The call-bell in residential care homes: Experiences of residents and staff.
Care environment
End of life care
Institutional care/residential care
Interpersonal relations
Knowledge exchange
Participatory action research
Journal
Journal of aging studies
ISSN: 1879-193X
Titre abrégé: J Aging Stud
Pays: England
ID NLM: 8916517
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
16
09
2020
revised:
17
06
2022
accepted:
20
06
2022
entrez:
25
8
2022
pubmed:
26
8
2022
medline:
30
8
2022
Statut:
ppublish
Résumé
Call-bells are often taken-for-granted systems to heighten safety. In joint discussions among residential care home (RCH) residents, their family members, and staff, issues related to call-bell use in everyday life and work were repeatedly raised. In this article, we explore these experience-based perspectives, addressing several key questions important for call-bell use and communication. We inductively analyzed a series of individual interviews and group discussions with 44 individuals at two units of the same Swedish RCH, conducted as part of a participatory action research project to strengthen supportive end-of-life environments. While the call-bell was a central part of RCH communication, we found: fragmented understanding about how the call bell functioned among all participants; many residents lacked the physical and cognitive competencies demanded for call-bell use; tensions between use of the call-bell for social/existential communication versus purely discrete tasks; and that a call-bell system assuming room-bound residents exacerbated issues related to varied response times, lack of feedback mechanisms, and pressured work situations. Investigation of the call-bell system provides an empirical example of how complex relationships among stakeholders are played out in concrete situations. Tensions between different logics of care, and between clock and embodied time become evident.
Sections du résumé
BACKGROUND/OBJECTIVES
OBJECTIVE
Call-bells are often taken-for-granted systems to heighten safety. In joint discussions among residential care home (RCH) residents, their family members, and staff, issues related to call-bell use in everyday life and work were repeatedly raised. In this article, we explore these experience-based perspectives, addressing several key questions important for call-bell use and communication.
RESEARCH DESIGN/METHODS
METHODS
We inductively analyzed a series of individual interviews and group discussions with 44 individuals at two units of the same Swedish RCH, conducted as part of a participatory action research project to strengthen supportive end-of-life environments.
RESULTS
RESULTS
While the call-bell was a central part of RCH communication, we found: fragmented understanding about how the call bell functioned among all participants; many residents lacked the physical and cognitive competencies demanded for call-bell use; tensions between use of the call-bell for social/existential communication versus purely discrete tasks; and that a call-bell system assuming room-bound residents exacerbated issues related to varied response times, lack of feedback mechanisms, and pressured work situations.
DISCUSSION AND IMPLICATIONS
CONCLUSIONS
Investigation of the call-bell system provides an empirical example of how complex relationships among stakeholders are played out in concrete situations. Tensions between different logics of care, and between clock and embodied time become evident.
Identifiants
pubmed: 36008034
pii: S0890-4065(22)00059-7
doi: 10.1016/j.jaging.2022.101056
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
101056Informations de copyright
Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.