The meaning of vulnerability to older persons

2014 ◽  
Vol 23 (4) ◽  
pp. 372-383 ◽  
Author(s):  
Anneli Sarvimäki ◽  
Bettina Stenbock-Hult

Background: Vulnerability is an important concept in nursing and nursing ethics. Vulnerability and ageing have generally been associated with frailty, which gives a limited view of both vulnerability and ageing. Objective: The aim of this study was to illuminate the meaning of vulnerability to older persons themselves. Research design: A qualitative design based on interpretive description was adopted. The data were collected by interviews that were analysed by qualitative content analysis as interplay between analysis, interpretation and meaning construction. Participants and research context: In total, 14 older persons aged 70–96 years were interviewed, 2 men and 12 women. Some of the participants lived in their own homes, some in service houses and some in nursing homes. Ethical considerations: The ethical principles of informed consent, confidentiality and non-identification were respected. Findings: The core meaning was a deeper sense of vulnerability as you grow old. This was expressed in six themes: Being easily harmed, Becoming an old person, Being an old person in society, Reactions when being violated and hurt, Protection and Vulnerability as strength. Discussion and conclusion: The themes include frailty and threats to the dignity of older persons and also capacity to feel and develop. The results showed that although the frailty perspective dominated, vulnerability also had positive meanings for the older persons.

2020 ◽  
pp. 1-19
Author(s):  
Agnė Lisauskaitė

This research investigates the semantics and the structure of the constructions with the verb eiti ‘to go’ extracted from the old Lithuanian written texts, dating back to the 16th century. It aims to examine the meanings and the structure of the constructions that contain the motion verb eiti ‘to go’ within their structure. There is a considerable body of research investigating various aspects of motion verbs in different languages of the world, including Lithuanian. However, no studies have so far targeted constructions with the verb eiti ‘to go’, found in the 16th century Lithuanian writings. The present study is based on the qualitative content analysis, quantitative analysis, and frame semantics methodology. The concordances of the Lithuanian texts have been filtered out from the Database of Old Writings digitalised by the Institute of the Lithuanian Language. The examples were taken from Martynas Mažvydas’ Katekizmas (MžK) and Forma krikštymo (MžF), Jonas Bretkūnas’ Biblija (BB), Giesmės Duchaunos (BG), Kancionalas (BKa) and Kolektos (BKo), Mikalojus Daukša’s Katekizmas (DK) and Postilė (DP).The frames of Motion, State, Law, Eternity, Service, Opposition, Law, etc., evoked by the selected constructions, were examined using the frame semantics (FrameNet Project). The research has shown that the current constructions with the motion verb eiti ‘to go’ can form the core of the mentioned frames. The observation that has emerged from this analysis is that some meanings of the analysed constructions are conserved in the current Lithuanian language while others have already disappeared. This work could be useful for historical linguists.


2019 ◽  
Vol 15 (2) ◽  
pp. 121-130 ◽  
Author(s):  
Jessica Saniguq Ullrich

This article draws on Indigenous literature to develop a conceptual framework that makes visible Indigenous child wellbeing. A process of qualitative content analysis identified and examined the core concepts and mechanisms of Indigenous wellbeing. Central to the framework is the concept of connectedness. The premise of this article is that deepening our understanding of Indigenous connectedness can assist with the restoration of knowledge and practices that promote child wellbeing. When children are able to engage in environmental, community, family, intergenerational and spiritual connectedness, this contributes to a synergistic outcome of collective wellbeing. The Indigenous Connectedness Framework may be particularly useful to Indigenous communities that directly serve children. The hope is that communities can adapt the Indigenous Connectedness Framework to their particular history, culture, stories, customs and ways of life.


2019 ◽  
Vol 27 (1) ◽  
pp. 116-126 ◽  
Author(s):  
Fateme Mohammadi ◽  
Hadise sadate Tabatabaei ◽  
Farzaneh Mozafari ◽  
Mark Gillespie

Introduction: Dignified care is one of the moral responsibilities of professional caregivers. However, in many cases the dignity of hospitalized patients, especially women in the delivery room, is not maintained. Dignity is an abstract concept and there has been no previous research exploring the dignity of pregnant women in the delivery room in Iran. Objectives: The objective of this study is to define and explain the concept of dignity for pregnant women in the delivery room from the perspectives of professional caregivers. Research design: This is qualitative research. The data were collected through in-depth semi-structured individual interviews. The conventional content analysis method was used to analyze the data. In qualitative content analysis, participant narrative is examined in-depth and sorted into categories and themes. Participants and research context: Potential participants who met the entrance criteria for this study were approached between July 2016 and February 2017. In all, 20 professional caregivers working in the delivery room setting within Iranian general hospitals were invited to participate in the study. The sampling was done through targeted sampling until saturation was achieved. Ethical considerations: The research ethics committee of the Shiraz University of Medical Sciences has approved the study’s protocol and all commonly recognized ethical principles were followed throughout the study. Findings: The findings of this study were presented in three main themes, including “privacy,” “respecting patients’ preferences,” and “comprehensive attention” and eight categories. Discussions and conclusion: Women in the delivery room need to be taken care of in an environment where healthcare staff promote the preservation of dignity through maintaining privacy, by providing attentive care and through ensuring that patient preferences regarding care and treatment are respected. In such an environment, the dignity of these women would be maintained and desirable outcomes achieved.


