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Care Aides' Perceptions and Experien...

Andersen, Elizabeth Ann.

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Care Aides' Perceptions and Experiences of their Roles and Relationships with Residents in Long-term Care Settings.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Care Aides' Perceptions and Experiences of their Roles and Relationships with Residents in Long-term Care Settings./
Author:	Andersen, Elizabeth Ann.
Description:	403 p.
Notes:	Source: Dissertation Abstracts International, Volume: 74-04(E), Section: B.
Contained By:	Dissertation Abstracts International74-04B(E).
Subject:	Health Sciences, Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR89916
ISBN:	9780494899168

Care Aides' Perceptions and Experiences of their Roles and Relationships with Residents in Long-term Care Settings.
Andersen, Elizabeth Ann.

Care Aides' Perceptions and Experiences of their Roles and Relationships with Residents in Long-term Care Settings. - 403 p.

Source: Dissertation Abstracts International, Volume: 74-04(E), Section: B.

Thesis (Ph.D.)--University of Alberta (Canada), 2012.

The purpose of this study was to explore care aides' perceptions and experiences of their roles and relationships with residents in long-term care institutions, and how the context, including the organizational philosophy, influenced those perceptions and experiences. The method of exploration was qualitative focused ethnography. Convenience and purposive sampling were used to recruit 22 care aides from five long-term care facilities in a western Canadian city. Data were collected via semi-structured interviews. Data analysis utilized constant comparison to identify themes or patterns within and across participants as well as comparison of new data to data previously analyzed. It emerged that a dominant influence on care aides' perceptions of their roles and relationships was the way they experienced a model of cultural change called the Eden AlternativeRTM. The Eden Alternative RTM model aims to increase quality of life for institutionalized persons by restructuring delivery of care and transforming institutional environments into more habitable places to live. However, although the care aides believed in an ideal occupational relational purpose or state, they perceived that the model had been incompletely implemented in their facilities, was incompatible with an existing organizational policy, and had eroded after implementation. Instead of feeling supported and reassured by fellowship, most of the care aides worked with the residents alone and without reference to each other. They emphasized what separated them, rather than what united them. Without a shared purpose and collegial connections they felt a reduced relationship to the larger residential community. Meaningful personal connections with residents no longer assigned to them were lost. They felt overburdened by their expanded responsibilities; they found themselves engaged in conflicts with residents and families; and many felt unsupported by management. As a consequence, they had little time or energy to be compassionate, empathetic partners to the residents permanently assigned to them. This study contributes to the body of knowledge used by registered nurses, nurse educators and nursing home managers/administrators who train and support care aides and may be useful to managers/administrators who make the decisions that shape and affect services provided to residents.

ISBN: 9780494899168Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Care Aides' Perceptions and Experiences of their Roles and Relationships with Residents in Long-term Care Settings.
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520 $a The purpose of this study was to explore care aides' perceptions and experiences of their roles and relationships with residents in long-term care institutions, and how the context, including the organizational philosophy, influenced those perceptions and experiences. The method of exploration was qualitative focused ethnography. Convenience and purposive sampling were used to recruit 22 care aides from five long-term care facilities in a western Canadian city. Data were collected via semi-structured interviews. Data analysis utilized constant comparison to identify themes or patterns within and across participants as well as comparison of new data to data previously analyzed. It emerged that a dominant influence on care aides' perceptions of their roles and relationships was the way they experienced a model of cultural change called the Eden AlternativeRTM. The Eden Alternative RTM model aims to increase quality of life for institutionalized persons by restructuring delivery of care and transforming institutional environments into more habitable places to live. However, although the care aides believed in an ideal occupational relational purpose or state, they perceived that the model had been incompletely implemented in their facilities, was incompatible with an existing organizational policy, and had eroded after implementation. Instead of feeling supported and reassured by fellowship, most of the care aides worked with the residents alone and without reference to each other. They emphasized what separated them, rather than what united them. Without a shared purpose and collegial connections they felt a reduced relationship to the larger residential community. Meaningful personal connections with residents no longer assigned to them were lost. They felt overburdened by their expanded responsibilities; they found themselves engaged in conflicts with residents and families; and many felt unsupported by management. As a consequence, they had little time or energy to be compassionate, empathetic partners to the residents permanently assigned to them. This study contributes to the body of knowledge used by registered nurses, nurse educators and nursing home managers/administrators who train and support care aides and may be useful to managers/administrators who make the decisions that shape and affect services provided to residents.
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