Ian Davies-Abbott, Catrin Hedd Jones and Gill Windle
This paper aims to understand the lived experience of a person living with dementia in a care home during the COVID-19 pandemic. It responds to the absence in research of the…
Abstract
Purpose
This paper aims to understand the lived experience of a person living with dementia in a care home during the COVID-19 pandemic. It responds to the absence in research of the voices of people with dementia living in care homes during the pandemic.
Design/methodology/approach
The paper adopts a single case study design applied thematic analysis to semi-structured interview data to discover the experiences of one person living with dementia in a care home during a period of lockdown.
Findings
Five themes reveal how the participant responded to the practical and emotional challenges of the pandemic: autonomy; fears; keeping connected; keeping safe and other people living with dementia. These themes highlight the participant’s ability to adapt, accept and dispute lockdown restrictions, revealing considerable insight into their situation.
Research limitations/implications
The pandemic has restricted access to care homes, which informed the single case study design. This approach to the research may restrict the generalisability of the findings. Other researchers are encouraged to include the voices of people with dementia living in care homes in further studies.
Practical implications
Implications for practice, presented in this paper, promote quality psychosocial approaches when health-care workers engage with people living with dementia during periods of restricted activity.
Originality/value
Unlike other studies about the impact of the pandemic on care homes, this paper explores the experience of the pandemic in care homes from the perspective of a person living with dementia.
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Gill Windle and Vanessa Burholt
Older people are reported to be the largest group to suffer from mobility deprivation. This paper reviews the literature relating to the mobility of older people in the context of…
Abstract
Older people are reported to be the largest group to suffer from mobility deprivation. This paper reviews the literature relating to the mobility of older people in the context of transport opportunities and provision. The findings show that older people regard car ownership as an aid to independence and mobility. Car ownership is considered the norm and a necessity in rural areas. However within Wales, older people are more likely to be on a low income and live in a rural area, and are less likely to have a car than the rest of the population. Mobility, hearing and visual problems have a higher prevalence in the older population, rendering the use of public transport problematic. Difficulties include problems with getting on and off buses, difficulties with reading passenger information, missing information and communicating with service personnel. Improved access to public transport for older and disabled people can make a major contribution to the financial and social independence of this large and growing sector of the population (TRL Project Report, 1994) and will further promote the social inclusion of older people into society.
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– The purpose of this paper is to highlight some of the benefits and issues relating to arts participation in later life.
Abstract
Purpose
The purpose of this paper is to highlight some of the benefits and issues relating to arts participation in later life.
Design/methodology/approach
The paper draws on literature relating to older people's arts participation, and also includes discussion of the author's doctoral research into arts and ageing. The research was a qualitative study, influenced by narrative approaches and life-course perspectives. It involved interviews with 24 participants who have connections with a case-study town in the English Midlands.
Findings
The paper focuses on the findings from six participants belonging to a male voice choir. The themes that are discussed include the importance of continuity; issues of identity; mutual support; impact of ill health and the sustainability of group activities.
Research limitations/implications
This is a small-scale study, based in one case study town. Care should therefore be taken in generalising to different populations and areas. Potential for future research includes: other geographical locations, including larger urban areas. Specific focus on choir participation, or other art form. Involving people from a wider range of ethnic backgrounds.
Social implications
This study adds to a growing body of evidence about the value of arts and culture to society.
Originality/value
This study is original in adopting life-course perspectives to understand later life arts participation. It also offers original insights into the nature of arts-generated social capital and how this may be viewed within a wider context of resourceful ageing.
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Soo-Hoon Lee, Thomas W. Lee and Phillip H. Phan
Workplace voice is well-established and encompasses behaviors such as prosocial voice, informal complaints, grievance filing, and whistleblowing, and it focuses on interactions…
Abstract
Workplace voice is well-established and encompasses behaviors such as prosocial voice, informal complaints, grievance filing, and whistleblowing, and it focuses on interactions between the employee and supervisor or the employee and the organizational collective. In contrast, our chapter focuses on employee prosocial advocacy voice (PAV), which the authors define as prosocial voice behaviors aimed at preventing harm or promoting constructive changes by advocating on behalf of others. In the context of a healthcare organization, low quality and unsafe patient care are salient and objectionable states in which voice can motivate actions on behalf of the patient to improve information exchanges, governance, and outreach activities for safer outcomes. The authors draw from the theory and research on responsibility to intersect with theories on information processing, accountability, and stakeholders that operate through voice between the employee-patient, employee-coworker, and employee-profession, respectively, to propose a model of PAV in patient-centered healthcare. The authors complete the model by suggesting intervening influences and barriers to PAV that may affect patient-centered outcomes.