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Assenting to exposedness - meanings of receiving assisted bodily care in a nursing home as narrated by older persons
Ersta Skondal Bracke Univ Coll, Sweden.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Ersta Skondal Bracke Univ Coll, Sweden.
Ersta Skondal Bracke Univ Coll, Sweden; Umea Univ, Sweden.
Ersta Skondal Bracke Univ Coll, Sweden.
2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 4, p. 868-877Article in journal (Refereed) Published
Abstract [en]

Most older persons moving to a nursing home need to receive assisted bodily care, which means being in a position of vulnerability. However, few studies have explicitly focused on the meanings of receiving assisted bodily care from the older persons perspective. This study aimed to elucidate meanings of receiving assisted bodily care, as narrated by older persons living in a nursing home. Twelve men and women, aged 80 or older, living in a Swedish nursing home, participated in the study. Data were generated by narrative interviews and analysed with a phenomenological-hermeneutical method. The regional ethics committee approved the study. In the analysis, one main theme emerged: Assenting to exposedness. This theme comprised five themes, To have hope in hopelessness, To relinquish ones body into others hands, To be between power and powerlessness, To oscillate between ones own responsibility and demands, To be in an ongoing interaction, and ten subthemes. In conclusion, receiving assisted bodily care means to be exposed, but not passively. Rather, it means to be self-determinant for as long as possible, to perceive the body as lived. When the body must be relinquished to others, it might be objectified, leading to care-suffering. To avoid this, the older persons use a certain competence, acquired through life, to decide when to take action or when to assent. However, this is but one of the several possible interpretations, which may be considered a limitation.

Place, publisher, year, edition, pages
WILEY , 2019. Vol. 33, no 4, p. 868-877
Keywords [en]
assent; assisted bodily care; exposedness; hermeneutics; lifeworld; lived body; nursing home; older persons; phenomenology; self-determination
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-163257DOI: 10.1111/scs.12683ISI: 000505266700012PubMedID: 30888087OAI: oai:DiVA.org:liu-163257DiVA, id: diva2:1390982
Available from: 2020-02-03 Created: 2020-02-03 Last updated: 2020-02-03

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