Browsing by Subject "elderly care"

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  • Mikkola, Tuula (2005)
    Population is aging in Finland and at the same time a need of care for frail old people increases. Many old people receive informal care and assistance from their nearest relatives. If you think about elderly couples, spousal care is often the most common alternative for organising social care at home. Many old people prefer spousal care to formal care. In my study I see care as two-sided interactions. I´m interested in what giving care and receiving care means to the elderly couples in their everyday life? My questions: 1. What meanings wives and husbands assign to the care and their everyday life? 2. What meanings wives and husbands assign to their position as a spouse, care-giver and care-receiver? I have interviewed 11 couples (both wives and husbands = 22 persons) who take care for each other. Most of the care-givers are women (8/11). Care-givers are about 65 -75 years old and care-receivers about 65-83 years old. The caring situation has lasted at least three years. All couples had taken part in a holiday which was arranged by The Association of Care Giving Relatives and Friends in Finland. But only one couple receives home care allowance from the local municipalities. The study is based on a social constructionistic and a discourse analytical view of construction of meanings in human communication.. The interpretation of the spouses speech I have made use of Harvey Sack´s method of Membership Categorization Device (MCD). Care-giving and care-receiving gives many meanings in spouses life. It is natural part of their everyday life. It means feelings, physical and emotional acting and meeting. They are negotiating with each other for "the right care", how to give and to receive care in the right way. Care-receiver wants to be so independent as possible. He/she doesn´t want only be a person who needs care and assistance. Care-giver wants to be a good and responsible carer. They want to live together as a couple and continue their normal life at home. The home means continuity and normality in life. It is the place where they can feel free, independent and autonomic.
  • O’Shea, Mia (Helsingin yliopisto, 2021)
    Objectives. This study sought to investigate factors related to the elicitation of music-evoked autobiographical memories (MEAMs) in healthy aging to improve overall understanding of the phenomenon and to enhance the selection of optimal musical stimuli to be used for the neurological rehabilitation and care of elderly individuals. The characteristic contents of MEAMs of healthy older individuals were also explored. Methods. 113 healthy senior subjects (aged 60 – 86 years) listened to 70 preselected song excerpts and rated each on a 5-point Likert scale in five domains: valence, emotional intensity, arousal, familiarity and autobiographical salience. Correlational and linear mixed model analyses were conducted to discover the relationship between the rated variables. Eighty-one participants additionally chose to verbally describe their MEAMs in further detail. These submitted inserts (n = 2790) were manually categorized and labelled into non-mutually exclusive groups and sub-groups. Results and conclusions. The analyses revealed that all rating variables had statistically significant positive relationships with one another. Valence, emotional intensity, arousal and familiarity all had significant positive effects on the dependent variable autobiographical salience. Thus, in order to maximally evoke MEAMs in healthy elderly individuals, the chosen musical stimuli should be regarded by the listener as being pleasant, emotionally intense, physiologically arousing and familiar. The contents of elderly individuals’ MEAMs often involved music-related activity, such as singing, dancing or listening to music. They also frequently contained details of specific people or locations. Lastly, they often weren’t very temporally specific and memories from adolescence were more common than other life periods.
