On sources of powerlessness in nursing home life

Authors

  • Anne E.M. Nyström RN Dipl Nurs Ed,

    Corresponding author
    1. Teacher and Research Assistant, Department of Nursing, Gothenburg College of Health and Caring Sciences, and Doctoral Student, Department of Primary Health Care, Faculty of Medicine, University of Gothenburg
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  • Kerstin M. Segesten RN Dipl Nurs Ed MScN PhD

    1. Assistant Professor, Department of Nursing, Gothenburg College of Health and Caring Sciences, and Department of Primary Health Care, Faculty of Medicine, University of Gothenburg, Sweden
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Anne E.M.Nyström, Gothenburg College of Health and Caring Sciences, Bilelrudsgatan I, 41675 Gothenburg, Sweden.

Abstract

As feelings of identity and integrity are important for old people's efforts to maintain a healthy life, experiences of powerlessness ought to be prevented. This paper describes sources of powerlessness in nursing home life. Participant observations regarding lucid, elderly patients were undertaken in two Swedish nursing home wards. The observations focused on interactions on the wards, observed patient reactions and structuraVfunctiona1 conditions of life on the wards. The constant, comparative analysis searched for events or conditions which seemed to result in reactions signifying positive or negative experiences. Tender, loving care, strong cohesion and affection between patients and personnel were typical of the observations, yet patients complained of imprisonment, powerlessness and hopelessness. Observations are reported as related to legitimate, reward, expert, informational and reference power, self-confidence/respect and socialization. Also existential sources of powerlessness were identified. It is concluded that many factors co-operate to create feelings of powerlessness in the patients. Empowerment measures are suggested on organizational, interactional and personal levels.

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