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Evidence from Concept
Analysis
Self-Governing, Selfruling,
Self-determination.
Care plans negotiated.
Family involvement.
Residents delegate care
needs.
Values and beliefs of staff
are non-paternalistic.
Ethos of maintaining
dignity.
An atmosphere of openness,
motivation and flexibility
Open and respectful
communication and sharing
of information
Recognition of past and
present life which may
shape their wishes. Life
histories.
Example of Evidence from
Interviews
Sub-theme 1a:The Person: “Am
maybe one or two that are able to
speak for themselves”.
Sub-theme 2b: Being
Personalised: “As regards
planning the care, ‘we’ll’ get
this resident out now, ‘we’
want to get her out now and
‘we’ will get her out
tomorrow.”
Sub-theme 1a: The Person: “Well
the way it is with me is that I have to
be helped out of bed and I have to be
helped into bed”.
Sub-them 1b: The Personality:
“More nurses to be interested the
care of the elderly”.
Sub-theme 1c: Person to Person:
“Maybe sometimes people need ongoing
training and reminders…this is
someone who needs to e respected”
Sub-theme 2a: Being Impersonal:
“Very routine, everything done at
certain times of the day and even
now some of the staff they just can’t
go away from that….”
Sub-theme 1c: Person to Person:
“She likes to talk but there really
isn’t much time for talking”.
Sub theme 1c: Person to Person: “I
think there should be more interest in
the patient”
Example of Evidence from
Observations
Sub-theme 1a:The Person: The
majority of care seemed to be applied
to the residents rather than them being
involved in determining it.
Sub-theme 2b: Being Personalised:
No nurse has been observed writing
care plans with residents or writing
care plans at residents’ bedsides.
Sub-theme 1a:The Person: The
majority of care seemed to be applied
to the residents.
Sub-theme 1c: Person to Person:
Dignity appeared to be maintained
throughout. Curtains drawn when
attending to personal care. Residents
dressed appropriately.
Sub-theme 2a: Being Impersonal:
“Staff start their morning work and
there is no verbal planning of the day.
A routine or a pattern is evident.”
Sub-theme 1c: Person to Person:
“Nurse asks a resident “does it hurt
when you wlk” to which she replies
“no” then the nurse and HCA carry on
talking to each other”.
Sub theme 1c: Person to Person: A
HCA is attending to a resident witb
Alzheimers. No verbal interactions can
be heard.
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Chapter 5 Findings
Table 5.9: An illustration of the integrated findings across main data sets.
Example of Evidence from
Documentary Analysis
40% evident
The analysis revealed some
examples of documented
preferences for time of getting up
or bed time, meal preferences,
hygiene preferences and
preferences for treatment or
refusal.
13% evident
The analysis revealed that there
was little evidence of documented
compromises or negotiations or
documentation of family wishes.
24% evident
The analysis revealed a lack of
specificity in relation to what the
resident could or could not do for
themselves.
22% evident
The analysis revealed that 78% of
the residents sets of
documentation stated that
“privacy and dignity would be
maintained”. It was
acknowledged that this element
may be more easily detected from
observational analysis than from
documentary analysis and thus
when “maintain dignity and
privacy” was written in the notes
then it was accepted as evidence
of this element.
22% evident
The analysis revealed that 78% of
residents sets of documentation
had no evidence of residents
requests, no evidence of an
openness for receiving requests or
flexibility around ensuring that
requests outside of the routine
were met.
9% evident
Analysis revealed that there was
little evidence of sharing of
information with the residents or
their families.
64% evident
While 64% of the residents sets of
documentation had stated some of
the residents interests on
admission there was no detail or
further care planning and no life
histories.