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Experiences of relocation in dementia care from the perspective of six care workers.

Horttana, Britt Marie; Fahlström, Gunilla and Ahlström, Gerd LU (2011) In International journal of older people nursing 6(2). p.93-101
Abstract
Experiences of relocation in dementia care from the perspective of six care workers. International Journal of Older People Nursing6, 93-101 doi: 10.1111/j.1748-3743.2010.00246.x Background. Relocation of persons with dementia might be considered when quality of care cannot be sustained due to increasing needs. Relocation has been studied from the aspects of mortality and morbidity. Aim. To explore the thoughts and experiences of care workers when relocating a person with dementia within municipal sheltered housing. Method. This qualitative study was conducted in Sweden and based on interviews with six care workers involved in the relocation of two persons with dementia. Latent content analysis was applied. Results. The findings of one... (More)
Experiences of relocation in dementia care from the perspective of six care workers. International Journal of Older People Nursing6, 93-101 doi: 10.1111/j.1748-3743.2010.00246.x Background. Relocation of persons with dementia might be considered when quality of care cannot be sustained due to increasing needs. Relocation has been studied from the aspects of mortality and morbidity. Aim. To explore the thoughts and experiences of care workers when relocating a person with dementia within municipal sheltered housing. Method. This qualitative study was conducted in Sweden and based on interviews with six care workers involved in the relocation of two persons with dementia. Latent content analysis was applied. Results. The findings of one narrative are summarised in the theme 'Walking the tightrope: trying to balance conflicting needs'. In the other narrative the theme 'Balancing closeness and distance' emerged. Eight sub-themes were identified illustrating the relocation time-line. Conclusion. Relocation from the care workers' perspective is a complex process with conflicting values and practical issues that hinder the provision of good care and security. Implications for practice. Supporting next of kin in the relocation decision-making process presupposes time for reflection in dialogue with staff. The risk of moral distress should be observed and support for care workers could be provided in the form of supervision, ethical consultations and local guidelines. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International journal of older people nursing
volume
6
issue
2
pages
93 - 101
publisher
Wiley-Blackwell
external identifiers
  • pmid:21539714
  • scopus:79955596190
ISSN
1748-3743
DOI
10.1111/j.1748-3743.2010.00246.x
language
English
LU publication?
yes
id
ffd7bc47-86a5-427e-aa1d-950f83755d12 (old id 1973193)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21539714?dopt=Abstract
date added to LUP
2011-06-07 14:01:33
date last changed
2017-01-01 07:32:59
@article{ffd7bc47-86a5-427e-aa1d-950f83755d12,
  abstract     = {Experiences of relocation in dementia care from the perspective of six care workers. International Journal of Older People Nursing6, 93-101 doi: 10.1111/j.1748-3743.2010.00246.x Background. Relocation of persons with dementia might be considered when quality of care cannot be sustained due to increasing needs. Relocation has been studied from the aspects of mortality and morbidity. Aim. To explore the thoughts and experiences of care workers when relocating a person with dementia within municipal sheltered housing. Method. This qualitative study was conducted in Sweden and based on interviews with six care workers involved in the relocation of two persons with dementia. Latent content analysis was applied. Results. The findings of one narrative are summarised in the theme 'Walking the tightrope: trying to balance conflicting needs'. In the other narrative the theme 'Balancing closeness and distance' emerged. Eight sub-themes were identified illustrating the relocation time-line. Conclusion. Relocation from the care workers' perspective is a complex process with conflicting values and practical issues that hinder the provision of good care and security. Implications for practice. Supporting next of kin in the relocation decision-making process presupposes time for reflection in dialogue with staff. The risk of moral distress should be observed and support for care workers could be provided in the form of supervision, ethical consultations and local guidelines.},
  author       = {Horttana, Britt Marie and Fahlström, Gunilla and Ahlström, Gerd},
  issn         = {1748-3743},
  language     = {eng},
  number       = {2},
  pages        = {93--101},
  publisher    = {Wiley-Blackwell},
  series       = {International journal of older people nursing},
  title        = {Experiences of relocation in dementia care from the perspective of six care workers.},
  url          = {http://dx.doi.org/10.1111/j.1748-3743.2010.00246.x},
  volume       = {6},
  year         = {2011},
}