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A concept analysis of home and its meaning in the lives of three older adults
University of Skövde, School of Life Sciences.ORCID iD: 0000-0003-3970-1288
College of Nursing, University of Rhode Island, USA.
2011 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 6, no 1, 4-12 p.Article in journal (Refereed) Published
Abstract [en]

Aim. To identify and define the concept of home and its meaning in the lives of three older women. Background. For many older adults home is the centre of daily life and increasingly important as a place where health care is delivered. Yet, as a concept, home remains theoretically and empirically underdeveloped. Methods. The  Hybrid  Model  of  Concept  Development  was  used  to  interface theoretical  analysis  and  empirical  observation  with  a  focus  on  definition.  A comprehensive, interdisciplinary literature review, semi-structured interviews with three older women and case and cross-case analysis were completed. Results. Interviewees  spoke  of  childhood,  community,  residential,  church  and heavenly homes. Feelings of comfort and security were associated with residential homes,  peace  and  quiet  with  church  homes,  safety  and  pleasure  with  heavenly homes. The experience of home as being taken for granted, unselfconscious and unrecognized, became obvious when one woman tried to consciously establish a sense of being at home in her new residence. Conclusion. No single comprehensive and measurable definition was found. However, three major components were identified (place, relationship and experience) and used to define home as a place to which one is attached, feels comfortable and secure and has the experience of dwelling. Relevance to clinical practice. Every day assumptions about the meaning of home and home as just another place where health care is provided are called into question. Increased awareness and dialogue is needed among health-care providers working with older adults in their homes. Future research needs to explore the impact of home care on the older adult’s meaning of home and its potential impact on recovery.

Place, publisher, year, edition, pages
Blackwell Publishing, 2011. Vol. 6, no 1, 4-12 p.
Keyword [en]
concept analysis, elderly, home, home health care, nursing, older adults
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-4613DOI: 10.1111/j.1748-3743.2010.00207.xPubMedID: 21303459Scopus ID: 2-s2.0-79951861401OAI: oai:DiVA.org:his-4613DiVA: diva2:390237
Available from: 2011-01-21 Created: 2011-01-21 Last updated: 2015-03-17Bibliographically approved
In thesis
1. Older adults' conceptions of home and experiences of living with long-term musculoskeletal pain at home
Open this publication in new window or tab >>Older adults' conceptions of home and experiences of living with long-term musculoskeletal pain at home
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Worldwide there are an increasing number of older adults, many of whom desire to age in place, remaining at home. This makes home increasingly important for health care delivery. Long-term musculoskeletal pain often accompanies old age and is one of the most prevailing and disabling health problems among community dwelling older adults. However, limited research exists on older adults' conceptions of home and their experiences of living with musculoskeletal pain at home. Nurses need this kind of understanding for individualized and holistic care of older adults living at home.

Three studies were conducted. The Hybrid Model for Concept Development was used to define the concept of home and its meaning in the lives of three older women. Home consisted of three components, place, relationship and experience and was defined as a place to which one is attached, feels comfortable and secure and has the experience of dwelling. Secondly, hermeneutical text interpretation was used to understand the experience of home from interviews with six older adults. Home was intimate and integral to one's sense of being and life itself. Participants could not really imagine living without it. There was an underlying tension and fear of being forced to leave home one day. Lastly, qualitative interviews with 19 older adults, phenomenography and content analysis, were used to describe differences and commonalities in the experience of living with long-term musculoskeletal pain at home. Four ways of dealing with daily life were identified: ignore, struggle, adjust and resign. Participants learned how to endure pain in their daily life. Common themes included: taking the pain as it comes, one day at a time; balancing the pain with activity, thoughts and emotions; self talking; trying to be less of a burden to family and others; capturing, enjoying and valuing moments of pleasure. Three major concepts in symbolic interactionism: role, negotiation and meaning making illuminated findings. Increased understanding of home among older adults and the enduring associated with living with long-term musculoskeletal pain may enhance the quality of life at home, preserve and promote the older adult's sense of being at home, health and overall well-being and maximize care and minimize intrusion.

Place, publisher, year, edition, pages
University of Rhode Island, 2012. 289 p.
Keyword
Home, Home health care, Musculoskeletal pain, Nursing, Older adults, Qualitative research
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-7010 (URN)978-91-628-8514-4 (ISBN)
Supervisors
Note

Joint PhD program in nursing. University of Skövde and University of Rhode Island.

Dissertation committee:

Schwartz-Barcott, Donna L.,University of Rhode Island

Burbank, Pat M., University of Rhode Island

Bergh, Ingrid H. E., University of Skövde

Martensson, Lena B., University of Skövde

Coppa, Denise A., University of Rhode Island

Clark, Phillip G., University of Rhode Island

Available from: 2013-01-15 Created: 2013-01-15 Last updated: 2015-03-16Bibliographically approved

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