Interpretations of person-centered dementia care: Same retoric, different practices?: A comparative study of nursing homes in England and Sweden.
2016 (English)In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, no 38, 70-80 p.Article in journal (Refereed) Published
Using ethnographic data collected from nursing homes in England and Sweden, this articleanalyzes how a person-centered approach to dementia care has been interpreted in two differentcontexts. Based on typical elements of person-centered care identified in previous research, theanalysis examines environmental changes and the way care is performed. A discourse of personcenteredcare is articulated at both nursing homes, which aim to create a good environment andcare practice for people with dementia. Although we found similarities in how good care wasunderstood at the two homes, we also found important differences. The results point by to twotypes of care atmospheres, such that cheerfulness and activity are underlined at the English homeand calmness at the Swedish home. Differences in the environments and practices of a personcenteredapproach can be related to how ways of giving care in the two homes accentuate twodifferent symptoms of dementia. In the English home, the problem of a shrinking world wasstressed and the solution was stimulation. At the Swedish home, problems of agitation andanxiety were stressed and the solution was calmand quiet. These differences are discussed in thelight of the role of national policy, resources and the organization of work, which can partly clarifywhy some aspects of what is good care for persons with dementia are underscored in a specificcontext and not in others.
Place, publisher, year, edition, pages
2016. no 38, 70-80 p.
person-centered care, nursing home, materiality, care work
IdentifiersURN: urn:nbn:se:uu:diva-296305OAI: oai:DiVA.org:uu-296305DiVA: diva2:937265