The Importance of Personal Possessions for the Development of a Sense of Home of Nursing Home Residents

ABSTRACT

Personal possessions of nursing home residents can contribute to their sense of home. This study investigated which of the personal belongings were considered most important, and if these items indeed contributed to a sense of home. A qualitative research was conducted with 27 nursing home residents. Photographs, paintings, and pieces of furniture are objects with sentimental value. The television set is valued for its practical function. Residents of larger rooms have more flexibility in bringing along personal items, including pieces of furniture. The results of this study can be used for the design of nursing homes or for making informed choices during the process of institutionalization.     

Nursing home satisfaction,biography, and the life worlds of psychiatrically disabled residents

The stereotype of nursing home life as a uniformly dismal experience is pervasive in American culture, but this examination of the attitudes of psychiatrically disabled residents calls this generality into question. Residents in this study exemplified a range of opinions about the nursing home — some were clearly satisfied or dissatisfied, but most were ambivalent. In this paper, I explore the relationship between nursing home satisfaction and individual interpretive activity through the biographies of three residents. I find that how residents made sense of their lives was powerfully linked to their perspectives on nursing home residence. In particular, satisfaction was linked to how each resident viewed his or her illness, institutionalization, and life purpose. Understanding the phenomenological contributors to the meaning of nursing home life is essential to appreciating how it is that residents in the same environment can have vastly different outlooks on their surroundings.     

Closet and Cabinet: Clutter as Cosmology

ABSTRACT

In Central Slovakia, homes “grow” and get cluttered with age. Cabinets and closets are used to house this profusion of possessions. However, their very role as containers for precious and meaningful objects—such as expensive cut glass or family heirlooms—gives them a poetic and symbolic weight that belies their modest appearance. Based on anthropological fieldwork, this article investigates how practices of collection, storage, and display of particular genres of domestic objects create spaces of intimacy in the home that work to perpetuate a sense of family history amongst middle-aged Slovaks in and around the provincial town of Banská Bystrica. Inspired by the historiography of Walter Benjamin, as well as his biographical writings, the focus of the study lies on the relation between memory and material culture in the home. Rather than relying on narratives of consumption and aesthetic choice recently popular amongst anthropologists studying domestic decor, it forms an attempt to reengage with literature that looks to the home as a site for the poetic imagination in order to grasp sentiments that are rarely verbalized.     

Conflicts and contestations. Rural populations’ perspectives on the second homes phenomenon

In response to demands to restructure and diversify their economies, many rural communities have welcomed the expanding phenomenon of second homes. However, while the second home owners bring new resources to the host communities, the literature also suggests that large second home populations in rural communities provide fertile ground for a number of economic, social and cultural conflicts and contestations. The present paper analyses the views of the local rural populations on the second home phenomenon, with particular attention to variation in these views, both within and between the rural communities (municipalities). The analysis uses material from the survey City, countryside, second homes 2008, which was conducted among a large-scale and representative sample of the population in Norwegian rural second home municipalities. The first section of the paper addresses the rural populations’ stance towards the second home phenomenon, both in general and as it unfolds in their own vicinity. Results show generally positive views on second home development; however, the analysis identifies a substantial minority which is negative to the second home expansion. Nevertheless, the second section shows that even those rurals who are negative towards further developments of second homes largely report harmonious social relationships with the second home population that is already present. Third, the paper presents and discusses a multivariate logistic regression model to analyse how different segments of the rural population vary in their views on second home phenomena. Here, results suggest differences at both micro and macro levels: the local rural elites, in particular those with direct economic interests in the second home sector, are most positive towards further development. On the municipality level, resistance towards second homes is stronger in municipalities with a high density of second homes. Nevertheless, a high growth rate in the number of second homes, due to high investments, seems to increase local support.     

