Keeping dad safe : an autoethnography of double-duty caregiving in the context of risk as an advanced practice nurse in geriatrics caring for a hospitalized frail older adult parent
department or school: Health and Social Development, Faculty of (Okanagan)
department or school: Nursing, School of (Okanagan)
data provider: DSpace
degree campus: UBCO
creator: Kjorven, Mary Colleen
issued: 2019-12-18T23:25:37Z
issued: 2019
related degree: Doctor of Philosophy - PhD
degree grantor: University of British Columbia
description: Particular challenges emerge when children who are health professionals become caregivers for their older adult parents who are hospitalized. This double-duty caregiving involves performing multiple roles and can create tensions for formal and informal caregivers that may impact the care of the older adult. In my case double-duty caregiving meant positioning as a daughter of an older adult family member and as a clinical nurse specialist in geriatrics within a change in risk culture toward patient-and-family centered care. Using autoethnography informed by poststructural perspectives, I conducted a discourse analysis and identified subject positions produced through and by these discourses. I applied analytic and evocative autoethnographic methods to my data that included medical records of my dad from two separate hospital admissions, journal notes, memory, and emails. Additionally, I conducted semi-structured interviews with my dad, three siblings, and the health service director at the hospital where my dad was hospitalized. My double-duty caregiving experience is reflected in my autoethnography that applied historical perspectives of risk and the influence of risk culture on in-the-moment caregiving. I identified safety as a predominant discourse that I, my participants, and the health care providers who cared for my dad took up and performed in my experience of double-duty caregiving for my dad. Within the safety discourse were sub-discourses of competency/incompetency, surveillance, trust/mistrust, fear, and control. Through this process of discourse analysis, biomedical discourses were unveiled as the most dominant discourses that produced the culture of risk within the context of double-duty caregiving for my frail older adult parent, and the tension between biomedical discourses and patient-and-family centered care is revealed. This study is unique in using autoethnography to look at double-duty caregiving for an older adult parent within the context and cu…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/72854
note: KEEPING DAD SAFE: AN AUTOETHNOGRAPHY OF DOUBLE-DUTY CAREGIVING IN THE CONTEXT OF RISK AS AN ADVANCED PRACTICE NURSE IN GERIATRICS CARING FOR A HOSPITALIZED FRAIL OLDER ADULT PARENT by Mary Colleen Kjorven BsN, Okanagan University College, 1998 MsN, University of British Columbia Okanagan, 2009 A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY in The College of Graduate Studies (Nursing) THE UNIVERSITY OF BRITISH COLUMBIA (Okanagan Campus) December 2019 © Mary Kjorven, 2019 ii The undersigned certify that they have read, and recommend to the College of Graduate Studies for acceptance, a dissertation entitled: KEEPING DAD SAFE: AN AUTOETHNOGRAPHY OF DOUBLE-DUTY CAREGIVING IN THE CONTEXT OF RISK AS AN ADVANCED PRACTICE NURSE IN GERIATRICS CARING FOR A HOSPITALIZED FRAIL OLDER ADULT PARENT submitted by Mary Kjorven in partial fulfillment of the requirements of the degree of Doctor of Philosophy. Dr. Kathy L. Rush Supervisor Dr. Jennifer Baumbusch Supervisory Committee Member Dr. Rachelle Hole Supervisory Committee Member Dr. Colin Reid Supervisory Committee Member Dr. Fiona McDonald University Examiner Dr. Catherine Ward-Griffin External Examiner iii Abstract Particular challenges emerge when children who are health professionals become caregivers for their older adult parents who are hospitalized. This double-duty caregiving involves performing multiple roles and can create tensions for formal and informal caregivers that may impact the care of the older adult. In my case double-duty caregiving meant positioning as a daughter of an older adult family member and as a clinical nurse specialist in geriatrics within a change in risk culture toward patient-and-family centered care. Using autoethnography informed by poststructural perspectives, I conducted a discourse analysis and identified subject positions produced through and by these discourses. I applied analytic and evocative autoethnographic methods to my data …
has type: Thesis/Dissertation
date issued: 2020-02
is shown at: 10.14288/1.0387216
language: eng
degree discipline: Nursing
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/72854