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Conceptual development of "at-homeness" despite illness and disease: a review
Palliative Research Centre, Ersta Sköndal University College and Ersta Hospital, Stockholm.
Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg.
Luleå University of Technology, Department of Health Sciences, Nursing Care.ORCID iD: 0000-0001-5953-8970
Department of Care Science, Malmö University.
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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, article id 23677Article 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, article id 23677
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Nursing
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Nursing
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URN: urn:nbn:se:ltu:diva-2623DOI: 10.3402/qhw.v9.23677ISI: 000336452900001PubMedID: 24867057Scopus ID: 2-s2.0-84902363172Local ID: 043a74e4-1aec-44f5-9c21-6c3892007d40OAI: oai:DiVA.org:ltu-2623DiVA, id: diva2:975476
Note

Validerad; 2014; 20140602 (andbra)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2023-09-14Bibliographically approved

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