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Title: Taboo or not taboo? : a constructivist exploration of moving from an acute hospital to a care home : a multi-voiced, temporal account
Author: Laker, Sara J.
ISNI:       0000 0001 3604 0176
Awarding Body: University of Sheffield
Current Institution: University of Sheffield
Date of Award: 2007
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Care of older people in hospital and community settings has. received increasing policy attention in recent years. However despite much research, transition from acute hospital care to a care home has been relatively neglected. This thesis reports a study that explored these experiences from multiple perspectives. Using a constructivist approach data were collected prospectively from 12 detailed case studies, which involved interviewing the older person where. possible, their family and professionals' both in the hospital and care home settings. In addition this thesis employed the technique of emergent fit in which key extant literature was used to complement the empirical findings emerging from the case studies. Analysis revealed four temporal phases of accumulation, coming to a decision, choosing a home and settling in. 'Accumulation' captures the events that prompted a decision regarding the older person's future care, with the experience of 'coming to a decision' being influenced by how much the older person and their family had been aware of the implications of their increasing needs and Subsequently, how involved they were in the decision making process. Once the decision to enter care was made, the process of 'choosing a home' began and the'study provides key insights into how this was experienced by older people and their families, and the role staff played. Finally 'settling in' demonstrated the importance of building relationships in the care home as the older person and their family embarked on a new period in their lives. The study provides new insights into the transition process and makes a contribution to methodology by using emergent fit as a tool to make connections with other relevant research. Awareness context theory is used as a heuristic device to try and explain the 'taboo' nature of decision-making during this period. A number of implications for practice, education, policy and future research are made.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available