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Scientific article 15. MAR 2023
  • The Elderly
  • Health Care
  • The Elderly, Health Care

Organizational narratives in rehabilitation-focused dementia care — negotiating identities, interventions and personhood

Authors:

  • Lea Graff
  • Helle Timm
  • Jette Thuesen
  • The Elderly
  • Health Care
  • The Elderly, Health Care
Staged photo: Ole Bo Jensen/VIVE
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  • Lea Graff

    Senior Research Analyst, Master of Science (MSc) in Social Sciences in Social Work.

    +45 61 95 86 64
    legr@vive.dk
Background
Rehabilitation is increasingly being introduced in dementia care but studies highlight extensive heterogeneity in practices, conceptual confusion and divergent perceptions of its relevance across care organizations and national contexts. As this have implications for development of dementia care as well as for people with dementia’s access to care it is important to study the organizational narratives and practices in rehabilitation-oriented dementia care organizations.
Methods
The study build on qualitative interviews (individual and group interviews) with health professionals (N = 26) engaged with dementia care and rehabilitation in two Danish municipalities. The interviews were conducted in 2018–2019. The empirical data was analyzed using abductive analysis and theory-based narrative analysis, using Loseke’s conceptualizations of and approach to analyzing formula stories.
Findings
Four dominant organizational narratives were constructed from the data. Each narrative produced a specific organizational narrative of client identity: the active participant in individualized rehabilitation, the inactive individual benefitting from enhanced social environments, the disengaging self and the vulnerable self.
Conclusion
Introducing rehabilitation in dementia care may amplify the organizational polyphonic and provide a plurality of organizational identities each expressing different perceptions of personhood and agency for people with dementia. The organizational narratives were negotiated within a specific structural context where national regulation and dominant discourses on economic challenges and ageing gave precedence to some narratives more than others. In Danish elder care, the first narrative is the most influential but risks excluding people with dementia. Instead, rehabilitation in dementia care is positioned within a social and relational perspective, which may silence important discussion of agency and resistance.

Authors

  • Lea GraffHelle TimmJette Thuesen

About this publication

  • Financed by

    VELUX FONDEN
  • Collaborators

    Forskningsprojektet er ejet af REHPA, Videncenter for rehabilitering og palliation, og ledet af Jette Thuesen. Helle Timm, SDU, er samarbejdspartner
  • Published in

    Dementia: The International Journal of Social Research and Practice
VIVE – The Danish Centre for Social Science Research provides knowledge that contributes to developing the welfare society and strengthening quality development, efficiency enhancement and governance in the public sector, both in municipalities, regions and nationally.
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