Mondaca Margarita, Josephsson Staffan, Borell Lena, Katz Arlene, Rosenberg Lena
a Karolinska Institutet , Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy , SE-14183 , Huddinge.
b Norway University of Technology and Science , Department of Applied Social Sciences, NTNU , NO-7491 , Trondheim , Norway.
Scand J Occup Ther. 2019 Oct;26(6):441-451. doi: 10.1080/11038128.2018.1483426. Epub 2018 Jun 25.
Despite global and local policy frameworks that explicitly aim to privilege participation and active engagement of older adults living in nursing homes, this group often has limited possibilities to engage in occupations and to have influence in their everyday lives.
To explore how older adults' engagement and influence in an occupation can emerge in everyday life in a nursing home setting.
A participatory qualitative approach was applied. Older adults living in a nursing home participated in a Book Club that was created collaboratively between researchers, residents, and the nursing home community.
The analysis identified qualities of altering the boundaries of everyday life and addressing the uncertain conditions for influence and engagement as processes actualized by the residents when engaging in the Book Club. Further analysis identified how these processes involved ordinariness, familiarity, fellowship, and connectedness.
Engagement and influence in occupation in a nursing home is possible when enabling partnerships and resourcefulness among the residents. However, such enablement is not guaranteed and needs to be actively upheld by the nursing home community in order to build practices aligned with policy frameworks of participation.
尽管全球和地方政策框架明确旨在优先考虑养老院老年人的参与和积极参与，但这一群体在参与日常活动以及对自己的日常生活施加影响方面的机会往往有限。
探讨养老院环境中老年人在日常活动中的参与和影响力是如何产生的。
采用参与式定性研究方法。居住在养老院的老年人参加了一个读书俱乐部，该俱乐部是由研究人员、居民和养老院社区共同创建的。
分析确定了改变日常生活界限以及应对影响和参与的不确定条件等特质，这些是居民在参与读书俱乐部时实现的过程。进一步分析确定了这些过程如何涉及平常性、熟悉度、友谊和联系。
当居民之间建立起伙伴关系并发挥创造力时，养老院老年人在日常活动中的参与和影响力是有可能实现的。然而，这种促成并非必然，养老院社区需要积极维护，以建立与参与政策框架相一致的实践。
