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Shifting between self-governing and being governed: a qualitative study of older persons' self-determination

Hammar, Isabelle Ottenvall; Dahlin-Ivanoff, Synneve LU ; Wilhelmson, Katarina and Eklund, Kajsa (2014) In BMC Geriatrics 14.
Abstract
Background: Older persons' right to exercise self-determination in daily life is supported by several laws. Research shows that older persons' self-determination is not fully respected within the healthcare sector. In order to enable and enhance older persons' self-determination, extensive knowledge of older persons' self-determination is needed. The aim of this study was to explore experiences of self-determination when developing dependence in daily activities among community-dwelling persons 80 years and older. Methods: Qualitative interviews were performed in accordance with a grounded theory method, with 11 persons aged 84-95 years who were beginning to develop dependence in daily activities. Results: The data analysis revealed the... (More)
Background: Older persons' right to exercise self-determination in daily life is supported by several laws. Research shows that older persons' self-determination is not fully respected within the healthcare sector. In order to enable and enhance older persons' self-determination, extensive knowledge of older persons' self-determination is needed. The aim of this study was to explore experiences of self-determination when developing dependence in daily activities among community-dwelling persons 80 years and older. Methods: Qualitative interviews were performed in accordance with a grounded theory method, with 11 persons aged 84-95 years who were beginning to develop dependence in daily activities. Results: The data analysis revealed the core category, "Self-determination - shifting between self-governing and being governed". The core category comprised three categories: "Struggling against the aging body", "Decision-making is relational", and "Guarding one's own independence". Self-determination in daily activities was related to a shifting, which was two-fold, and varied between self-governing and being governed by the aging body, or by others. Conclusions: The findings imply a need to adopt a person-centered approach where the older persons' own preferences and needs are in focus, in order to enhance their possibilities to exercise self-determination. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Aged 80 and over, Activities of daily living (ADL), Decision-making, Grounded theory, Sweden
in
BMC Geriatrics
volume
14
publisher
BioMed Central
external identifiers
  • wos:000346032300001
  • scopus:84964315489
ISSN
1471-2318
DOI
10.1186/1471-2318-14-126
language
English
LU publication?
yes
id
2eec20b8-813b-4007-9d09-c75a39cf1f45 (old id 4962700)
date added to LUP
2015-02-03 07:03:35
date last changed
2017-06-11 04:17:20
@article{2eec20b8-813b-4007-9d09-c75a39cf1f45,
  abstract     = {Background: Older persons' right to exercise self-determination in daily life is supported by several laws. Research shows that older persons' self-determination is not fully respected within the healthcare sector. In order to enable and enhance older persons' self-determination, extensive knowledge of older persons' self-determination is needed. The aim of this study was to explore experiences of self-determination when developing dependence in daily activities among community-dwelling persons 80 years and older. Methods: Qualitative interviews were performed in accordance with a grounded theory method, with 11 persons aged 84-95 years who were beginning to develop dependence in daily activities. Results: The data analysis revealed the core category, "Self-determination - shifting between self-governing and being governed". The core category comprised three categories: "Struggling against the aging body", "Decision-making is relational", and "Guarding one's own independence". Self-determination in daily activities was related to a shifting, which was two-fold, and varied between self-governing and being governed by the aging body, or by others. Conclusions: The findings imply a need to adopt a person-centered approach where the older persons' own preferences and needs are in focus, in order to enhance their possibilities to exercise self-determination.},
  articleno    = {126},
  author       = {Hammar, Isabelle Ottenvall and Dahlin-Ivanoff, Synneve and Wilhelmson, Katarina and Eklund, Kajsa},
  issn         = {1471-2318},
  keyword      = {Aged 80 and over,Activities of daily living (ADL),Decision-making,Grounded theory,Sweden},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Geriatrics},
  title        = {Shifting between self-governing and being governed: a qualitative study of older persons' self-determination},
  url          = {http://dx.doi.org/10.1186/1471-2318-14-126},
  volume       = {14},
  year         = {2014},
}