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Autonomy of Institutionalized Elderly: Resident and Staff Perceptions

Published online by Cambridge University Press:  29 November 2010

Gail Jang
Gail Jang
Affiliation:
University of British Columbia*
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Abstract

There is limited research addressing both resident and staff perceptions regarding the autonomy of institutionalized elderly residents, particularly in relation to their daily activities. This study determined residents' and their caregivers' perceptions of residents' latitude of choice regarding daily living activities. The study was conducted in two intermediate care facilities within Vancouver B.C. Study questionnaires were provided to 45 intermediate care residents and 45 nurses. Through three non-parametric statistical techniques, significant differences were found to exist between residents' and staff's perceptions. The study findings indicated that residents' extent of choice over daily activities of importance to them may not be realized to a greater extent if the staff do not attach a similar degree of importance to a particular activity. This study also indicates that, with some activities, staff do not perceive residents associating little or no choice with activities of particular importance to them.

Résumé

Il y a peu de recherches relatives à la perception des résidents et du personnel de l'autonomie des personnes âgées placées dans des centres d'accueil, plus particulièrement au niveau des activités quotidiennes. Cette étude a déterminé la perception des résidents et des personnes chargées des soins face à la liberté d'action des résidents vis-à-vis les activités de la vie courante. L'étude a été faite dans deux centres d'accueil de Vancouver. Les questionnaires ont été soumis à 45 infirmières et à 45 résidents. À l'aide de trois techniques statistiques non-paramétriques, on a découvert l'existence de différences importantes entre les perceptions des résidents et celles du personnel. Les résultats de l'étude ont montré que la liberté d'action des résidents dans leurs activités quotidiennes importantes ne peut s'exercer si le personnel n'accorde pas un degré similaire d'importance à une activité particulière. L'étude a aussi démontré qu'avec certaines activités le personnel ne perçoit pas que les résidents associent peu ou pas de choix face à une activité à laquelle ils attachent une plus grande importance.

Keywords

Autonomie-personnes âgées institutionaliséesperceptions: résidents/personnelAutonomy-Institutionalized ElderlyResident/Staff perceptions
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 11 , Issue 3 , Fall/automne 1992 , pp. 249 - 261
Copyright
Copyright © Canadian Association on Gerontology 1992

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References

Avorn, J.B., & Langer, E. (1982). Induced disability in nursing home patients: A controlled trial. Journal of the American Geriatrics Society, 30, 397–400.CrossRefGoogle ScholarPubMed
Elias, J.W., Phillips, M.E., & Wright, L.L. (1980). The Relationship of Perceived Latitude of Choice to Morale in a Nursing Home Environment. Experimental Aging Research, 6(4), 367–384.CrossRefGoogle Scholar
Emery, B. (1989). [Review of The Elderly Mystique: Constraints on the Autonomy of the Elderly With Disabilities]. Gerontological Association of B.C. Newsletter, June 8–9.Google Scholar
Eustis, N., Greenburg, J., & Patten, J. (1984). Long Term Care for Older Persons: A Policy Perspective. Monterey, CA: Brooks Cole.CrossRefGoogle Scholar
Goldman, S. (1971). Social Aging, Disorganization and Loss of Choice. The Gerontologist, 11, 158–162.CrossRefGoogle ScholarPubMed
Hofland, B.F. (1988). Autonomy in Long Term Care: Background Issues and a Programmatic Response. In S.S. Tobin (Ed.), The Gerontologist, 28, 3–10.CrossRefGoogle Scholar
Hulicka, I.M., Morganti, J.B., & Cataldo, J.F. (1975). Perceived Freedom of Choice of Institutionalized and Noninstitutionalized Elderly Women, Experimental Aging Research, 1(1), 27–39.CrossRefGoogle ScholarPubMed
Kahana, E., & Coe, R.M. (1969). Self and Staff Conceptions of the Institutionalized Aged. The Gerontologist, 9, 264–267.CrossRefGoogle ScholarPubMed
Kane, R.L., & Kane, R.A. (1985). A Will and a Way. What the United States Can Learn from Canada about Caring for the Elderly. New York: Columbia University.CrossRefGoogle Scholar
Long Term Care Program. (1983). Policy manual. Policy No. 3.2.3. Victoria: Ministry of Health.Google Scholar
Morganti, J.B., Nehrke, M.F., & Hulicka, I.M. (1980). Resident and Staff Perceptions of Latitude of Choice in Elderly Institutionalized Men. Experimental Aging Research, 6(4), 367–384.CrossRefGoogle ScholarPubMed
Pohl, J.M., & Fuller, S.S. (1980). Perceived Choice, Social Interaction, and Dimensions of Morale of Residents in a Home for the Aged. Research in Nursing and Health, 3, 145–157.CrossRefGoogle Scholar
Proshansky, H.M., Ittelson, W.H., & Rivlin, L.G. (1976). Freedom of Choice and Behaviour in a Physical Setting. In Proshansky, H.M., Ittelson, W.H. & Rivlin, L.G. (Eds.), Environmental Psychology (2nd Ed.) (pp. 170–181). Toronto: Holt, Rinehart and Winston.Google Scholar
Rodin, J., & Langer, E.J. (1977). Long-term effects of a control-relevant intervention with the institutionalized aged. Journal of Personality and Social Psychology, 35, 897–902.CrossRefGoogle ScholarPubMed
Rosswurm, M. (1983). Relocation and the Elderly. Journal of Gerontological Nursing, 9(12), 632–637.CrossRefGoogle ScholarPubMed
Rowe, J.W., & Kahn, R.L. (1987). Human Aging: Usual and Successful. Science, 237, 143–149.CrossRefGoogle ScholarPubMed
Ryden, M.B. (1985). Environmental Support for Autonomy in the Institutionalized Elderly. Research in Nursing and Health, 8, 363–371.CrossRefGoogle ScholarPubMed
Saup, W. (1986). Lack of Autonomy in Old-Age Homes: A Stress and Coping Study. Journal of Housing for the Elderly, 4(1), 21–36.CrossRefGoogle Scholar
Schwartz, A.M. (1974). A Transactional View of the Aging Process. In Schwartz, A.M. & Mensh, I.N. (Eds.), Professional Obligations and Approaches to the Aged (pp. 3–29). Springfield, IL: Charles C. Thomas Inc.Google Scholar
Stein, S., Linn, M.W., & Stein, E.M. (1986). Patients' perceptions of nursing home stress related to quality care. The Gerontologist, 26(4), 424, 430.CrossRefGoogle Scholar
Thomasma, D.C. (1985). Personal Autonomy of the Elderly in Long Term Care Settings. Journal of the American Geriatrics Society, 33(4), 225.CrossRefGoogle ScholarPubMed
University of British Columbia School of Nursing. (1980). The U.B.C. model for nursing. Vancouver.Google Scholar