Abstract

Introduction: In Sweden, new national guidelines for elderly care have been introduced containing core values and local guarantees of dignity that highlight the need for dignity, well-being and the organisation of the older person’s daily life, so it is perceived as meaningful. Unit leaders play a crucial role in health care organisations when guidelines are to be implemented. Aim: The aim was therefore to describe unit leaders’ experiences about what constituted a meaningful daily life for older persons receiving municipal care and the opportunities and obstacles that might exist. Method: Repeated interviews using reflective conversations with nine leaders were performed and analysed with qualitative content analysis. Results: Unit leaders felt a shared vision regarding a meaningful life was needed. Daily routines and habits that promoted independence, a feeling of community together with familiarity with the job, and got the little extra from knowledgeable staff were important. The historical collective paradigm in elderly care needed to be abandoned in favour of one promoting more individualism. Fundamental was the courage to ask the older person what was important and dared to follow through to “Give power to the older person to decide what care to be given”. Conclusion: Organisational conditions affect unit leaders’ ability to succeed in the implementation of the work. Further studies are required regarding the nature of the support that the unit leaders need to succeed in their work.

Highlights

  • In Sweden, new national guidelines for elderly care have been introduced containing core values and local guarantees of dignity that highlight the need for dignity, well-being and the organisation of the older person’s daily life, so it is perceived as meaningful

  • The leaders’ experiences and reflections over what constitutes a meaningful daily life for older persons receiving municipal care were interpreted and five themes emerged: Routines and habits are important for a meaningful daily life, Have the possibility to feel independent, Familiarity with the job and that little extra promotes meaningful daily lives, Community creates a meaningful daily life, and Understanding and accepting the history of elderly care

  • The older person and the team around them working together would develop a care plan based on a shared vision on what a meaningful daily life was

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Summary

Introduction

In Sweden, new national guidelines for elderly care have been introduced containing core values and local guarantees of dignity that highlight the need for dignity, well-being and the organisation of the older person’s daily life, so it is perceived as meaningful. Aim: The aim was to describe unit leaders’ experiences about what constituted a meaningful daily life for older persons receiving municipal care and the opportunities and obstacles that might exist. This article focuses on unit leaders’ perspectives on a meaningful daily life for older persons in need of munici-. The government introduced new national guidelines for elderly care, which included core values and local guarantees of dignity that highlighted the need for dignity, well-being and the organisation of the older person’s daily life, so it is perceived as meaningful to them [2]. The government gave each municipality the responsibility for the creation of its own guidelines, local guarantees and for the implementation of those guidelines

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