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Table 7.1: Factors affecting resident autonomy.
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Chapter 7 Discussion
Theme 1: The Personal
Sub-theme 1a: The Person
Promoting Factors Prohibitive Factors
Education/specialism Lack of education/specialism
Resident independence Resident dependence
Enable decision-specific
capacity
Prevent decision-specific capacity
Sub-theme 1b: The
Personality
Sharing power Not sharing power
Desire to work with older Does not choose to work with
people
older people
Positive attitude toward Negative attitude toward older
older people
people
Sub-theme 1c: Person to
Person
Being open, motivated and
flexible
Being closed, demotivated and
inflexible
Good interpersonal skills Poor interpersonal skills
Good relationships
between residents, between
staff and residents,
between staff and between
staff and family members
Poor relationships between
residents, between staff and
residents, between staff and
between staff and family members
Listening Not listening
Knowing the person: past, Not knowing the person: past,
present and future present or future
Biographical care planning Medicalised care planning
Theme 2: Being Personal Promoting Factors Prohibitive Factors
Sub-theme 2b: Being
Impersonal
Negotiation Lack of negotiation
Agreed routines Imposed routines
Care planning Lack of care planning
Flexibility Inflexibility
Time Little or no time
Friendly ward atmosphere Unfriendly ward atmosphere
Good skill mix Poor skill mix
Motivated De-motivated
Teamwork No teamwork
Sub-theme 2b: Being
Personalised
Meaningful recreational
activity
Appropriate language e.g.
care plans are nonpaternalistic
and write
about “doing with”
Including the resident and
their family member in
care planning
Meaningless recreational
activity
Inappropriate language e.g.
care plans are paternalistic
and write about “doing to”
Not including the resident and
their family member in care
planning