Dealing with troubled conscience by using participatory action research in residential care of older people in Sweden
2014 (English)Conference paper (Refereed)
Objective: To illuminate an intervention process to assist care providers in municipal care of older people to constructively deal with their troubled conscience generated from their perceived shortcomings about not providing sufficient activities for residents. Method: The study design was grounded in participatory action research (PAR). Twelve care providers and their manager participated in 12 PAR-sessions, guided with inspiration from the three basic phases, look, think and act. Result: Participants wanted to learn more about a difficult care situation that generated troubled conscience; perceptions of not providing sufficient activities for residents. Together with researchers they brainstormed about and described the problem in a deeper way. Participants formulated actions taken to gain increased understanding about meaningful activities, that is, they inventoried their knowledge and their learning needs (phases 'look' and 'think'). When learning needs were fulfilled, they decided what was possible and meaningful to act on and how to do so (phase 'act'). Actions taken were continuously evaluated and revised with new actions implemented. By sharing their experiences, participants confirmed in one another and became aware of what types of activities were meaningful for residents and actions were taken to provide such activities. The importance of being attentive and rely on residents’ responses, to provide person-centered activities, was satisfying for residents and eased participants' troubled conscience. Conclusion: PAR contributed, through reflection and learning, with increased understanding of the necessity to listen to one’s conscience and to use conscience as a driving force to improve quality of care.
Place, publisher, year, edition, pages
IdentifiersURN: urn:nbn:se:umu:diva-94752OAI: oai:DiVA.org:umu-94752DiVA: diva2:756056
Nordic Conference in Nursing Research. Methods and Networks for the future. 10-12 Juni Odense, Danmark, 2014