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27 Chapter 1: Introduction and Background in residential care was therefore highlighted. The results of a concept analysis of resident autonomy undertaken by the author were subsequently outlined and these will be used to inform this study. This chapter concluded with an outline of the research aims and objectives and the underlying motivation for the study.
2. Literature Review 28 Chapter 2: Literature Review In this chapter the literature about autonomy is reviewed. Analysis of the literature identified three key areas: 1) Definitions and determinants of autonomy, 2) Residential care research and 3) Autonomy for older people research. The review of the literature also led to a subsequent analysis of the concept of autonomy for older people in residential care. Prior to the literature review a brief overview of the search strategy is given. 2.1 Literature Search Strategy This section outlines the literature search strategy and review process adopted for this study. The purpose of the review was two-fold. Firstly, to establish what is known about the concept of autonomy. Secondly, to identify any research studies that had been undertaken that would inform the phenomenon of autonomy for older people in residential care. Six main steps were undertaken. The first step of the review process involved searching two health-related bibliographic databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medline. The initial database results for the broad search term of “autonomy” yielded papers which had broad associations with autonomy including nurse autonomy, autonomy and assisted living, autonomy and restraint and ethical autonomy. Many of the same papers appeared in both CINAHL and Medline. At this point 3 criteria were established to focus the search: 1) primary research studies that were peer-reviewed (years 1990 to present day), 2) theoretical work that focused on defining autonomy would be included and 3) studies focused specifically on autonomy and older people or autonomy and residential care would be reviewed. Hence the search terms were narrowed (using the Boolean operators) in order to adhere to this criteria. Various key word combinations using Boolean operators were searched and these included: 1) Autonomy for older people, 2) Autonomy for older people in residential care, 3) Autonomy for older people and patient autonomy and 4) Resident autonomy.
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Page 11 and 12: Abstract The purpose of this study
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3.3 Rationale for Choice of Researc
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3.4 Research Methodologies/Strategi
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86 Chapter 3 Research Framework Onw
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3.4.3 Rationale for Research Method
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96 Chapter 3 Research Framework stu
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102 Chapter 3 Research Framework In
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Winter (1989) provided an overview
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3.9 Data Analysis 116 Chapter 3 Res
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122 Chapter 3 Research Framework Yi
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124 Chapter 3 Research Framework (2
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4.3 Inclusion Criteria 134 Chapter
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4.5 The Role of Reflection 136 Chap
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4.7.3 Adding Rigour to the Document
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140 Chapter 4 Research Method auton
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142 Chapter 4 Research Method were
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Pilot interviews were conducted pri
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4.9.2.3 Analysis of the pilot inter
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148 Chapter 4 Research Method resid
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150 Chapter 4 Research Method maint
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152 Chapter 4 Research Method end o
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4.10.3.1 Coding 154 Chapter 4 Resea
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156 Chapter 4 Research Method The i
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• Coding guide/Start list • 10
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160 Chapter 4 Research Method 4.12
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162 Chapter 5 Findings needs room (
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164 Chapter 5 Findings other course
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Healthcare Assistants' Age Profile
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6 5 4 3 2 1 0 Figure 5.2: Length of
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170 Chapter 5 Findings number of da
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172 Chapter 5 Findings By evening t
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5.5.7 Management of the Research Un
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Philosophy of Care 176 Chapter 5 Fi
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178 Chapter 5 Findings recognition
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180 Chapter 5 Findings “Dr. spoke
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182 Chapter 5 Findings themselves.
