Elderly care as an autonomy-supportive environment: from the perspectives of professionals and elderly
(English)Manuscript (preprint) (Other academic)
For people to be intrinsically motivated in contrast to doing something because it leads to a separable outcome, they have to experience their behavior as self-determined. It requires either inner resources or contextual supports for autonomy, that is, the extent to which people feel supported in their ability to function autonomously, make choices and decisions. The more one internalizes the reasons for an action, the more one’s extrinsically motivated actions become self-determined. Since individual autonomy is embedded in relationships and circumstances and contexts can yield autonomous regulation, when autonomy-supportive, awareness about the conditions that nurture regulation and internalization can contribute to optimize people's quality of life. Thus the present interview study aims to examine elderly care as an autonomy-supportive environment from the perspectives of professionals and elderly, and also whether an intervention aimed to improve elderly care quality enhances autonomy-support. Nine elderly care recipients and their contact persons participated at Time I and 7 contact persons at Time II. The results suggest that elderly care (in this study) is not an autonomy-supportive environment due to too many constraining interactions. Moreover, quality improvement work does not automatically increases autonomy-support. However, autonomy and elderly care may not need to be a paradoxical conjunction if autonomy and independence are seen as separate goals of elderly care.
autonomy-support, quality improvement work, elderly care, intervention, interview study, content analysis
Research subject Psychology
IdentifiersURN: urn:nbn:se:umu:diva-68030OAI: oai:DiVA.org:umu-68030DiVA: diva2:615509
ProjectsLärande och kunskap i äldreomsorgen