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

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...

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Main Authors: Lisa Herulf Scholander, Sofia Vikström, Anne-Marie Boström, Staffan Josephsson
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://dx.doi.org/10.1080/17482631.2024.2367851
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author Lisa Herulf Scholander
Sofia Vikström
Anne-Marie Boström
Staffan Josephsson
author_facet Lisa Herulf Scholander
Sofia Vikström
Anne-Marie Boström
Staffan Josephsson
author_sort Lisa Herulf Scholander
collection DOAJ
description 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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series International Journal of Qualitative Studies on Health & Well-Being
spelling doaj-art-f6b58642c3ab4e378a5d57f22be5a5492024-12-13T15:19:02ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312024-12-0119110.1080/17482631.2024.23678512367851Inquiring into conditions for engaging in narrative relations on a geriatric ward – how interpretation matters in everyday practicesLisa Herulf Scholander0Sofia Vikström1Anne-Marie Boström2Staffan Josephsson3Karolinska InstitutetKarolinska InstitutetStockholms Sjukhem FoundationKarolinska InstitutetDrawing 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.http://dx.doi.org/10.1080/17482631.2024.2367851ethnographygeriatric careinterpretationnarrationperson-centred care
spellingShingle Lisa Herulf Scholander
Sofia Vikström
Anne-Marie Boström
Staffan Josephsson
Inquiring into conditions for engaging in narrative relations on a geriatric ward – how interpretation matters in everyday practices
International Journal of Qualitative Studies on Health & Well-Being
ethnography
geriatric care
interpretation
narration
person-centred care
title Inquiring into conditions for engaging in narrative relations on a geriatric ward – how interpretation matters in everyday practices
title_full Inquiring into conditions for engaging in narrative relations on a geriatric ward – how interpretation matters in everyday practices
title_fullStr Inquiring into conditions for engaging in narrative relations on a geriatric ward – how interpretation matters in everyday practices
title_full_unstemmed Inquiring into conditions for engaging in narrative relations on a geriatric ward – how interpretation matters in everyday practices
title_short Inquiring into conditions for engaging in narrative relations on a geriatric ward – how interpretation matters in everyday practices
title_sort inquiring into conditions for engaging in narrative relations on a geriatric ward how interpretation matters in everyday practices
topic ethnography
geriatric care
interpretation
narration
person-centred care
url http://dx.doi.org/10.1080/17482631.2024.2367851
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