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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Promoting person-centeredness in long-term care: an exploratory study.

David Edvardsson, Pia Varrailhon, Kristina Edvardsson

    Journal of Gerontological Nursing
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    Summary

    Nursing staff promote person-centered care in long-term care by enhancing resident decision-making, meaningful living, and pleasure. This research highlights practical strategies for implementing person-centeredness in daily nursing practice.

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    Area of Science:

    • Gerontological Nursing
    • Long-Term Care
    • Person-Centered Care

    Background:

    • Person-centeredness is a key concept in long-term care, yet its practical implementation by nursing staff requires further elucidation.
    • Understanding how nursing staff facilitate person-centeredness in daily practice is crucial for improving resident well-being.

    Purpose of the Study:

    • To explore and describe how nursing staff promote person-centeredness in long-term care settings.
    • To identify concrete strategies used by nursing staff to facilitate person-centered care.

    Main Methods:

    • An anthropological free-listing approach was employed for data collection.
    • Qualitative content analysis was used to analyze written self-report descriptions from 436 Swedish long-term care staff.

    Main Results:

    • Four key themes emerged: Promoting Decision Making, Promoting a Meaningful Living, Promoting a Pleasurable Living, and Promoting Personhood.
    • The findings provide practical descriptions of how person-centeredness is facilitated in everyday nursing practice.
    • Promoting pleasure and engaging in 'small talk' were identified as central dimensions of person-centeredness.

    Conclusions:

    • This study bridges the gap between the concept of person-centeredness and its clinical implementation in long-term care.
    • Promoting pleasure is a vital component of health-promoting gerontological nursing.
    • Further research into 'small talk' as an emerging nursing phenomenon is warranted.