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In-home care to community-dwelling s...

Gantert, Thomas W.

In-home care to community-dwelling seniors: An exploration of care relationships and social interactions.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	In-home care to community-dwelling seniors: An exploration of care relationships and social interactions./
作者:	Gantert, Thomas W.
面頁冊數:	284 p.
附註:	Source: Dissertation Abstracts International, Volume: 68-09, Section: B, page: 5857.
Contained By:	Dissertation Abstracts International68-09B.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=NR30809
ISBN:	9780494308097

In-home care to community-dwelling seniors: An exploration of care relationships and social interactions.
Gantert, Thomas W.

In-home care to community-dwelling seniors: An exploration of care relationships and social interactions. - 284 p.

Source: Dissertation Abstracts International, Volume: 68-09, Section: B, page: 5857.

Thesis (Ph.D.)--The University of Western Ontario (Canada), 2007.

Background. Both the direction toward implementation of more empowering, client-centred care and the increasing complexity of care required by community-dwelling seniors invite the use of team-oriented approaches for health care service delivery. However, implementation of approaches of this nature has not always been successful. Therefore, greater understanding of how family caregivers of senior clients perceive their relationships with providers and of the social interactions of all those involved in care delivery is needed. Purpose. The purpose of this dissertation was to address senior clients' and family caregivers' perceptions of relationship-building with in-home providers and the social interactions of the entire health care team. Research questions. Two research questions were posed: (a) How do senior clients and family caregivers perceive relationship-building with in-home providers? and (b) How do health care team members interact during the provision of in-home services to community-dwelling seniors? Methodology. To answer the first question, two parallel interpretive phenomenological investigations were conducted with purposeful samples of seniors (n=15) and family caregivers (n=11) respectively. Semi-structured in-depth interviews and immersion/crystallization analysis were used to elicit the findings. To answer the second question, grounded theory was used with a purposeful sample of seniors (n=8), family caregivers (n=4) and health care personnel (n=56). Semi-structured in-depth interviews, participant observation and constant comparative analysis were used to elicit the findings. Findings. Findings from the first study revealed that seniors perceived relationship-building with their home care providers as one that evolved from an experience of resignation to one of building and maintaining bonds. Findings from the second study revealed that family caregivers perceived relationship-building with in-home providers as a dynamic process that progressed from reluctance to one of finding ways to work together. Findings from the third study revealed that social interactions amongst those involved with in-home delivery constituted "getting home care done" through varying degrees of "connecting", "relating" and "manoeuvring". Implications. These findings illuminate senior clients' and family caregivers' potential as partners in care and invites providers to attend to relationship-building efforts with all those involved in the provision of in-home care. Implications for practice, education and research are discussed.

ISBN: 9780494308097Subjects--Topical Terms:

168436
Gerontology.

In-home care to community-dwelling seniors: An exploration of care relationships and social interactions.
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