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View/Open - ARAN - National University of Ireland, Galway

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4.10.3.1 Coding<br />

154<br />

Chapter 4 Research Method<br />

For exploratory case studies such as this, Yin (2003) recommends that the study<br />

purpose and objectives direct the analysis and that a coding guide or “start list”<br />

(Table 4.9) can be used to guide the first phase <strong>of</strong> analysis. The coding guide or<br />

“start list” for this research study was developed from the concept analysis <strong>of</strong><br />

resident autonomy which had also informed the interview and observation guides.<br />

The coding guide had 10 initial codes defined and explained by 10 initial proposition<br />

statements.<br />

Table 4.9: Coding guide/start list<br />

Initial Code Initial Proposition Statement<br />

Routine versuss<br />

Flexibility<br />

Refers to an atmosphere <strong>of</strong> openness and flexibility in the residential<br />

unit. It refers to how much routine exists in the day and can that<br />

routine be altered when required? It looks at who dictates the routine.<br />

Self-Determination Refers to “Self-governing, self-ruling, self-determining” which is<br />

about the automatic right to live your life as you choose based on UN<br />

Rights <strong>of</strong> Older People (therefore residents are consulted and asked)<br />

while “Residents delegate care needs” is delegating the action <strong>of</strong> that<br />

choice - in other words, they may know what they want to do but<br />

may be physically unable to do it so it is delegated.<br />

Role <strong>of</strong> Family Refers to family or significant others being included when resident is<br />

cognitively impaired. What role do families play in care provision?<br />

Do they visit <strong>of</strong>ten?<br />

Maintaining Dignity Refers to an ethos <strong>of</strong> maintaining resident dignity. Staff are nonpaternalistic.<br />

Positive attitudes and values for older people are<br />

evident.<br />

Residents Delegate Refers to “Self-governing, self-ruling, self-determining” which is<br />

about the automatic right to live your life as you choose based on UN<br />

Rights <strong>of</strong> Older People (therefore residents are consulted and asked)<br />

while “Residents delegate care needs” is delegating the action <strong>of</strong> that<br />

choice - in other words, they may know what they want to do but<br />

may be physically unable to do it so it is delegated.<br />

Making Decisions Refers to residents’ involvement in decision-making.<br />

Knowing the Resident Refers to how staff get to know who the residents are and what the<br />

residents can and can’t do for themselves. Are care plans used? When<br />

and where does writing occur?<br />

Resident Capactiy Resident capacity is a factor in experiencing autonomy and is<br />

enhanced when it is encouraged and maintained.<br />

Communication This refers to all types <strong>of</strong> communication: verbal, non-verbal, staff<br />

communicating with each other, with residents and with family. It<br />

also refers to residents communicating with each other and with staff<br />

and visitors.<br />

Defining Autonomy Refers to what staff, residents and residents’ families think about<br />

autonomy - how do they define it?

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