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Important Probes Decision-making Flexibility of routine Autonomy Question Theme What decisions do residents make on a daily basis? Question Theme Do residents ask for assistance or how do they demonstrate that they need assistance? Staff Interview Guide Attribute Residents involved in decision-making and capacity encouraged and maintained. Question Tell me about one of the residents in your allocation this morning? Attribute Residents delegate care needs based on the right to selfdetermination and the rights of older people Question Think about one of the residents you have cared for today? 337 Appendices Probes What options are available to the residents for washing/dressing/ toileting/eating/activities, etc?To what extent can the residents make decisions? Probes How do you know their abilities? Do they ask for help? Do you encourage them to do things for themselves?
Question Theme How do you get to know the residents’ likes and dislikes? Question Theme How do you decide how to organize the day? Is there a pre-determined routine to the day and if so how is that determined and what do you think of it? Question Theme Autonomy Attribute Negotiated care plans encouraged through open and respectful communication Question I’m interested to find out how you get to know what the residents can and can’t do for themselves. 338 Attribute Culture and atmosphere of flexibility within an ethos of maintaining resident dignity Question Tell me about your day so far? Final Question Question I’m Interested in finding out what autonomy for older people in residential care means - what do you think it is about? Appendices Probes How do you find out what food they like/dislike, their hobbies or interests etc. Where is info stored? Do all staff use residents’ notes to guide care? If not then what are the notes used for? What do you think is important to record? Probes Is this different to other days? What determines your approach to the day? Is there anything you would like to do differently? Probes How much input does a resident have in their care? Can you give an example? What do you think enables or hinders it it?
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Exploring and Enhancing Autonomy fo
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3.4.1.3 Grounded Theory ...........
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5.4 Resident Profile ..............
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List of Tables and Charts Table 1.1
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This thesis is the work of Claire W
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Abstract The purpose of this study
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Conference Presentations Welford, C
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14 Chapter 1: Introduction and Back
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1.5.4 Aim for Phase Two 26 Chapter
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2. Literature Review 28 Chapter 2:
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30 Chapter 2: Literature Review Hof
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32 Chapter 2: Literature Review Hor
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34 Chapter 2: Literature Review cha
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36 Chapter 2: Literature Review Alz
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Table 2.1: Collopy’s (1988) six p
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2.3 Residential Care 40 Chapter 2:
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42 Chapter 2: Literature Review car
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44 Chapter 2: Literature Review ide
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54 Chapter 2: Literature Review (19
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56 Chapter 2: Literature Review Qui
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58 Chapter 2: Literature Review Pre
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60 Chapter 2: Literature Review inf
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62 Chapter 2: Literature Review (19
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2.4.3 Section Summary 64 Chapter 2:
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66 Chapter 2: Literature Review kno
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68 Chapter 2: Literature Review con
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70 Chapter 2: Literature Review and
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72 Chapter 2: Literature Review Tab
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3.1 Introduction 3. Research Framew
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76 Chapter 3 Research Framework exp
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78 Chapter 3 Research Framework and
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3.3 Rationale for Choice of Researc
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3.4 Research Methodologies/Strategi
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84 Chapter 3 Research Framework Acc
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86 Chapter 3 Research Framework Onw
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88 Chapter 3 Research Framework res
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90 Chapter 3 Research Framework stu
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3.4.3 Rationale for Research Method
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94 Chapter 3 Research Framework as
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96 Chapter 3 Research Framework stu
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98 Chapter 3 Research Framework dem
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100 Chapter 3 Research Framework va
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102 Chapter 3 Research Framework In
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Winter (1989) provided an overview
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108 Chapter 3 Research Framework co
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112 Chapter 3 Research Framework ob
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114 Chapter 3 Research Framework po
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3.9 Data Analysis 116 Chapter 3 Res
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118 Chapter 3 Research Framework th
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120 Chapter 3 Research Framework ad
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122 Chapter 3 Research Framework Yi
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124 Chapter 3 Research Framework (2
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126 Chapter 3 Research Framework Be
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128 Chapter 3 Research Framework wi
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132 Chapter 3 Research Framework re
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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
Page 287 and 288: 286 References Carr, S., L. Hussier
Page 289 and 290: 288 References Davies, S., Ellis, L
Page 291 and 292: 290 References Farrell, G.A. (1991)
Page 293 and 294: 292 References Gold, R. (1958) Role
Page 295 and 296: 294 References Holroyd, A., Dahlke,
Page 297 and 298: Kirk, J., & Miller, M. L. (1986).Re
Page 299 and 300: 298 References McCormack, B. (2004)
Page 301 and 302: 300 References National Council on
Page 303 and 304: 302 References Pullen, D.L. (2006)
Page 305 and 306: 304 References Schumaker, K.L. & Go
Page 307 and 308: 306 References Van Manen, M. (1990)
Page 309 and 310: Appendix 1: HIQA Standards Summary
Page 311 and 312: Appendix 2 : Concept Analysis Illus
Page 313 and 314: Appendix 3 : Model Cases 312 Append
Page 315 and 316: Appendix 4 : Methodologies 314 Appe
Page 317 and 318: Appendix 5 : Ethics letter 316 Appe
Page 319 and 320: Appendix 6: Information Sheet 318 A
Page 321 and 322: Appendix 7: Consent for Whole Study
Page 323 and 324: decide to participate you will be f
Page 325 and 326: 324 Appendices Informed Consent For
Page 327 and 328: Appendix 9: Documentary Analysis Au
Page 329 and 330: Appendices Attribute Evident (Yes/N
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Page 333 and 334: Attribute Tick if observed Self-gov
Page 335 and 336: Attribute An atmosphere of openness
Page 337: Appendix 12: Interview Guides 336 A
Page 341 and 342: Question Theme What decisions do yo
Page 343 and 344: Number/Code Age Sex Barthel Score T
Page 345 and 346: Important Probes Decision-making Fl
Page 347 and 348: Appendix 13: Floor Plan 346 Appendi
Page 349 and 350: Appendix 14: Data Reduction 348 App
Page 351 and 352: Appendix 15: Data Display 350 Appen
Page 353 and 354: Maintaining dignity Residents deleg
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Page 363 and 364: Resident Dependency 362 Appendices
Page 367 and 368: Total number of staff at morning re
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Page 371 and 372: Appendix 20: Residents’ Documenta
Page 375 and 376: Appendix 21: Care Planning Presenta
Page 377 and 378: RLT Care Planning This is about id
Page 379 and 380: Benefits of Assessment A proactive
Page 381 and 382: Implementing The health care profes
Page 383 and 384: Who Should Sign? The person who ca
Page 385 and 386: Description Month Task Commencing M
Page 387 and 388: 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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