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lluminating Meanings of Thriving for Persons Living in Nursing Homes
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0001-6595-6298
Umeå University, Faculty of Medicine, Department of Nursing. Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Sweden.
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.ORCID iD: 0000-0002-8107-2860
Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health – AgeCap, University of Gothenburg, Sweden; School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.ORCID iD: 0000-0002-6187-0929
2019 (English)In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background and Objectives: Thriving has been described as a multidimensional concept that can be used to explore place-related well-being; however, there has been limited research into the meaning of thriving in aged care. This study aimed to illuminate meanings of thriving as narrated by persons living in nursing homes.

Research Design and Methods: Narrative interviews were conducted with 21 persons residing in a rural Australian nursing home. The interviews were audio-recorded, transcribed, and interpreted using a phenomenological hermeneutic approach.

Results: Meanings of thriving could be understood as: Striving toward acceptance of being in a nursing home while maintaining a positive outlook; Feeling supported and cared for while maintaining a sense of independence; Balancing opportunities for solitude and company while living with others; and, Feeling a sense of home while residing in an institutional environment. The meanings of thriving, as presented through the interpretive lens of Gaston Bachelard’s “Poetics of Space,” encompassed having access to literal, metaphorical, and symbolic doors, as well as having the freedom to open, close, and use these doors however the person wishes.

Discussion: Exploring meanings of thriving in nursing homes could contribute towards understanding and implementing positive life-world constructs in research and practice. These findings could be used to inform and enhance person-centered care practices by maximizing opportunities for persons residing in nursing homes to have options and choices, and the agency to make decisions where possible, in relation to their everyday care and living environment.

Place, publisher, year, edition, pages
Oxford University Press, 2019.
Keywords [en]
Nursing, Phenomenology, Hermeneutics, Thriving, Well-being, Nursing home, Long-term care, Bachelard
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-165627DOI: 10.1093/geront/gnz142OAI: oai:DiVA.org:umu-165627DiVA, id: diva2:1374590
Available from: 2019-12-02 Created: 2019-12-02 Last updated: 2019-12-11

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