Title

Poster Session - This is my party! Exploring nursing home residents potentiality

Location

Winter Garden

Start Time

16-10-2014 6:00 PM

End Time

16-10-2014 9:00 PM

Abstract

Increasing aging populations, establishes challenges globally regarding the maintenance of a meaningful life of old people in different settings. Everyday life for older adults living in nursing homes (here called residents) is often strongly influenced by their institutional context. Furthermore this context affects residents’ possibilities of influencing and shaping their everyday occupations. Conventional activity programs in nursing home settings have traditionally applied uniform events for all (e.g. chair exercises, ball games, bingo) scheduled to fulfill local policy goals, fit institutional and staff schedules and having little grounding and resonance in the residents’ occupational preferences and interests. This paper presents empirically based knowledge on how actualization of potentiality can be enacted through everyday life events and how the residents negotiate and struggle with the institutional culture in order to have access to meaningful everyday occupations. We use the concept of potentiality(Agamben, 1999; Asaba & Wicks, 2010) based on the understanding that the exercise of latent power might bring about change in everyday life just in orchestration with the context, and that occupations have a pivotal role on this. Contextual aspects can inhibit occupational opportunities, or open up scenarios to play out the residents’ potentiality.

The aim of the study is to explore how participation and potentiality can be unfolded and enacted in everyday occupations within a nursing home context.

The study had an ethnographic design in nursing home settings and used multiple narratives methods(Alsaker, Bongaardt, & Josephsson, 2009; Lawlor & Mattingly, 2001). Preliminary findings shows a strong tension between residents potentiality and the institutional culture, constituting even risk for occupational deprivation 1) Everyday life of the residents is characterized by a struggle between institutional culture multiple values and residents values. 2) Stereotype understandings of meaningful occupation in everyday life are promoted, and 3) the residents experience a lack of continuity from previous meaningful life. 4) Lack of access to different opportunities and resources to acknowledge individual differences in the occupations people want and need to engage in (Stadnyk, Townsend, & Wilcock, 2010).

Conclusively, the actualization of potentiality in everyday life might contribute to empowerment of the residents in institutional setting, however the institutional culture plays a crucial role regarding the actualization of it.

Key words: narrative methods, elderly, institutional culture

References

Agamben, G. (1999). Potentiality: Collected essays in philosophy. California USA: Stanford University Press.

Alsaker, S., Bongaardt, R., & Josephsson, S. (2009). Studying Narrative-in-Action in Women With Chronic Rheumatic Conditions. Qualitative Health Research, 19(8), 1154-1161.

Asaba, E., & Wicks, A. (2010). Occupational Terminology. J Occup Sci, 17(2), 120-124.

Lawlor, M., & Mattingly, C. (2001). Beyond the unobtrusive observer: Reflections on researcher–informant relationships in urban ethnography. American Journal of Occupational Therapy, 55(2), 147-154.

Stadnyk, R., Townsend, E. A., & Wilcock, A. (2010). Occupational justice. In C. Christiansen & E. Townsend (Eds.), Introduction to occupation: The art and science of living (Vol. 2, pp. 329-358).

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Oct 16th, 6:00 PM Oct 16th, 9:00 PM

Poster Session - This is my party! Exploring nursing home residents potentiality

Winter Garden

Increasing aging populations, establishes challenges globally regarding the maintenance of a meaningful life of old people in different settings. Everyday life for older adults living in nursing homes (here called residents) is often strongly influenced by their institutional context. Furthermore this context affects residents’ possibilities of influencing and shaping their everyday occupations. Conventional activity programs in nursing home settings have traditionally applied uniform events for all (e.g. chair exercises, ball games, bingo) scheduled to fulfill local policy goals, fit institutional and staff schedules and having little grounding and resonance in the residents’ occupational preferences and interests. This paper presents empirically based knowledge on how actualization of potentiality can be enacted through everyday life events and how the residents negotiate and struggle with the institutional culture in order to have access to meaningful everyday occupations. We use the concept of potentiality(Agamben, 1999; Asaba & Wicks, 2010) based on the understanding that the exercise of latent power might bring about change in everyday life just in orchestration with the context, and that occupations have a pivotal role on this. Contextual aspects can inhibit occupational opportunities, or open up scenarios to play out the residents’ potentiality.

The aim of the study is to explore how participation and potentiality can be unfolded and enacted in everyday occupations within a nursing home context.

The study had an ethnographic design in nursing home settings and used multiple narratives methods(Alsaker, Bongaardt, & Josephsson, 2009; Lawlor & Mattingly, 2001). Preliminary findings shows a strong tension between residents potentiality and the institutional culture, constituting even risk for occupational deprivation 1) Everyday life of the residents is characterized by a struggle between institutional culture multiple values and residents values. 2) Stereotype understandings of meaningful occupation in everyday life are promoted, and 3) the residents experience a lack of continuity from previous meaningful life. 4) Lack of access to different opportunities and resources to acknowledge individual differences in the occupations people want and need to engage in (Stadnyk, Townsend, & Wilcock, 2010).

Conclusively, the actualization of potentiality in everyday life might contribute to empowerment of the residents in institutional setting, however the institutional culture plays a crucial role regarding the actualization of it.

Key words: narrative methods, elderly, institutional culture