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Chapter 7 Discussion
This research has provided the first specific in-depth analysis of autonomy for
older people in residential care in Ireland. It produced the first and only concept
analysis for autonomy for older people in residential care. This research study
demonstrated how data collection tools can be designed from a concept analysis.
The subsequent exploratory single embedded case study was adopted for the
purpose of gaining a better understanding of resident autonomy from multiple
perspectives and multiple data sources. A systematic approach to data collection
and analysis ensured the rigour of the study and enhanced transferability of the
findings.
The findings have significance both nationally and internationally and for
researchers, practitioners and educators. Resident autonomy was not only
explored but it was also enhanced and the learning from phase two of this study
was specified.
The original contributions to knowledge made by this research:
Presents the first and only concept analysis of autonomy for older people
in residential care.
Explored autonomy for older people in residential care using data
collection tools designed from the concept analysis. No other Irish
nursing research has explored this issue in the context of practice.
Identifies the promoting and prohibiting factors for resident autonomy.
Demonstrates the benefits of combining case study research design to
explore a phenomenon and action research design to enhance a
phenomenon.
Presents autonomy focused care plans which can be adopted by other
residential care homes.
7.5 Limitations of the Research
This section identifies some limitations of this research and suggests possible
future research directions. A critique of methodological approaches was already
provided in chapter three and a review of the study’s rigour was also addressed.