Reciprocity and caregiver competencies.

An explorative study of Person-Attuned Interaction in dementia care

Authors

DOI:

https://doi.org/10.7146/qs.v9i1.143675

Keywords:

Dementia care, Interaction, Attunement, Caregiver competencies, Lego Serious Play

Abstract

Despite the impact of dementia, people’s needs to connect with others and their environment remains. With progression of a dementia disease, a person will gradually be more dependent on assistance and care. In this study, we aimed to conceptualise our understanding of person-centred dementia care, theoretically based on Tom Kitwood’s ontology of personhood. A hermeneutic constructivist approach with four explorative phases allowed for a metaphorical way of working with implicit knowledge related to professional caregiving. We used Lego Serious Play™ for data collection and as a method for exploring, articulating, and conceptualising how we understood caregiver interactions. Based on our analysis, we developed a co-created, condensed model suggesting an ideographic understanding of person-attuned interactions in caregiving, emphasizing knowledge about personhood and reciprocity. We unfolded how professional caregivers represent an essential value in dementia care by providing a feeling of safety through person-attuned interactions, introspection and mentalisation. We found that caregiver competencies depend on resources, culture, and interdisciplinary collaboration, which puts a strong demand on continuous training and supervision and for political and societal priorities.

Author Biographies

Hanne Mette Ridder, 1Department of Communication and Psychology, Aalborg University, Music Therapy

Hanne Mette Ridder, PhD, Professor, Department of Communication and Psychology, Aalborg University, Denmark. Director of the PhD Specialisation in Music Therapy, music therapist, approved clinical supervisor. President of the European Music Therapy Confederation (2010-2016). Research areas: Dialogue, personhood, creativity, and music therapy in a psychosocial understanding of dementia care.

Jens Anderson-Ingstrup, 1Department of Communication and Psychology, Aalborg University, Music Therapy

Jens Anderson-Ingstrup, PhD, assistant professor, Department of Communication and Psychology, Aalborg University, Denmark. Music Therapist. Research areas: addressing the realist question of “what works for whom in what context?”, interaction and the development of treatment manuals in dementia care.

Julie Kolbe Krøier, 1Department of Communication and Psychology, Aalborg University, Music Therapy & Neurologisk afdeling, Bispebjerg Hospital

Julie Kolbe Krøier, PhD, Lecturer in music therapy, Department of Communication and Psychology, AAU. Music therapist at neurological unit, Bispebjerg Hospital, Copenhagen. Associate Editor for the Danish Journal of Music Therapy. Research areas: Music therapy in dementia care, person-centered care and music therapy education.

Orii McDermott, Institute of Mental Health, University of Nottingham

Orii McDermott, PhD, Senior Research Fellow at the Institute of Mental Health, University of Nottingham, UK. She specialises in dementia psychosocial research, especially in interventions for people living with young onset dementia, music therapy and music-based interventions and outcome measures development and evaluation.

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Published

2024-02-25

How to Cite

Ridder, H. M., Anderson-Ingstrup, J., Krøier, J. K., & McDermott, O. (2024). Reciprocity and caregiver competencies.: An explorative study of Person-Attuned Interaction in dementia care. Qualitative Studies, 9(1), 109–135. https://doi.org/10.7146/qs.v9i1.143675

Issue

Vol. 9 No. 1 (2024): Caring About Elderly Care

Section

Articles in English

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