University of Twente Student Theses


Systematic literature review on the conceptualisation of autonomy in the nursing home

Feldmann, A. (2020) Systematic literature review on the conceptualisation of autonomy in the nursing home.

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Abstract:Background: The basic psychological need of autonomy that was identified by the Self-Determination-Theory (SDT) as essential for wellbeing can be often hard to adopt for elderly residents in the environment of nursing homes. This review study constructs the concept of autonomy from the perspective of elderly nursing home residents to gain an understanding of what specifically characterises their autonomy-needs. Methods: A systematic literature review was used to qualitatively synthesise all study records found that provide self-reports of residents on autonomy (n = 15). Relevant themes as described by nursing home residents were identified and compared to the components of autonomy as defined within the SDT to evaluate whether the theory matches the needs of nursing home residents. Results and Conclusion: Five themes as part of the conceptualisation of autonomy by nursing home residents were identified: Choice and control, Independence, Freedom and resources, Being seen and heard and Chosen dependence and competence. These compare to the definition of autonomy within the SDT, which is taking variations in needs into consideration that match the perspectives of nursing home residents. The SDT definition of autonomy was specified here to set a basis for wellbeing interventions in nursing homes to increase resident autonomy.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:70 social sciences in general, 77 psychology
Programme:Psychology MSc (66604)
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