  • Kurki, Niklas (Helsingin yliopisto, 2021)
    Previous research in political economy has emphasized corporate lobbying as a pathway through which businesses influence government policy. This thesis examines a less-studied mode of influence: private regulation, defined as voluntary efforts by firms to restrain their own business, in the context of Finnish private elderly care. The thesis suggests that profits in elderly care is a particularly controversial policy issue that suffers from market repugnance, defined as a situation where there might be willing suppliers and demanders of certain transactions, but an aversion to those transactions by others restrain or even stop the transactions. Now, this thesis assert that elderly care firms can use modest private regulation as a political strategy to decrease market repugnance and in so doing preempt more stringent government regulations that could hinder profit making. To test this hypothesis, this thesis organized a survey experiment, where university students and young professionals participated. The survey experiment revealed that the subjects reacted to a private regulation initiative (PRI) by firms. When subjects were asked whether profits should be allowed in elderly care, they held more positive views towards profits after exposed to the PRI. The same dynamic also materialized when subjects evaluated whether firms should be allowed to independently determine minimum staffing requirement per elderly. Furthermore, subjects were also more trustful in the prospect that elderly care firms prioritize the health of elderly before profits, after informed with the PRI. The findings in this thesis have potentially significant societal implications particularly in the domain of private sector influence on social- and healthcare policy. Private regulation is a political strategy that firms can use to decrease demand for stringent government regulation. In addition, the results suggest that firms needn’t use a lot of resources to decrease demand for regulation. However, the results also suggest that there is a demand among the public for more socially responsible firms. Even those on the Left are ready to reward firms that display a tangible commitment to responsible conduct with greater freedoms and increased legitimacy. This could ideally nudge firms towards a more responsible and a more societally embedded conduct.
  • Segercrantz, Beata; Forss, Maria (2019)
    Innovation is often celebrated as a solution to various challenges in care work. Thus, a growing number of care workers are likely to experience innovations in their daily work. This article examines how care workers and project workers in elderly care are affected by contemporary transformations by exploring: (1) how they construct meanings around innovation implementation and (2) are subject positioned in relation to these meanings. Drawing on discourse analysis, we conduct a case study and analyze semistructured interviews, observations, and organizational documents. We illustrate how innovation is constructed in terms of optimism, and also as a source for struggle, with specific effects on care workers’ subject positioning. The findings thus contribute to new insights into the contemporary dominating discourse of innovation and its implications at the level of practice and subjectivity.
  • Toivola, Laura-Elina (Helsingfors universitet, 2014)
    Malnutrition is common among old people, particularly in the institutionalized elderly. Good nutritional status and ability to function could be maintaided by nutrition treatment that meets the requirements of the elderly. Nursing staff has an important role in nutrition treatment, but studies suggest that nutritional skills of nurses are not adequate, even though attitudes to nutrition treatment are often positive. The aim of the study was to examine the factors that may determine nurses’ nutrition treatment in Finnish elderly care and clear up what kind of attitudes and knowlegde may affect the nutrition treatment. 14 practical nurses (or equivalent) were inteviewed individually in an elderly service centre. Material was analyzed with content analysis. Four main themes were made up of the analysis. The themes were 1) formation of nutritional skills and skills assessment, 2) nutritional knwledge and attitudes, 3) environment of nutrition treatment and 4) nutrition treatment in practice. The nutritional skills of the nurses were of very varied backgrounds. Education, nutritional training in the service centre, nutritional atmosphere in the centre, working experience and personal life were highlighted varyingly. The nurses had wide knowledge of nutrition and its significance, but the views were not equal. Nutrition treatment was considered important and the nurses thought it was their responsibility, but alongside good nutritional status there were other rival values. Aged residents were the basis for the nutrition treatment. In addition, food services in the centre, multiprofessional co-operation and working atmosphere among the nurses were parts of the environment of the nutrition treatment. On one hand, food service practices eased the work of the nurses but on the other hand they decreased the feeling of the possibility to affect the work. Prerequisites for getting support in work were good but the roles among the professionals were partly unclear. Attitudes were varying among the nurses and bad working atmosphere might complicate the nutrition treatment. The nurses had a variety of methods to assess and maintain the nutritional status of the residents but there were lots of individual differences in the practices. In addition, for example lack of appetite and memory disorders were considered challenging when it came to nutrition treatment, and nurses’ problem-solving skills were not adequate in all of these cases. The results point out that nurses’ nutritional knowledge and skills don’t necessarily guarantee successful nutrition treatment. There is also a group of values and attitudes that may determine nutrition treatment. Besides it is important to be aware of where the knowledge, skills and attitudes come from and improve them through channels that are common to all nurses. Context of the treatment should be considered aswell. Without clear and logical practices, good working atmosphere and sufficient support in work it is difficult to utilize the potential that nurses have. More research is needed to develop nutrition treatment that meets the requirements of the elderly even better.