2020 ◽  
Vol 27 (6) ◽  
pp. 1377-1395
Author(s):  
Bodil Holmberg ◽  
Ingrid Hellström ◽  
Jane Österlind

Background: Many frail older persons who die in Swedish nursing homes need assisted bodily care. They must surrender their bodies to the authority of assistant nurses, which may affect their autonomy and dignity of identity. While assistant nurses claim to support older persons’ wishes, older persons claim they have to adapt to assistant nurses' routines. The provider–receiver incongruence revealed here warrants investigation. Aim: To describe the elements of assisted bodily care, as performed in a nursing home. Research design: Data were collected through thirty-nine observations of assisted bodily care, analyzed with qualitative content analysis. Participants and research context: Seventeen older persons and twenty-two assistant nurses from a Swedish nursing home. Ethical considerations: The research was conducted in line with the Declaration of Helsinki, further approved by the regional ethics committee. Findings: Findings show that assisted bodily care consists of assistant nurses’ practical work, performed at a high tempo. Assistant nurses still attempt to adapt this work to the older persons’ wishes for self-determination, taking into account their day-to-day state of health. In spite of time pressure and occasional interruptions, there is room for consideration and affection in assisted bodily care. Discussion: Assistant nurses try to promote older persons’ dignity of identity, but sometimes fail, possibly due to lack of time. They nevertheless seem to know the older persons well enough to adapt the assisted bodily care according to their preferences and to support self-determination. This indicates that openness to older persons’ lifeworlds may be more important than the amount of time available. Conclusion: Nursing home contexts might benefit from adopting a person-centered palliative care perspective, highlighting the value of relationships and shared decision-making. If so, older persons and assisted nurses could agree on practices and goals in assisted bodily care beforehand. Such routines may be time-saving and beneficial to all.


Kalbotyra ◽  
2021 ◽  
Vol 74 ◽  
pp. 49-71
Author(s):  
Ana-Maria Cozma

This paper addresses the issue of polysemy, and more precisely of multiple meanings in the case of the words francophonie/francophone from the perspective of argumentative semantics. The aim of the paper is to examine the mechanisms that account for the multiple meanings of francophonie/francophone, i.e. the semantic and discursive mechanisms involved in the (re)construction of lexical meaning as the words occur in discourse. The data analysed in this paper consists of a set of discourse fragments about francophone identity, discourses that vary according to the speaker, the geographical location and the media support. The study is carried out within the framework of the SAP theory (Semantics of Argumentative Possibilities), following a procedure based on a pre-built reference meaning – i.e. a description of the argumentative potential of the lexeme – that will be used when analysing the discursive occurrences. First, the paper briefly presents the SAP theory and the pre-built reference meaning of the lexemes francophonie/francophone (described in terms of core-elements, stereotypes and argumentative possibilities). It then illustrates several discursive mechanisms of meaning construction. The analysis highlights a series of meaning construction mechanisms: transgressive activation of the argumentative potential, reconfiguration by scission of the core-elements or by deletion of one of the elements, modality addition, transgressive reconstruction of the core meaning, and finally core circularity. Thus, the paper indicates, from the perspective of argumentative semantics, that the multiple meanings of the words francophonie/francophone, i.e. the various semantic configurations attached to these words, can be seen as reconfigurations of a single lexical meaning.


Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 115 ◽  
Author(s):  
Andreas Rantala ◽  
Anton Ingoldsson ◽  
Eva I Persson

The concept of person-centred care (PCC) is considered one of the core competencies in Swedish healthcare. It has increasingly spread and involves treating the patient as a person who is decision-competent and part of the team. The PCC concept has been introduced in the Swedish Ambulance Service setting, but as there has been no previous research on PCC in this context, the aim of the present study was to illuminate ambulance clinicians’ experiences of the introduction of PCC in a Swedish Ambulance Service setting. Data collection took the form of interviews with 15 ambulance clinicians in the southernmost part of Sweden. Qualitative content analysis was employed to analyse the interviews, wherein two categories emerged: organisational perspective and contextual culture. The latent meaning was interpreted as the theme: Seeing the individual in need of care as a person instead of a patient. In conclusion, the concept of PCC was considered a barrier and there was some resistance to its introduction. While PCC enhanced the ambulance clinicians’ stance, e.g., when initiating a caring relationship and encouraging the patient to participate in her/his care, it was also described as a catchphrase that is not applicable to the Ambulance Service as it contributes nothing new to the standard of treatment.


2016 ◽  
Vol 9 (5) ◽  
pp. 158 ◽  
Author(s):  
Jahangir Yadollahi Farsi ◽  
Pouria Nouri ◽  
Abdolah Ahmadi Kafeshani

<p>Opportunities are the core of entrepreneurial process. By identifying, evaluating and exploiting lucrative opportunities, not only do entrepreneurs make profits for themselves, they also propel their societies to prosperity. In order to exploit opportunities, entrepreneurs need to make various decisions based on their evaluation of opportunities as well as their own capabilities. Most of the time, theses decision are made under reverse circumstances rife with uncertainty, ambiguity, lack of needed resources as well as high time pressure. Thus, it seems reasonable to hypothesize that entrepreneurs’ decisions to exploit opportunities are prone to decision making biases. In order to test this hypothesis, this paper conducted a qualitative content analysis approach by interviewing 17 Iranian entrepreneurs. According to our findings, overconfidence, escalation of commitment, planning fallacy and illusion of control are the common decision making biases in entrepreneurs’ decisions to exploit opportunities.</p>


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