Abstract
Background: The literature shows that innovation, which includes culture change, may be important to create a meaningful everyday life for nursing home residents. However, there is a gap in how social innovation practices may contribute to this. The theoretical discourse for the study is person-centered care.Aim: The main aim was to explore phenomena within social innovation that can contribute to improving nursing home residents’ everyday lives.Design and Method: This study uses an ethnographic design with observations and interviews in two nursing homes in Southern Norway.Findings: The main theme was that social innovation within working practices in nursing homes includes phenomena that contribute to a meaningful everyday life for the residents. This main theme includes five subthemes: (1) opening the nursing home to the surroundings; (2) expanding and strengthening the community of practice; (3) facilitating customized activities; (4) ensuring sufficient nutrition and facilitating enjoyable mealtimes; and (5) preventing unrest and disturbing behavior.Conclusion: The study reveals that innovation practices grounded in person-centered care in nursing homes may contribute to opening the nursing home to the community and establishing a common community practice for all members of the nursing home. This enables residents to experience meaningful everyday life through customized activities, sufficient nutrition, and a pleasant milieu during mealtimes. Disturbing behavior is also prevented, making it possible to promote meaningful lives in nursing homes.
Highlights
Statistics Norway (2020) reports that there were 48,889 residents in nursing homes in Norway at the end of 2019
In 2018, there were approximately 70,000 people living in Norway who were diagnosed with dementia, and more than 80% of the residents in nursing homes had been diagnosed with dementia
We reviewed the themes before defining and naming five different subthemes: (1) opening the nursing home to the surroundings; (2) expanding and strengthening the community of practice; (3) facilitating customized activities; (4) ensuring sufficient nutrition and facilitating enjoyable mealtimes; and (5) preventing unrest and disturbing behavior; and one main theme “Social innovation within working practices in nursing homes includes phenomenon that contribute to a meaningful everyday life for the residents” that addressed the research question
Summary
Statistics Norway (2020) reports that there were 48,889 residents in nursing homes in Norway at the end of 2019. The literature shows that innovation, which includes culture change, may be important to create a meaningful everyday life for nursing home residents. The importance of meaningful everyday life for nursing home residents has been emphasized (Ministry of Health and Care Services, 2009). When an old person moves into an institution, they become dependent on healthcare personnel for possibilities to create meaning in their everyday life This is what nursing is about (Travelbee, 1971). Some cultural changes in aged-care facilities have been found to be crucial These include changes, such as more individualized care, the facilitation of more meaningful relationships, better opportunities for participation in life roles more generally, and the possibilities for the residents to experience a new sense of belonging (Andrew and Ritchie, 2017)
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