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Centre for Policy on Ageing | |
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Defining roles, relationships, boundaries and participation between elderly people and nurses within the home
— an ethnographic study | | Author(s) | Julie McGarry |
| Journal title | Health and Social Care in the Community, vol 17, no 1, February 2009 |
| Pages | pp 83-91 |
| Source | http://www.blackwellpublishing.com/hsc |
| Keywords | District nurses ; Social roles ; Social interaction ; Psychiatric treatment ; Home nursing ; Qualitative Studies ; Midlands [England]. |
| Annotation | Recently, there has been a marked shift in the location of nursing care in the UK from the hospital setting to the community, and more particularly the home, with older people identified as key recipients of care in this setting. A number of commentators have highlighted the particular situation of older people with regard to care provision, illuminating the often disempowering nature of care interactions between nurses and older people. However, although there is clear evidence from a number of settings that care for older people has been less than optimal, to date there is little comparable evidence available regarding older people's experiences of nursing care in the home environment. This study used an ethnographic approach, incorporating participant observation and semi-structured interviews with 16 community nurses and 13 older people aged 65+ in one Primary Care Trust (PCT) area in the Midlands, the aim being to explore the nature of the care relationship within the home setting. Data were collected over a 1-year period. Three themes emerged: the location of care, the nature of nurse-patient relationships, and the meaning of health and illness. These offer an account of the ways in which roles and relationships are constructed, negotiated and experienced by nurses in older people in the home, illuminating the centrality of relationships between nurses and older people in defining the experiences and perceptions of both groups of the quality of care overall. As the location of care continues to move closer to home, it is crucial that the implicit qualities that are valued within nurse-patient relationships in this context are recognised and made more explicit at both the organisational and policy level. (RH). |
| Accession Number | CPA-090121209 A |
| Classmark | QTG: TM5: TMA: LP: N4: 3DP: 82X |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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