This article presents a phenomenological analysis of interview material, in which 12 care professionals in elderly care reflect on the elderly's well-being within the frame of special housing accommodation. The perspective of the care professionals is of special interest. The findings show that the well-being is characterized as the elderly's feelings of being existentially touched. The well-being is an existential experience of being acknowledged as a human being and is an approach that classifies the elderly's needs as those of having, loving, and being. The meaning of the phenomenon is elucidated by the constituents: (1) to feel the freedom of choice, (2) to feel pleasure, and (3) to feel closeness to someone or something. The findings contribute new understanding of well-being in the elderly care by its existential dimension of the well-being as “just being” and of doing things in order to experience meaningfulness. Accordingly, the well-being of the elderly as it is seen from the perspective of the care professionals involves both carers’ subjectivity and intersubjectivity between the care professional and the elderly. An implication for promoting elderly's well-being is to develop awareness of these existential dimensions.
Background and Objectives
Swedish eldercare is strained by an increased administrative workload, which draws time away from individual care of and interaction with older people. This study explores how eldercare staff, working closely with residents in Swedish special housing (nursing homes), make accounts for how they prioritize work tasks.
Research Design and Methods
Openly structured, thematic interviews were conducted with twelve permanently employed, female assistant nurses, including a group interview with three of them. Positioned accounts (small stories) concerning prioritizations due to insufficient resources were analyzed, using Bamberg’s three level positioning analysis.
Results
The analysis shows that the staff take a favorable position toward the older people by distinguishing between care and “the other things.” They also justify prioritizations at odds with their care values. The assistant nurses present themselves as doing the best they can in organizationally restricted situations. Organizational demands limit the space for care, giving rise to an idealization of “icing on the cake”. Morale is complex in residential care. A narration of “the torn carer” was found as a co-constructed storyline explaining why the staff did not perform eldercare consistent their care values.
Discussion and Implications
When ideals and practice differ, interaction in the peer group becomes important in order to maintain a positive professional identity. “The torn carer” is a way for the staff to escape blame for not living up to care values, but it also victimizes them. Staff could be empowered by a working environment characterized by a reflective practice.
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