Health> Vol.5 No.6B, June 2013

Promoting sense of security in old-age care

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ABSTRACT

Purpose: The concept of security is related to the experience of health but has ever so often been argued from a risk perspective rather than from a promotional perspective. The experience of older persons’ sense of security in private homes and in nursing homes seems to be missing when it comes to promote aging well throughout the life span. This study aimed to describe and analyze factors related to the sense of security of older persons receiving care in nursing homes in Sweden. Design and Methods: The study was based on a questionnaire from a total of 495 persons aged ≥ 65 in private homes (n = 350) or nursing homes (n = 145) in Sweden. Results: Secure relationships, sense of control, and perceived health were significantly related to the subjects’ sense of security. No significant relationships were found between sense of security and having a personal emergency response alarm. Implications: Experience of sense of security from the older person perspective differs depending on the context. To promote the sense of security within the care of older persons, methods on how to establish secure relations as well as the sense of control and knowledge need to be further tested, developed and analyzed together with older persons.

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Cite this paper

Boström, M. , Bravell, M. , Lundgren, D. and Björklund, A. (2013) Promoting sense of security in old-age care. Health, 5, 56-63. doi: 10.4236/health.2013.56A2009.

References

[1] [1] Torstensson Levander, M. (2007) Trygghet, sakerhet, oro eller risk? (Security, safety, concern or risk?). Stockholm.
[2] Hale, C. (1996) Fear of crime: A review of the literature. International Journal of Victmology, 4, 79-150.
[3] De Donder, L. (2012) Individual risk factors of feelings of unsafety in later life. European Journal of Ageing, 9, 233.
[4] De Donder, L. (2012) Social capital and feelings of unsafety in later life: A study on the influence of social networks, place attachment and civic participation on perceived safety in Belgium. Resarch on Ageing, 34, 425- 448. doi:10.1177/0164027511433879
[5] Lindgren, L. (2011) How are the user surveys used? An overview of research and perspectives on surveys (Huranvandsbrukarundersokningar? En oversikt av forskningen och perspektiv pa kunskapsoversikter). FoU Vast, Rapport 3.
[6] National Board of Health and Welfare (2011) Lagesrapport.
[7] Wanell, E. (2004) Growing old together—A book about aging and elderly care (Bo pa aldre da′r. Att aldras tillsammans—En bok om aldrandet och aldreomsorgen). Adrecentrum/PRO, Stockholm.
[8] Fonad, E. (2008) Older people’s safety and security in community care for the elderly: Focusing on fall risk and fall. Dissertation Thesis, Karolinska Institutet, Stockholm.
[9] Yen, I. and Anderson, L. (2012) Built environment and mobility of older adults: Important policy and practice efforts. Journal of the American Geriatrics Society, 60, 951-956. doi:10.1111/j.1532-5415.2012.03949.x
[10] Mastrian, K.G. (2001) Differing perceptions in defining safe independent living for elders. Nursing Outlook, 49, 231-237. doi:10.1067/mno.2001.115491
[11] Social Service Law (2001) Chapter 1 mission statement. Socialtjanstlagen, 453.
[12] Wikstrom, E. (2005) The paradox of influence (Inflytandets paradoxer). Linneuniversitetet, Vaxjo.
[13] Fagerstrom, L., Gustafson, Y., Jakobsson, G., Johansson, S. and Vartiainen, P. (2011) Sense of security among people aged 65 and 75. External and inner sources of security. Journal of Advanced Nursing, 67, 1305-1316. doi:10.1111/j.1365-2648.2010.05562.x
[14] Petersson, P. and Blomqvist, K. (2011) Sense of security —Search in for its meaning by using stories: A particatory action research study in health and social care in Sweden. International journal of Older People Nursing, 6, 25-32. doi:10.1111/j.1748-3743.2010.00211.x
[15] Segesten, K. (1984) Patienters upplevesler av trygghet och otrygghet. In: Forlag, S., Ed., Omvardnad och Trygghet—En Metateoretisk och Fenomenologisk Studie. Goteborgs Universitet, Goteborg.
[16] Andersson-Segesten, K. (1991) Patient’s experience of uncertainty in illness in two intensive coronary care units. Scandinavian Journal of Caring Sceiences, 5, 543-548
[17] Giddens, A. (1989) Anthony Giddens and social sciences (Anthony giddens och samhallsvetenskapen). Stockholm.
