Athlin³

2009

Int J Older People Nursing

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In spite of a considerable body of research in the past decades on what does or does not constitute good care for older people, there are still few studies addressing this question in which older people narrate their experiences of being dependent on community care. This study was therefore carried out aiming to explore older people's lived experiences of what good and bad care meant to them, when it was offered by community care services. Nineteen older persons in three Swedish communities participated in the study, which used a phenomenological-hermeneutic approach. Data were collected through unstructured interviews and Colaizzi's framework was utilized in the analysis of the data. The key theme arising from the analysis was that of being encountered as a human being by caregivers who, through the provision of safe and secure care, provide opportunities for living life as usual. When any of these circumstances are lacking, bad care will be the consequence. As the general intention in society is to ensure good quality of care to older people as well as others, the findings in our study should have important implications for providers of community care for older people.

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“…Faith in care and treatment is one factor that gives rise to feelings of security among women with chronic heart failure (Burström, Brännström, Boman, & Strandberg, 2011). Patients feel secure when formal caregivers are punctual and skilled, but on the other hand insecure when they received less help than needed (Efraimsson, Höglund, & Sandman, 2001). In our study, the oldest old women felt secure because of received care when necessary and being able to call as needed.…”

Section: Discussionmentioning

confidence: 99%

“Embracing the present and fearing the future”: The meaning of being an oldest old woman in a rural area

Ness

Enmarker

2014

International Journal of Qualitative Studies on Health and Well

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In Western countries, the number of older people receiving home nursing care is increasing, and in rural areas they are at additional risk because of the distance between people and health care facilities. The aim of this study was therefore to illuminate the meaning of being an oldest old woman living alone in a rural area and receiving home nursing care. A sample of 11 oldest old women living in rural areas in the middle of Norway was chosen for this study. Narrative interviews were conducted, and the data were analyzed using the phenomenological hermeneutic method. After a naïve reading and a structural analysis of the text, we identified four themes: being satisfied with life, being thankful, feeling vulnerable, and feeling secure. The comprehensive understanding implied that being an oldest old woman living alone in a rural area meant living in the intersection between embracing the present in solitude and fearing the future with additional declining health. Living in this complex situation meant to enjoy the present, but still fear the future, as the oldest old women knew their present life situations were limited. This challenging emotional situation meant using their inner strength by trying to be optimistic and seeing opportunities in present life, even if losses were many and extensive. By using their inner strength in facing losses and declining health, the oldest old women managed to appreciate aloneness as solitude, and find new meaning in life.

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'The everlasting trial of strength and patience': transitions in home care nursing as narrated by patients and family members

Cited by 30 publications

References 14 publications

Distanciation in Ricoeur's theory of interpretation: narrations in a study of life experiences of living with chronic illness and home mechanical ventilation

Distanciation in Ricoeur's theory of interpretation: narrations in a study of life experiences of living with chronic illness and home mechanical ventilation

The meaning of good and bad care in the community care: older people’s lived experiences

“Embracing the present and fearing the future”: The meaning of being an oldest old woman in a rural area

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