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Chart 5.13: Element 5 Values and be
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186 Chapter 5 Findings In the follo
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188 Chapter 5 Findings Thirty-three
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Table 5.7: Themes from analysis of
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Resident participants described rel
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The observations recorded staff ass
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196 Chapter 5 Findings Staff partic
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198 Chapter 5 Findings mean, if the
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200 Chapter 5 Findings is about the
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202 Chapter 5 Findings Staff partic
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204 Chapter 5 Findings here (laughs
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206 Chapter 5 Findings “I feel th
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208 Chapter 5 Findings and the nurs
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210 Chapter 5 Findings The observat
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212 Chapter 5 Findings However, mor
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214 Chapter 5 Findings that must ha
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Staff participants also expressed t
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218 Chapter 5 Findings This sub-the
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its, the extra little bits, like ev
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222 Chapter 5 Findings The intervie
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224 Chapter 5 Findings Several nega
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226 Chapter 5 Findings contributes
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228 Chapter 5 Findings “A male re
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230 Chapter 5 Findings “You know
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232 Chapter 5 Findings difference (
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6. Phase Two 6.1 Phase Two: Enhanci
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236 Chapter 6 Phase Two Reflection
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238 Chapter 6 Phase Two revealed th
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240 Chapter 6 Phase Two work but fi
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Table 6.1: Summary of nursing model
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244 Chapter 6 Phase Two We all felt
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246 Chapter 6 Phase Two important e
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248 Chapter 6 Phase Two Reflection
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250 Chapter 6 Phase Two suggested t
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252 Chapter 6 Phase Two knowledge g
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254 Chapter 7 Discussion found that
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256 Chapter 7 Discussion persons. M
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7.2.2 The Personal: The Personality
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260 Chapter 7 Discussion community
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262 Chapter 7 Discussion to-one con
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264 Chapter 7 Discussion Rodgers an
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7.3.1 Being Personal: Being Imperso
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268 Chapter 7 Discussion adequate t
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270 Chapter 7 Discussion possession
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272 Chapter 7 Discussion participat
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274 Chapter 7 Discussion 7.4 Summar
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276 Chapter 7 Discussion templates
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278 Chapter 7 Discussion This resea
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7.5.3 Method issues 280 Chapter 7 D
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282 Chapter 7 Discussion Research c
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284 References Babbie, E. (1990) Su
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286 References Carr, S., L. Hussier
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288 References Davies, S., Ellis, L
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290 References Farrell, G.A. (1991)
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292 References Gold, R. (1958) Role
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294 References Holroyd, A., Dahlke,
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Kirk, J., & Miller, M. L. (1986).Re
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298 References McCormack, B. (2004)
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300 References National Council on
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302 References Pullen, D.L. (2006)
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304 References Schumaker, K.L. & Go
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306 References Van Manen, M. (1990)
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Appendix 1: HIQA Standards Summary
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Appendix 2 : Concept Analysis Illus
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Appendix 3 : Model Cases 312 Append
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Appendix 4 : Methodologies 314 Appe
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Appendix 5 : Ethics letter 316 Appe
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Appendix 6: Information Sheet 318 A
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Appendix 7: Consent for Whole Study
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decide to participate you will be f
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324 Appendices Informed Consent For
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Appendix 9: Documentary Analysis Au
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Appendices Attribute Evident (Yes/N
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330 Appendices
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Attribute Tick if observed Self-gov
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Attribute An atmosphere of openness
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Appendix 12: Interview Guides 336 A
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Question Theme How do you get to kn
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Question Theme What decisions do yo
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Number/Code Age Sex Barthel Score T
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Important Probes Decision-making Fl
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Appendix 13: Floor Plan 346 Appendi
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Appendix 14: Data Reduction 348 App
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Appendix 15: Data Display 350 Appen
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Maintaining dignity Residents deleg
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354 Appendices Appendix 16: Conclus
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356 Appendices Appendix 17: Kogan
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358 Appendices 10. It would probabl
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360 Appendices 32. Most old people
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Resident Dependency 362 Appendices
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364 Appendices
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Total number of staff at morning re
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Total number of staff at morning re
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Appendix 20: Residents’ Documenta
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372 Appendices
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Appendix 21: Care Planning Presenta
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RLT Care Planning This is about id
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Benefits of Assessment A proactive
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Implementing The health care profes
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Who Should Sign? The person who ca
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Description Month Task Commencing M
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Appendices Action Plan Statement of
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Appendices 1. Personal Care List Cu
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Appendices 2. Daily Life - Promotio
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Appendices 4. Food List Any Food Li
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Appendices Appendix 25: Care Plan Q
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Appendices Appendix 26: Critical Co
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Appendices FACILITATION DOMAIN Conc
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