[18] Carro, D., Valera, S. and Vidal, T. (2010) Perceived insecurity in teh public space: Personal, social and enviromental variables. Qualitative and Quantiative, 44, 303- 314. doi:10.1007/s11135-008-9200-0
[19] Sorman, H. (2010) Open comparisons 2010 Residential care for the elderly (Oppna jamforelser 2010 Vard och omsorg om aldre).
[20] National Board of Health and Welfare (2011) Methodological Appendix Open comparisons regarding older persons (Socialstyrelsens Metodbilaga Oppna jamforelser Aldreguiden).
[21] Acierno, R., Rheingold, A., Resnick, H. and Kilpatrick, D. (2004) Predictors of fear of crime in older adults. Anxiety Disorders, 18, 385-396. doi:10.1016/S0887-6185(03)00012-4
[22] Stiles, B., Halim, S. and Kaplan, H. (2003) Fear of crime among individuals with physical limitations. Criminal Justice Review, 28, 232-253. doi:10.1177/073401680302800203
[23] Killias, M. and Clerici, C. (2002) Different measures of vulnerability in their relations to different dimensions of fear of crime. British Journal of Criminology, 40, 437- 450. doi:10.1093/bjc/40.3.437
[24] Bostrom, M., Kjellstrom, S., Malmberg, B. and Bjorklund, A. (2011) Personal emergency response system (PERS) alarms may induce insecurity feelings. Gerontechnology, 11, 136-141.
[25] Szebehely, M. and Ulmanen, P. (2012) Price of the scueeze in old age care, how does this affect the middleage children? (Atstramningens pris, Hur paverkas de medelalders barnen av aldreomsorgens minskning?). Institutionen for Socialt Arbete, Stockholm.
[26] Johns, J. (1996) A concept analysis of trust. Journal of Advanced Nursing, 24, 76-83. doi:10.1046/j.1365-2648.1996.16310.x
[27] Mok, E. (2004) Nurse-patient relationchop in palliative care. Journal of Advanced Nursing, 48, 475-483. doi:10.1111/j.1365-2648.2004.03230.x
[28] Tarlier, D. (2004) Beyond caring: The moral and ethical bases of responsive nurse-patient relationships. Nursing Philosophy, 5, 230-241. doi:10.1111/j.1466-769X.2004.00182.x
[29] Dupuis, A. and Thorns, D. (2002) Home, home ownership and the search for ontological security. The Sociological Review, 46, 24-47. doi:10.1111/1467-954X.00088
[30] Ministry of Social Affairs (2007) Close learning. Support to municipalities for skills and training in the care of the elderly (Socialdepartementet Att lara nara Stod till kommuner for verksamhetsnara kompetensutveckling inom omsorg och vard av aldre).
[31] Westerberg, B. and Sundell, K. (2009) Staff training in the elderly—Will it be benefiting the elderly? An evaluation of the competence ladder, the institute for the development of methods in social work, IMS, The National Board of Health and Welfare (Personalutbildning i aldreomsorg—Blir den till nytta for de aldre? En utvardering av Kompetensstegen). Institutet for Utveckling av Metoder i Socialt Arbetet IMS, Socialstyrelsen, 126-179.
[32] Nuevo, R., Loebach, W.M., Montorio, I., Ruiz, M. and Cabrea, I. (2009) Knowledge about aging and worry in older adults: Testing the mediation role of intolerance of uncertainty. Aging & Mental Health, 33, 135-141. doi:10.1080/13607860802591088
[33] Clarke, P. and Smith, J. (2011) Aging in a cultural context: Cross-national differences in disability and the moderating role of personal control among older adults in the United States and England. Journals of Gerontology Series B: Psychological Sciences & Social Sciences, 66B, 457-467. doi:10.1093/geronb/gbr054
[34] Kulla, G., Sarvaimaki, A. and Fagerstrom, L. (2006) Health resources and health strategies among older Swedish-speaking Finns—A hermeneutic study. Scandinavian Journal of Caring Sciences, 20, 51-57. doi:10.1111/j.1471-6712.2006.00379.x
[35] Fonad, E., Wahlin, T., Heikkila, K. and Emami, A. (2008) Moving to and living in a retirement home: Focusing on elderly people’s sense of safety and security. Journal of Housing of the Elderly, 20, 45-60. doi:10.1300/J081v20n03_04
[36] Retirement homes Delegation (2008) Bor bra hela livet fritze. Stockholm.
[37] Harnett, T. (2010) The trivial matters Everyday power in Swedish elder care. Dissertation Thesis, School of Health Sciences, Jonkoping.
[38] Otlund Gammal ar aldst (1995) Old people are the most experienced. A Study of the meaning of technology in old people’s every day life (En studie av teknik i aldre manniskors liv). Linkopings University, Linkopings.
[39] World Health Organization (2004) A glossary of terms for community health care and services for older persons. World Health Organization, Geneva.
[40] Tamm, M. (1991) Psychological theories in caring (Psykologiska teorier i varden). Akademiforlaget, Goborg.

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