Inquiring into conditions for engaging in narrative relations on a geriatric ward - how interpretation matters in everyday practices.

Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101256506 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1748-2631 (Electronic) Linking ISSN: 17482623 NLM ISO Abbreviation: Int J Qual Stud Health Well-being Subsets: MEDLINE

Publication: 2016- : Philadelphia, PA : Taylor & Francis
Original Publication: London ; New York : Taylor & Francis, c2006-

Narration* ; Focus Groups* ; Geriatrics* ; Attitude of Health Personnel*; Humans ; Aged ; Female ; Male ; Anthropology, Cultural ; Qualitative Research ; Health Personnel/psychology ; Communication

Drawing on data from ethnographic fieldwork and interprofessional focus group discussions, this study enquires into staff's everyday life on a geriatric ward to explore and understand conditions for engaging in narrative relations in in-patient geriatric care. Avoiding individualistic understandings of narrative practices, we applied a narrative-in-action methodology built on a relational understanding of narrativity, where individual narratives are not separated from social and cultural features. This helped us explore how individual interpretations of the conditions for everyday practices come together with broader social or cultural understandings to gain situated insights about how these are continuously related and reformed by one another in everyday situations of geriatric care. The findings offer insights into the opportunities to engage in narrative relations based on how healthcare staff on a geriatric ward interpret conditions for their practices, and how they act based on such interpretations. While some interpretations were associated with attitudes and activities encouraging narrative relations, others simultaneously thwarted narrative relations by enacting task-orientation, division, or a focus on measurable biomedical or function-related outcomes. Moreover, the findings suggest and discuss consequences of the tensions created as interpretations are enacted in everyday healthcare situations, thus questioning assumptions about conditions as something static and linear.

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Keywords: Ethnography; geriatric care; interpretation; narration; person-centred care

Date Created: 20240613 Date Completed: 20240613 Latest Revision: 20240616

20240616

PMC11177706

10.1080/17482631.2024.2367851

38870415