The Collective Turkish Home in Vienna: Aesthetic Narratives of Migration and Belonging

ABSTRACT

This article explores how Turkish people in Vienna create a collective sense of belonging and position themselves in a complex web of diasporic relations, through the materiality and aesthetics of their homes. It aims to show how the efforts of displaced people to construct a belonging to the new place of dwelling are intertwined with the aesthetic and material practices of making homes. Based on ethnographic research, it will be argued that a particular “Turkish home” is collectively created through shared aesthetic practices and discourses and serves as a material and social medium both for imagining and building collectivities and for constructing and expressing ambiguities, conflicts, multiplicities and contests, played out in the aesthetics of the everyday. Challenging the common view that homes in diasporic or migratory resettlements reflect past lives and locations or a mixture of two cultures and two sets of different objects associated with them, it will be argued that Turkish homes in Vienna are made through a new and particular aesthetic, which serves to produce and reproduce a communal Turkish narrative of migration to and dwelling in Vienna.     

Nursing home ownership: an historical analysis

The need to care for dependent elderly in the United States has been a constant since colonial times. Today, as in the earliest days, most care is provided at home by family members. Personal and health services outside the home are sometimes provided by nursing homes. The nursing home industry is large, dominated by private, for-profit ownership, and receives much of its income from public funds. Why are nursing homes publicly funded? Why are nursing homes privately rather than publicly owned? Why is ownership for-profit or proprietary rather than not-for-profit or voluntary? The answers to these questions are found in the history of social policies in the United States.     

British Expatriate Belongings: Mobile Homes and Transnational Homing

ABSTRACT

This article explores the mobile homes and transnational homing of British expatriates in Dubai. In the article, I analyze ordinary domestic objects that play a special role in the homemaking practices of their expatriate owners, drawing on eighteen months of ethnographic research including participant observation and home-based interviews. I argue that thinking about belonging through belongings is productive because it is empirically and theoretically attentive to the way in which the home is experienced simultaneously as both a material and immaterial, lived and imagined, localized and (trans)national space of belonging. Furthermore, the homes of expatriates make explicit the fluidity and multiplicity of home as process. This article focuses on three things found in British expatriate homes in Dubai: a painting, a plastic bowl, and a DVD.     

“The show must go on”: Behind the scenes of elderly spousal caregiving

Based on interviews with ten caregivers and on observations of their daily behavior, the present article sets out to clarify why, despite the burdens of care-giving, elderly individuals care for their spouses at home, even when the option to institutionalize them is available. Unlike traditional ways of approaching this question, founded on emic models, the analysis presented in this article is mainly an etic one, based on the dramaturgical approach. The findings indicate that caregiving is a stage for self-deceptive playacting, allowing caregivers to suspend time, awareness, and anxiety in a way that would not have been possible had they institutionalized their spouses. The study shows that features of caregiving, usually portrayed as burdens and hardships, serve in fact as coping mechanisms, which may explain elderly people's willingness to care for their spouses in their own homes.     

Physical abuse of older adults in nursing homes: a random sample survey of adults with an elderly family member in a nursing home

Few empirical studies have focused on elder abuse in nursing home settings. The present study investigated the prevalence and risk factors of staff physical abuse among elderly individuals receiving nursing home care in Michigan. A random sample of 452 adults with elderly relatives, older than 65 years, and in nursing home care completed a telephone survey regarding elder abuse and neglect experienced by this elder family member in the care setting. Some 24.3% of respondents reported at least one incident of physical abuse by nursing home staff. A logistic regression model was used to estimate the importance of various risk factors in nursing home abuse. Limitations in activities of daily living (ADLs), older adult behavioral difficulties, and previous victimization by nonstaff perpetrators were associated with a greater likelihood of physical abuse. Interventions that address these risk factors may be effective in reducing older adult physical abuse in nursing homes. Attention to the contextual or ecological character of nursing home abuse is essential, particularly in light of the findings of this study.     

Physical Abuse of Older Adults in Nursing Homes: A Random Sample Survey of Adults With an Elderly Family Member in a Nursing Home

Few empirical studies have focused on elder abuse in nursing home settings. The present study investigated the prevalence and risk factors of staff physical abuse among elderly individuals receiving nursing home care in Michigan. A random sample of 452 adults with elderly relatives, older than 65 years, and in nursing home care completed a telephone survey regarding elder abuse and neglect experienced by this elder family member in the care setting. Some 24.3% of respondents reported at least one incident of physical abuse by nursing home staff. A logistic regression model was used to estimate the importance of various risk factors in nursing home abuse. Limitations in activities of daily living (ADLs), older adult behavioral difficulties, and previous victimization by nonstaff perpetrators were associated with a greater likelihood of physical abuse. Interventions that address these risk factors may be effective in reducing older adult physical abuse in nursing homes. Attention to the contextual or ecological character of nursing home abuse is essential, particularly in light of the findings of this study.     

