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Aim: This study aimed to illuminate meanings of person‐centredness as narrated by nursing home managers in nursing homes rated as highly person‐centred. Design: A phenomenological hermeneutical approach was used. Methods: Twelve nursing home managers in 11 highly person‐centred nursing homes in 7 municipalities in Sweden were included in this interview study. The findings were interpreted, reflected and discussed through the lens of Ricoeur. Results: Meanings of person‐centredness could be understand as moving between doing and being through knowing, sensing, sharing and giving for person‐centredness. These aspects contributed via knowledge, understanding, interaction and action that involved doing for and being with older persons through these caring dimensions. By moving between doing for, being with and being part of the overall nursing home narrative, knowing, sensing, sharing and giving could support the persons' identity in different ways. This may also contribute to sense‐making, preserving dignity and promoting self‐esteem when aiming to provide a good life for older persons in nursing homes, within an ever‐present ethical frame. No Patient or Public Contribution: This study illuminated meanings of person‐centredness as narrated by nursing home managers. No patient of public contribution was investigated. [ABSTRACT FROM AUTHOR]

Aims and objective. The aim of this study was to describe and interpret the essential meaning of the lived experiences of being in a critical illness-recovery process after a life-threatening condition. Background. The critical illness-recovery process after a life-threatening condition takes several years and does not only include patients' experiences during intensive care. Previous research has mainly focused on what critically ill patients recall. However, from a phenomenological point of view, experiences are more than memories alone. To plan and perform relevant health care and social support for patients who have survived a life-threatening condition, a more profound understanding about their lived experiences is needed. Design and method. In this qualitative study, a phenomenological hermeneutical approach was used. Interviews were conducted with seven patients, two to four years after they had received care in an intensive care unit in Sweden. Results. The comprehensive understanding of the results shows that the critical illness-recovery process after a life-threatening condition means an existential struggle to reconcile with an unfamiliar body and with ordinary life. This can be understood as an 'unhomelikeness' implying a struggle to create meaning and coherence from scary and fragmented memories. The previous life projects, such as work and social life become unfamiliar when the patient's fragile and weak body is disobedient and brings on altered sensations. Conclusions. Patients who survive a life-threatening condition have an immense need for care and support during the entire critical illness-recovery process, and also after the initial acute phase. They need a coherent understanding of what happened, and support to be able to perform their changed life projects. Relevance to clinical practice. Supporting and caring for patients' recovery from a life- threatening condition involves recognising the patients' struggle and responding to their existential concerns. [ABSTRACT FROM AUTHOR]

The focal point of this article is identity as potentiality: how a narrated form of self-understanding can be mobilised, enacted and shared with others within unequally distributed multifaceted conditions of existence, with other outcomes than surrender to disowned and self-confirming actions of reproduced exclusion, subordination and enclosure. Concretely, this distribution demonstrates how and why identity as potentiality might come into being within the play of forces in the life of a young Muslim woman trying to incorporate herself into Swedish multicultural society. In addition, the reader will meet reflections on respectability, multicultural incorporation and the possibility of a non-injurious criticism. [ABSTRACT FROM PUBLISHER]

The aim is to describe how experiences of being an immigrant can influence the situation when becoming a patient in Swedish health care. A hermeneutic approach was used. Sixteen persons born in non-Nordic countries were interviewed. The data was analysed with an empirical hermeneutical method. The findings indicate that positive experiences (i.e., establishing oneself in a new home country) enhance the possibilities of taking part in caring situations and vice versa. Hence, there is a need for individually adapted care that takes one's whole life situation into consideration. Consequently, it is suggested that the concept, "cultural competence" merely serves the purpose of illuminating caregivers' need for categorisation. It does not illuminate individual needs in a caring situation. [ABSTRACT FROM AUTHOR]