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Conceptual development of "at-homeness" despite illness and disease: a review.
Ersta Sköndal University College, Palliative Reserch Centre, PRC.
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2014 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 9, 23677- p.Article in journal (Refereed) Published
Abstract [en]

Only one empirical study, the one by Zingmark, Norberg and Sandman published in 1995, explicitly focuses on at-homeness, the feeling of being metaphorically at-home, as a particular aspect of wellness. However, other studies reveal aspects of at-homeness, but if or how such aspects of at-homeness are related to each other is unclear. For this reason, the aim was to review Scandinavian nursing research related to at-homeness in the context of wellness-illness in severe and long-term conditions in order to take a step towards conceptual clarification of "at-homeness." The review included interpretive studies related to severe and long-term illness conducted in Sweden: 10 original articles and 5 doctoral theses. "At-homeness" was found to be a contextually related meaning of wellness despite illness and disease embedded in the continuum of being metaphorically at-home and metaphorically homeless. This was characterized by three interrelated aspects and four processes: being safe through expanding-limiting experiences of illness and time, being connected through reunifying-detaching ways of relating, and being centred through recognition-non-recognition of oneself in the experience and others giving-withdrawing a place for oneself. This conceptualization is to be regarded as a step in conceptual clarification. Further empirical investigation and theoretical development of "at-homeness" are needed. The conceptualization will be a step of plausible significance for the evaluation of interventions aimed at enhancing wellness for people with severe long-term illness, such as the frail elderly, and people with chronic illness or palliative care needs.

Place, publisher, year, edition, pages
2014. Vol. 9, 23677- p.
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Nursing Other Medical Sciences not elsewhere specified
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URN: urn:nbn:se:esh:diva-4238DOI: 10.3402/qhw.v9.23677PubMedID: 24867057OAI: oai:DiVA.org:esh-4238DiVA: diva2:774461
Available from: 2014-12-23 Created: 2014-12-23 Last updated: 2015-01-20Bibliographically approved

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