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Seeking exemptions from nursing home routines. Residents’ everyday influence attempts in relation to institutional order

Harnett, Tove LU (2010) In Journal of Aging Studies 24(4). p.292-301
Abstract
Using ethnographic data collected from a Swedish nursing home, this article analyzes residents' everyday or subtle influence attempts relative to the maintenance of institutional routines. Residents' efforts to carve out some autonomy or fulfill personal preferences in everyday matters could be categorized as (1) disruptions, (2) disturbances, or (3) “good matches” relative to ongoing and up-coming nursing home routines. Striking disruptions were often fruitless, while attempts rendered as disturbances were typically postponed or modified. In general, the outcomes of residents' maneuvers were shaped by brief and situational negotiations of whether (and how) temporary exemptions from the institutional order were deemed accountable or not by... (More)
Using ethnographic data collected from a Swedish nursing home, this article analyzes residents' everyday or subtle influence attempts relative to the maintenance of institutional routines. Residents' efforts to carve out some autonomy or fulfill personal preferences in everyday matters could be categorized as (1) disruptions, (2) disturbances, or (3) “good matches” relative to ongoing and up-coming nursing home routines. Striking disruptions were often fruitless, while attempts rendered as disturbances were typically postponed or modified. In general, the outcomes of residents' maneuvers were shaped by brief and situational negotiations of whether (and how) temporary exemptions from the institutional order were deemed accountable or not by the staff. Although the staff sometimes arranged situations in which residents were given some defined or symbolic decision-making authority, the findings of this study show how an inflexible local routine culture can constitute a constraining and only occasionally porous framework for residents' self constructions and everyday life. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Nursing home, Institution, Everyday influence, Negotiation, Routines
in
Journal of Aging Studies
volume
24
issue
4
pages
292 - 301
publisher
Elsevier
external identifiers
  • scopus:77957021059
ISSN
0890-4065
language
English
LU publication?
yes
id
1befa3eb-6ec0-4909-b855-fa55b4fb558a (old id 3045867)
date added to LUP
2016-04-04 07:28:59
date last changed
2023-03-17 10:08:27
@article{1befa3eb-6ec0-4909-b855-fa55b4fb558a,
  abstract     = {{Using ethnographic data collected from a Swedish nursing home, this article analyzes residents' everyday or subtle influence attempts relative to the maintenance of institutional routines. Residents' efforts to carve out some autonomy or fulfill personal preferences in everyday matters could be categorized as (1) disruptions, (2) disturbances, or (3) “good matches” relative to ongoing and up-coming nursing home routines. Striking disruptions were often fruitless, while attempts rendered as disturbances were typically postponed or modified. In general, the outcomes of residents' maneuvers were shaped by brief and situational negotiations of whether (and how) temporary exemptions from the institutional order were deemed accountable or not by the staff. Although the staff sometimes arranged situations in which residents were given some defined or symbolic decision-making authority, the findings of this study show how an inflexible local routine culture can constitute a constraining and only occasionally porous framework for residents' self constructions and everyday life.}},
  author       = {{Harnett, Tove}},
  issn         = {{0890-4065}},
  keywords     = {{Nursing home; Institution; Everyday influence; Negotiation; Routines}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{292--301}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Aging Studies}},
  title        = {{Seeking exemptions from nursing home routines. Residents’ everyday influence attempts in relation to institutional order}},
  volume       = {{24}},
  year         = {{2010}},
}