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Towards a Multidimensional Understanding of "Being Relative" in Residential Long-Term Care: Findings From a
Rouven Brenner1,2, Heidrun Gattinger2, Hanna Mayer3
1University of Vienna, Austria.
Global Qualitative Nursing Research
|June 29, 2026
Summary
Family members in long-term care facilities experience a unique existential state of "being relative." This involves navigating complex dynamics within institutional constraints, highlighting the need for support beyond functional roles.
Area of Science:
- Gerontology
- Sociology of Health
- Qualitative Research Methods
Background:
- Relatives are integral to residential long-term care.
- Existing conceptualizations often focus narrowly on functional aspects like tasks or burden.
- A deeper understanding of the relatives' ontological experience is needed.
Purpose of the Study:
- To explore the ontological condition of "being relative" in residential long-term care.
- To move beyond functionalist perspectives of relatives' roles.
- To identify the dimensions and characteristics of this existential state.
Main Methods:
- Qualitative, multiperspective study.
- Analysis of 30 "Integrated Encounter Analyses" from two Swiss long-term care facilities.
- Synthesis of participant observations and interviews.
Main Results:
- Identified eight constitutive dimensions of "being relative," organized into Situational, Relational, and Spatial-Temporal meta-dimensions.
- "Being relative" is a dynamic process, oscillating between alienation/resonance and subjection/agency.
- Agency is characterized by quiet negotiation within institutional constraints.
Conclusions:
- "Being relative" is a distinct existential condition of permanent liminality.
- The institutional context profoundly shapes this condition.
- Institutions should validate this threshold and support relatives' navigation, avoiding binary categorizations.
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