The role of self-determination needs and sense of home

Soleimani, Maryam; Gharehbaglou, Minou

doi:10.1007/s10901-020-09804-x

Cited by 5 publications

(4 citation statements)

References 38 publications

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“…However, some physicians felt that physicians should not think about whether the patient felt at home, since changes to the home space were sometimes considered necessary to maintain quality care. Autonomy over the home space has been defined as fundamentally affecting the sense of home [44], which might be disturbed when home health care providers enter or expand their role in the older patient's home [43]. The need to address the older person's autonomy and way of living in the provision of health care in the MICM is therefore of significance to not disturb the sense of home and to strive for person-centered care, which the MICM aims to provide.…”

Section: Discussionmentioning

confidence: 99%

The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study

et al. 2022

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Background An increasing older population, along with the organizational principle of remaining at home, has moved health care from institutions into the older person’s home, where several health care providers facilitate care. The Mobile Integrated Care Model strives to provide cost-efficient, coherent, person-centered health care in the home. In the integrated care team, where the home health care physician is the medical authority, several health care professions work across organizational borders. Therefore, the aim of this study was to describe Home Health Care Physicians perceptions of working and providing health care in the Mobile Integrated Care Model, as well as perceptions of participating in and forming health care. Methods A phenomenographic qualitative study design, with semi-structured interviews using an interview guide. Results Working within Mobile Integrated Care Model was a different way of working as a physician. The physicians’ role was to support the patient by making safe medical decisions. Physicians described themselves as a piece in the team puzzle, where the professional knowledge of others was crucial to give quality health care. Being in the patients’ homes was expressed as adding a unique dimension in the provision of health care, and the physicians learned more about the patients by meeting them in their homes than at an institution. This aided the physicians in respecting patient autonomy in medical decision making, even though the physicians sometimes disregarded patient autonomy in favor of their own medical experience. There was a divided view on next of kin participation among the home health care physicians, ranging from always including to total absence of involving next of kin in decision making. Conclusions The home health care physicians described the Mobile Integrated Care Model as the best way to work, but there was still a need for additional resources and structure when working in different organizations. The need for full-time employment, additional time or hours, more equipment, access to each other’s medical records, and additional collaboration with other health care providers were expressed, which could contribute to increased work satisfaction and facilitate further development of person-centered care in the Mobile Integrated Care Model.

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Section: Discussionmentioning

confidence: 99%

The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study

et al. 2022

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“…Besides housing material dimensions, a symbolic dimension representing it as a place of refuge appears to be fundamental for acknowledging the sense of identity, attributing meaning to the environment and, intertwined, for the sense of self (Otavova et al, 2022). According to Soleimani and Gharehbaglou (2021), "home" provides ontological security, a place where one can exercise autonomy and explore identity.…”

Section: Double Precarity and The Sense Of Selfmentioning

confidence: 99%

“…Within contexts of double precarity, the level of one's autonomy related to housing and home, seems, besides entangled, heavily threatened. Therefore, it can be hypothesized that one's sense of self is, also, threatened; living in poor housing or in a poor neighborhood environment not only install chronic stress and personal dissatisfaction (affecting physical and mental health) (Otavova et al, 2022) but also undermines healthy interactions with environments (Soleimani & Gharehbaglou, 2021). Therefore, when tackling double precarity, we need to consider that we are not only tackling housing and household economic stability, but we are also tackling individuals' ability to develop their identity and meaningful lives.…”

Section: Double Precarity and The Sense Of Selfmentioning

confidence: 99%

Psychosocial exposome and double precarity as emergent concepts for an old story

Santos,

Sousa

2023

The Psychologist: Psychologist Practice & Research

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Psychosocial exposome is presented as a novel integrative concept, stressing out the relevance of individual unique physical and psychological caracteristics and how these interact with a multitude of global (e.g., pandemics, climate change, war, etc.) and proximal (e.g., family, individuals' health conditions, socio-economic status, etc.) challenges, at different moments of the life cycle. Double precarity (precarious housing and employment) is highlighted as a highly relevant marker of psychosocial exposome due to its close relationship with decision making and mental health. Despite not being a new phenomenon, double precarity has been recently recognized also as a main health-related determinant, especially when considering the Portuguese (and international) economical crises, associated with global threats. Evidence-based science addressing individual and plublic health is crucial for mitigating the negative effects of enduring scenarios of double precarity as a relevant component of the psychosocial exposome.

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“…It is common knowledge that undesirable life changes may have detrimental consequences for the individual (Aldwin and Stokols, 1988). People feel protected when they can rely on the constancy and regularity of their routines and environment and, conversely, feel threatened when this sense of order and continuity is destroyed (Giddens, 1991;Soleimani & Gharehbaglou, 2021). Previous research highlighted that players may find refuge in video games during sensitive or stressing life experiences (Iacovides & Mekler, 2019;Kardefelt-Winther, 2014;Kuo et al, 2016).…”

Section: Escaping Into Normality and Uncertaintymentioning

confidence: 99%

Playing during a crisis: The impact of commercial video games on the reconfiguration of people’s life during the COVID-19 pandemic

Boldi

Rapp²,

Tirassa

2022

Human–Computer Interaction

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The COVID-19 pandemic led to dramatic changes in people's lives. The Human-Computer Interaction (HCI) community widely investigated technology use during crises. However, commercial video games received minor attention. In this article, we describe how video game play impacted the life transformations engendered by the pandemic. We administered a qualitative online survey to 330 video game players who were living in Italy during the lockdown measures. We found that the COVID-19 pandemic altered the participants' sense of time and space, reshaped both their intimate and wider social interactions, and elicited a wide spectrum of disturbing emotions. Players escaped from this unsatisfying reality into video game worlds, searching for a new normality that could compensate for the unpredictability and dangerousness of the pandemic life, as well as seeking uncertainty in the game environments to balance the flatness of the lockdown everydayness. In doing so, they "appropriated" the gaming technologies, which also led to several unexpected outcomes. Starting from these findings, we propose a model of escapism that points out four ways to escape from reality into video game worlds. Moreover, we outline some design implications that might inspire future strands of research in the field of crisis technologies.

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The role of self-determination needs and sense of home

Cited by 5 publications

References 38 publications

The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study

The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study

Psychosocial exposome and double precarity as emergent concepts for an old story

Playing during a crisis: The impact of commercial video games on the reconfiguration of people’s life during the COVID-19 pandemic

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