Placement preferences among children living in foster or kinship care: A cluster analysis

This research provides a longitudinal assessment regarding children's placement preferences, distinguishing between what children prefer to be permanent home situations and what children expect will be permanent situations. Cluster analysis was used in an effort to classify the responses of 1313 children, ages 6–14, in foster or kinship care, over a three year period, regarding placement preferences. Results of the cluster analyses indicate classification in the following four groups of permanency preferences: 1) I don't want to be here/going home; 2) I can stay here, but I don't want to/going home; 3) I can stay here and I want to, but no adoption; and 4) I can stay here and I want to, with adoption. Findings indicate that across waves of data collection, children express a sense of belonging in their foster homes. Older children were more agreeable to their current placements as long as there was no option of permanency/adoption. Also, White children were more likely to prefer and expect to go home. This research provides great utility in evaluative efforts that include listening to the voices of the children by encouraging their participation in case planning and service evaluation.     

Defining the challenges of providing long-term care: the case of the nursing home industry's response to the AIDS epidemic

Acquired Immune Deficiency Syndrome (AIDS) is now viewed as a chronic disease requiring long-term management. As a result, more persons with AIDS (PWAs) are seeking long-term care in facilities that have primarily served the elderly. In some regions, however, the nursing home market into which PWAs may introduce new demand is a market already characterized by excess demand. In light of this, competition for limited long-term care resources may develop between the frail elderly and PWAs. The nursing home industry has raised many issues regarding the feasibility of admitting AIDS patients as residents, but little is known about how important these issues are in deciding admissions policy. How the industry perceives and resolves the concerns it has regarding delivery of care to PWAs can affect the overall long-term care system and thus affect the traditional users-the frail elderly. Knowing the concerns and preferences of the industry may help guide and anticipate future changes in the system. In this pilot study, a random sample of 250 nursing home administrators in the five highest AIDS-incidence areas in the United States was surveyed to determine (1) the industry's concerns and issues regarding AIDS care, (2) data regarding requests for admission by PWAs to nursing homes, and (3) data concerning the industry's preferred way of delivering AIDS care. Important admissions policy issues cited by the respondents included the ability to meet special care needs, costs of care, and inadequate reimbursement. The majority also believed the most appropriate methods of providing care were special care units for AIDS within nursing homes or dedicated HIV/AIDS nursing facilities.     

A home of their own. Women's boundary work in LAT-relationships

LAT-relationships (from Living Apart Together), in which partners retain their own homes although they have a long-term intimate relationship, represent an increasingly acceptable choice among elderly in Sweden. LAT-relationships, unlike marriage or cohabitation, create special conditions that enable an intimate relationship to be combined with autonomy. However, this does not mean that the way in which the balance between autonomy and intimacy is achieved is given. This study examines the home as a resource for women's boundary making, i.e. the process in which boundaries are established around their homes in order to influence their interaction with partners, friends and kin. The study is based on questionnaires to elderly Swedish men and women living in LAT-relationships (n=116) and on qualitative interviews. There is a broad variety of ways of establishing boundaries in time and space, ranging from having direct control over who has access to one's home to more subtle time-zoning strategies, but all the women studied seem to prioritize the possibility of keeping their various social relations separate from one another.     

Children as domestic employees: Problems and promises

While children's domestic work is widely seen as acceptable in a child's own home, there has been growing attention to the vulnerability of children employed in domestic service; some people have argued that this work should be banned outside children's homes. This article considers both the potential harm as well as the benefits accruing to children in such environments, and has inquired into the opinions of children who themselves are involved in this kind of situation. This exploration has encountered obstacles: for example, institutions for fostering children and extended-family scenarios frequently blur the boundaries between work within the home and for outside employment. While support for child domestic workers should be a matter of urgency, stopping children from working outside their homes is not necessarily an effective way of protecting them, and, further, this approach removes possible material resources from some disadvantaged children. It is, instead, better to focus on positive ways of improving children's opportunities.     

