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Ward
Atmosphere
Routine V's
Flexibility
The ward atmosphere seems to depend on
what staff are on-duty, it also depends on the
level of care residents require or how
interactive they are. It has friendly staff.
Gerontological care is often perceived
negatively.
This is a constant struggle discussed by all
participants. It includes how care is planned,
resident dependence and the staff on duty.
Staff's unwillingness to chage routine and
going with the flow begs the question - who's
flow? Staff's obsession with physical care
drives the routine, contributes to the rushing
and hurrying and dictates the time available to
do or not do other things.
Communication This is not only about how staff communicate
with residents but also about how they
communicate with each other. It is about
staff's abilities to commuicate non-verbally
with residents, be approachable to residents,
families and visitors. Overall it is about how
good commuication can build relationships.
353
Appendices
residents out
Care planning 10 6
36 12
Pre-
Conceptions
6 4
Depends on
staff on-duty
3 3
Friendly 3 2
Positive 3 3
Negative 2 2
Depends on
residents
1 1
Observed
Different
18 2
levels of
activity
8 2
Going with the
flow - who's
flow
Resident
dependence
Rushing or
hurrying
Depends on
staff
Time and
timing
91 25
24 15
4 4
12 10
12 8
11 7
Care planning 5 4
No planning 2 2
Not just
physical care
7 5
58 15