scholarly journals Power, empowerment, and person-centred care: using ethnography to examine the everyday practice of unregistered dementia care staff

2017 ◽  
Vol 39 (2) ◽  
pp. 227-243 ◽  
Author(s):  
Kezia Scales ◽  
Simon Bailey ◽  
Joanne Middleton ◽  
Justine Schneider
2018 ◽  
Vol 39 (11) ◽  
pp. 2502-2519 ◽  
Author(s):  
Grant Gibson ◽  
Claire Dickinson ◽  
Katie Brittain ◽  
Louise Robinson

AbstractAssistive technologies (ATs) are being ‘mainstreamed’ within dementia care, where they are promoted as enabling people with dementia to age in place alongside delivering greater efficiencies in care. AT provision focuses upon standardised solutions, with little known about how ATs are used by people with dementia and their carers within everyday practice. This paper explores how people with dementia and carers use technologies in order to manage care. Findings are reported from qualitative semi-structured interviews with 13 people with dementia and 26 family carers. Readily available household technologies were used in conjunction with and instead of AT to address diverse needs, replicating AT functions when doing so. Successful technology use was characterised by ‘bricolage’ or the non-conventional use of tools or methods to address local needs. Carers drove AT use by engaging creatively with both assistive and everyday technologies, however, carers were not routinely supported in their creative engagements with technology by statutory health or social care services, making bricolage a potentially frustrating and wasteful process. Bricolage provides a useful framework to understand how technologies are used in the everyday practice of dementia care, and how technology use can be supported within care. Rather than implementing standardised AT solutions, AT services and AT design in future should focus on how technologies can support more personalised, adaptive forms of care.


Author(s):  
Ingeborg Lunde Vestad ◽  
Petter Dyndahl

Processes of musical canonization occur at different levels of culture and society. People have a strong propensity to categorize, differentiate, and evaluate the music that is important to them, and music is ascribed value in action by people in real-life settings. Based in these premises, the article discusses two questions: First, how does the idea of a canon of children’s music influence the daily musical activities and repertoires used in children’s day care facilities and family homes? Second, in what ways is music legitimized in the everyday lives of children? Our data is collected by observation and interviews conducted in two pedagogical day care facilities and nine family homes. Children, day care staff and parents participated in the study. We find that a discussion of canonization in children’s music along the following four paths of legitimation is meaningful: the “good, old stuff,” the need for renewal, the inclusion of other types of music other than that aimed at a child audience, and the need for a wide array of genres and sentiments. Finally, we argue that although the legitimation and canonization in children’s music obviously involve considerations of musical aspects, separating these canonization processes from the prevailing socio-cultural ideas of childhood and children’s best interest is impossible.  


Author(s):  
Jeremy Holmes

Despite many splits and schisms, dating back to Adler and Jung's early break with Freud, there has been an enduring attempt within psychoanalysis to hold to a central psychodynamic vision and to find common ground between differing theoretical and clinical approaches. The aim of this chapter is to describe the work of some of the major figures who have extended and developed Freud's ideas, pointing to areas of both conflict and convergence, and, wherever possible, to relate their concepts to the everyday practice of psychiatry.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S3-S3
Author(s):  
Jenny Inker ◽  
Christine J Jensen ◽  
Sonya Barsness

Abstract Effective training is critical to providing quality care in long-term care environments, where many residents have dementia. Training has been linked to positive resident care outcomes and improved job satisfaction of staff. The aim of this study was to develop, pilot, and evaluate a Microlearning training curriculum, using short (5-10 minute) “bursts” of training available through an online platform on demand (i.e. 24/7). The expected outcomes were to improve staff knowledge, attitudes, and skills regarding person-centered dementia care and to increase job satisfaction. Researchers translated the Centers for Medicare and Medicaid Hand-in-Hand training curriculum into 52 weekly Microlearning lessons delivered via an online platform (accessible by computer, IPad or smart phone) followed by a short quiz. Using pre- and post-tests, nine focus groups, and fourteen telephone interviews, the researchers engaged with a convenience sample of staff (N = 244) working at all levels from direct care to leadership in nine nursing homes in Virginia. Pre- and post-tests comprised items from the Dementia Attitudes Scale and the Nursing Home Nurse Aide Job Satisfaction Scale. Results from a between subjects t-test demonstrated significant improvements in attitudes to people with dementia. Focus groups and interviews revealed high satisfaction with the training with a significant majority agreeing it was a helpful way to learn and that they were able to apply what they had learned to caring for residents. This pilot demonstrates a promising new practice for training long-term care staff. Further research using a control group receiving usual training is indicated.


2000 ◽  
Vol 23 (1) ◽  
pp. 22 ◽  
Author(s):  
Sue M Wilson

Despite a substantial increase in midwifery research since the early 1990s, there remains alack of available research into the everyday practice of midwives. In general, hospitals arestriving to reduce costs and increase efficiencies, so many hospital-based midwives are beingexposed to hospital restructuring processes. The primary purpose of my research was to learnabout the work patterns of hospital midwives during organisational redesign. A largeBrisbane hospital, as part of its hospital-wide organisational redesign plan, merged twopostnatal wards to create a new, larger unit. With this amalgamation, the ward midwiveswere exposed to several service delivery changes. Midwifery work patterns during thisorganisational change revealed a milieu characterised by a culture of busyness. The impactof change introduced ritual and personal elements that influenced midwifery work patterns.


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