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  • 标题:Conceptual development of “at-homeness” despite illness and disease: A review
  • 作者:Joakim Öhlén ; Inger Ekman ; Karin Zingmark
  • 期刊名称:International Journal of Qualitative Studies on Health and Well-being
  • 电子版ISSN:1748-2631
  • 出版年度:2014
  • 卷号:9
  • 期号:1
  • 页码:23677
  • DOI:10.3402/qhw.v9.23677
  • 语种:English
  • 出版社:Taylor & Francis
  • 摘要: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.
  • 关键词:At-homeness ; concept development ; home ; literature review ; wellness ; well-being
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