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Care home life and identity: A qualitative case study

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Care home life and identity : A qualitative case study. / Paddock, Katie; Brown Wilson, Christine; Walshe, Catherine Elizabeth; Todd, Chris.

In: The Gerontologist, Vol. 59, No. 4, 01.08.2019, p. 655-664.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Paddock, K, Brown Wilson, C, Walshe, CE & Todd, C 2019, 'Care home life and identity: A qualitative case study', The Gerontologist, vol. 59, no. 4, pp. 655-664. https://doi.org/10.1093/geront/gny090

APA

Paddock, K., Brown Wilson, C., Walshe, C. E., & Todd, C. (2019). Care home life and identity: A qualitative case study. The Gerontologist, 59(4), 655-664. https://doi.org/10.1093/geront/gny090

Vancouver

Paddock K, Brown Wilson C, Walshe CE, Todd C. Care home life and identity: A qualitative case study. The Gerontologist. 2019 Aug 1;59(4):655-664. https://doi.org/10.1093/geront/gny090

Author

Paddock, Katie ; Brown Wilson, Christine ; Walshe, Catherine Elizabeth ; Todd, Chris. / Care home life and identity : A qualitative case study. In: The Gerontologist. 2019 ; Vol. 59, No. 4. pp. 655-664.

Bibtex

@article{30fc03ccd43f4df38a5ababa80f84f9f,
title = "Care home life and identity: A qualitative case study",
abstract = "Background and ObjectivesThe transition to a care home can involve multiple changes and losses that can affect an older person{\textquoteright}s well-being and identity. It is not clear how older people perceive and manage their identity within a care home over time. This study explores how living in a care home affects the identities of residents and how they address this in their daily lives.Research Design and MethodsA multiple qualitative case study approach incorporated interview and observational data. Eighteen semistructured interviews and 260 hr of observations were conducted over 1 year with care home residents, relatives, and staff across three care homes within Greater Manchester, UK. Data were analyzed using framework analysis, drawing on the social identity perspective as an interpretive lens.ResultsFour themes were identified: (a) changing with age, (b) independence and autonomy, (c) bounded identity, and (d) social comparison. The impact of aging that initially altered residents{\textquoteright} identities was exacerbated by the care home environment. Institutional restrictions jeopardized independence and autonomy, provoking residents to redefine this within the allowances of the care home. Strict routines and resource constraints of well-meaning staff resulted in the bounded expression of personalities. Consequently, to forge a positive identity, residents without dementia engaged in social comparison with residents with dementia, emphasizing their superior cognitive and physical abilities.Discussion and ImplicationsSocial comparison as an adaptive strategy has previously been unidentified in care home literature. Residents need more support to express their identities, which may reduce the necessity of social comparison, and improve interrelationships and well-being.",
keywords = "Institutional care/residential care, Qualitative analysis: case study, Qualitative research methods, Identity, Social identity perspective",
author = "Katie Paddock and {Brown Wilson}, Christine and Walshe, {Catherine Elizabeth} and Chris Todd",
year = "2019",
month = aug,
day = "1",
doi = "10.1093/geront/gny090",
language = "English",
volume = "59",
pages = "655--664",
journal = "The Gerontologist",
issn = "0016-9013",
publisher = "Oxford University Press",
number = "4",

}

RIS

TY - JOUR

T1 - Care home life and identity

T2 - A qualitative case study

AU - Paddock, Katie

AU - Brown Wilson, Christine

AU - Walshe, Catherine Elizabeth

AU - Todd, Chris

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Background and ObjectivesThe transition to a care home can involve multiple changes and losses that can affect an older person’s well-being and identity. It is not clear how older people perceive and manage their identity within a care home over time. This study explores how living in a care home affects the identities of residents and how they address this in their daily lives.Research Design and MethodsA multiple qualitative case study approach incorporated interview and observational data. Eighteen semistructured interviews and 260 hr of observations were conducted over 1 year with care home residents, relatives, and staff across three care homes within Greater Manchester, UK. Data were analyzed using framework analysis, drawing on the social identity perspective as an interpretive lens.ResultsFour themes were identified: (a) changing with age, (b) independence and autonomy, (c) bounded identity, and (d) social comparison. The impact of aging that initially altered residents’ identities was exacerbated by the care home environment. Institutional restrictions jeopardized independence and autonomy, provoking residents to redefine this within the allowances of the care home. Strict routines and resource constraints of well-meaning staff resulted in the bounded expression of personalities. Consequently, to forge a positive identity, residents without dementia engaged in social comparison with residents with dementia, emphasizing their superior cognitive and physical abilities.Discussion and ImplicationsSocial comparison as an adaptive strategy has previously been unidentified in care home literature. Residents need more support to express their identities, which may reduce the necessity of social comparison, and improve interrelationships and well-being.

AB - Background and ObjectivesThe transition to a care home can involve multiple changes and losses that can affect an older person’s well-being and identity. It is not clear how older people perceive and manage their identity within a care home over time. This study explores how living in a care home affects the identities of residents and how they address this in their daily lives.Research Design and MethodsA multiple qualitative case study approach incorporated interview and observational data. Eighteen semistructured interviews and 260 hr of observations were conducted over 1 year with care home residents, relatives, and staff across three care homes within Greater Manchester, UK. Data were analyzed using framework analysis, drawing on the social identity perspective as an interpretive lens.ResultsFour themes were identified: (a) changing with age, (b) independence and autonomy, (c) bounded identity, and (d) social comparison. The impact of aging that initially altered residents’ identities was exacerbated by the care home environment. Institutional restrictions jeopardized independence and autonomy, provoking residents to redefine this within the allowances of the care home. Strict routines and resource constraints of well-meaning staff resulted in the bounded expression of personalities. Consequently, to forge a positive identity, residents without dementia engaged in social comparison with residents with dementia, emphasizing their superior cognitive and physical abilities.Discussion and ImplicationsSocial comparison as an adaptive strategy has previously been unidentified in care home literature. Residents need more support to express their identities, which may reduce the necessity of social comparison, and improve interrelationships and well-being.

KW - Institutional care/residential care

KW - Qualitative analysis: case study

KW - Qualitative research methods

KW - Identity

KW - Social identity perspective

U2 - 10.1093/geront/gny090

DO - 10.1093/geront/gny090

M3 - Journal article

VL - 59

SP - 655

EP - 664

JO - The Gerontologist

JF - The Gerontologist

SN - 0016-9013

IS - 4

ER -