Complex negotiations: The lived experience of enacting agency after a stroke

Abstract

This empirical evidence regarding negotiations challenges traditional definitions of agency and a new definition of agency is proposed. Understanding clients' complex negotiations and offering innovative solutions to train in real-life situations may help in the process of enabling occupations after a stroke.

Experiences of participating in a client-centred ADL intervention after stroke

“…It also allowed an experience of agency and an attitude of accepting responsibility for the intervention and for taking control of how it developed. The experience of agency expressed by the participants in this study is in agreement with findings in another study [46] describing agency as necessary in order to participate in everyday occupations. Moreover, Bergstr€ om et al [46] stated that in order for people to experience agency they need to make things happen in everyday life by negotiating different aspects of complex situations.…”

“…The experience of agency expressed by the participants in this study is in agreement with findings in another study [46] describing agency as necessary in order to participate in everyday occupations. Moreover, Bergstr€ om et al [46] stated that in order for people to experience agency they need to make things happen in everyday life by negotiating different aspects of complex situations. Another characteristic that was expressed by the participants was how the availability or lack of continuity in the therapeutic alliance during the intervention seemed to contribute to whether the participants felt trust [47,48] and/or experienced agency in everyday life.…”

Exploring potential in participation mediated by digital technology among older adults

“…That is, in order to intentionally impact on one's engagement, reflection on the doing is essential. This concurs with the findings from Bergström, Eriksson, Asaba, Erikson, and Tham (2015) that enacting agency involves complex negotiations in daily life that require, among others, reflecting on the performance of occupations. Wilcock and Hocking (2015) described being as a "time when the meaning of what people do can be thought through and when ideas are formed, plans are formulated and the sense is made of how to go about doing what needs to be done" (p. 135).…”

Rehabilitation agency of older adults in group-based intervention

“…In multidisciplinary rehabilitation research, the personal dimension of agency has been applied and studied using more familiar concepts such as activity and participation (46)(47)(48).…”