View/Open - ARAN - National University of Ireland, Galway

72
Chapter 2: Literature Review
Table 2.3: Antecedents of autonomy for older people in residential care as
delineated from the literature
Antecedents
Staffs attitudes are positive in relation to ageing and older people. Values and
beliefs of staff are person-centred and non-paternalistic.
(Rodgers and Neville, 2007; Tutton, 2005; McCormack and McCance, 2006;
Randers and Mattiasson, 2004; Burkhardt and Nathaniel, 2002; RCN, 1997; Quill
and Brody, 1996).
Staff communicate effectively with each other, with residents and with visitors.
Resident assessment is robust and involves gathering life histories.
(McCormack et al., 2008; Atkins, 2006; Swaggerty, Lee and Smith, 2005; Forbes-
Thompson and Gessert, 2005; Tutton, 2005; Burkhardt and Nathaniel, 2002;
McCormack 2001; Davies, Ellis and Laker, 2000; Beauchamp and Childress, 1994;
Lidz, Fischer and Arnold, 1992; Agich, 1990; Meyers, 1989).
An atmosphere of openness, motivation and flexibility.
(Faulkner and Davies, 2006; Forbes-Thompson and Gessert, 2005; Swaggerty, Lee
and Smith, 2005; Tutton, 2005; Redfern et al., 2002; Ryan and Scullion, 2000;
Beauchamp and Childress, 1994).
Respect for dignity and for fellow human beings evident between staff, and
between staff and residents.
(Randers and Mattiasson, 2004; Beauchamp and Childress, 1994).
Table 2.4: Consequences of autonomy for older people in residential care as
delineated from the literature
Consequences
Residents who feel autonomous express an enhanced quality of life and
increased satisfaction in daily routine, and participate in social activity.
(Faulkner and Davies, 2006; McCormack and McCance, 2006; Murphy, 2006;
Barkay and Tabak, 2002; Agich, 1990).
Staff retention.
(McCormack and McCance, 2007; Faulkner and Davies, 2006; Forbes-Thompson
and Gessert, 2005; Wade, 1999; Pursey and Luker, 1995).
Homely atmosphere.
(Forbes-Thompson and Gessert, 2005; Cohen and Weisman, 1990).
Evidence of negotiated care plans that include a focus on the resident’s social
and recreational needs. Life histories of the resident – knowing the person.
(McCormack et al., 2008; Atkins, 2006; Forbes-Thompson and Gessert, 2005;
Swaggerty, Lee and Smith, 2005; Tutton, 2005;Burkhardt and Nathaniel, 2002;
Davies, Ellis and Laker., 2000;;McCormack 2001; Quill and Brody, 1996;
Beauchamp and Childress, 1994; Lidz, Fischer and Arnold, 1992; Agich, 1990;
Meyers, 1989).
Observation of effective communication between staff, residents and visitors.
(Faulkner and Davies, 2006; McCormack and McCance, 2006; Tutton, 2005;
Burkhardt and Nathaniel, 2002).