Belgium and the Netherlands: Two Different Ways of Coping with the Housing Crisis, 1945–70

ABSTRACT

Belgium and the Netherlands are very different in their spatial outlook and in the way housing is organized. In Belgium individual private dwellings predominate whereas in the Netherlands social housing and planned neighborhoods are much more common. This article aims at unraveling the histories and sensibilities that led to this situation. It argues that the well-known diverging histories of architecture and urbanism make up only one explanation, which needs to be complemented by understanding the different processes of mediation between producers and consumers adopted by both countries. In tackling the postwar housing crisis, Belgium chose to stimulate private initiative by providing tax incentives for home builders. The Netherlands, on the other, hand mitigated the housing crisis by planning new estates of social housing, using new techniques of prefabrication that led to standardized flats. In the Netherlands the process of mediation, oriented towards “correct living,” was dominated by a national organization, which resolutely advocated modernist design as the most rational way to organize the home. In Belgium the task of mediation was taken up by “pillarized” social organizations rather than by a national institution. This resulted in a much stronger bottom-up influence from ordinary dwellers, who convinced their organizations to soften the modernist approach in favor of more traditionally inspired homes and interiors. The Belgian way of organizing home cultures thus came to resemble much more an “American way of living” than its Dutch counterpart—contradicting the prevailing literature that tends to stress the Americanization of Dutch culture while ignoring such patterns in Belgium.     

Shaping social situations: A hidden aspect of care work in nursing homes

A significant aspect of care work in nursing homes involves dealing with emotional responses such as anxiety, fear, pain, depression and anger on the part of residents and their families. Previous care and nursing research on this topic centers around dyadic relationships and does not provide useful conceptualizations of how care workers actively deal with the social situations they encounter as part of their work. Drawing on ethnographic field work and interviews conducted in two Norwegian nursing homes, this article aims to describe and conceptualize a previously neglected aspect of good care work: the active shaping of social situations in order to lessen uneasy feelings of residents and their families. Three episodes of good work are described to illustrate how social situations can be shaped. Strategies include such actions as timing events, regulating one's presence, and composing social groups. The concluding section discusses some implications for nursing home management.     

Attitudes Toward Aging and Retirement Homes Before and After Entry Into a Retirement Home

The change of one's habitual living conditions in favor of institutionalized living in a retirement home can be a stressful event. Therefore, the question arises: How does entry into a retirement home affect attitudes toward one's life and aging and toward retirement homes? In order to answer this question, we used longitudinal data from 53 older individuals who were surveyed before and after entry into a retirement home. The data revealed that attitudes toward one's life and aging changed negatively and attitudes toward retirement homes changed positively; however, there are gains and losses in both attitudes.     

Violence against children who have left home,lived on the street and been domestic workers — A study of reintegrated children in Kagera Region,Tanzania

Children all over the world experience physical, emotional and sexual violence. Children leaving home for street or domestic work are especially vulnerable. Strategies for facilitating reintegration for these children are advocated, but enough is still not known about the outcome of such reintegration in terms of violence and abuse. The study aimed at examining the extent of violence against children who have left home in Kagera Region, Tanzania as well as in different stages of their trajectory of life, i.e. before leaving home, on the street, as domestic workers, and after reintegration. A cross-sectional study was conducted with 214 participants aged 13–24, who had earlier left their homes and had now been reintegrated into the local community for at least one year. The study also examined the residual violence still taking place after reintegration and its potential impact on their psychological quality of life. This study, first of its kind in the country measuring level of violence for children who have left home as well as after reintegration, offered a unique opportunity to compare level of violence with other nationally conducted studies on violence against children recruited from the home setting. The result showed a significantly higher overall prevalence of violence against the children who left home compared to the national average. After reintegration, the overall prevalence of violence had declined significantly (p-value < 0.001) and to the same level as the national average, showing that reintegration can be successful.The group still facing violence showed lower psychological quality of life, which emphasises the need for continued preventive work to reduce the overall violence against children in society, with special emphasis on orphans and other vulnerable children most at risk of leaving their homes.