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Exploring relationships in care homes : a constructivist inquiry. Vol.1.

Brown Wilson, Christine R. (2007) Exploring relationships in care homes : a constructivist inquiry. Vol.1. PhD thesis, University of Sheffield.

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Abstract

Relationships are an integral part of living, working and visiting in care homes. However, few studies have considered relationships as their main focus of enquiry, and there has been a relative dearth of work that has included the perspectives of residents, staff and families. This study sought to redress this imbalance. Using a constructivist approach the nature and types of relationships between residents, staff and families were explored in three homes through a combination of methods including participation, observation, interviews and focus groups. Data collection and analysis occurred concurrently and three types of relationships were identified: pragmatic relationships, which had as their primary focus the instrumental aspects of care; personal and responsive relationships that engaged more fully with the wider needs of individual residents; and reciprocal relationships that sought to recognise the contribution of residents, staff and families to creating a sense of community within the homes. More detailed analysis revealed a number of factors that helped to shape the relationships with each home including: the personal motivations and values of staff; leadership style; teamwork, and the input of residents and families. Findings from the thesis enhance our understanding of the importance of, and dynamics contributing to, relationships within a care home setting. These insights are considered with reference to current notions of person centred and relationship centred care and a framework for promoting a relationship centred approach is ii presented. Implications for policy, practice and education are considered and recommendations made.

Item Type: Thesis (PhD)
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > Nursing and Midwifery (Sheffield)
Identification Number/EthosID: uk.bl.ethos.445118
Depositing User: EThOS Import Sheffield
Date Deposited: 18 Nov 2016 16:26
Last Modified: 18 Nov 2016 16:26
URI: http://etheses.whiterose.ac.uk/id/eprint/14909

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