TY - JOUR
T1 - A conversational, small-story approach to narrative care for people with dementia living in care institutions
T2 - Strategies and challenges
AU - Villar, Feliciano
AU - Westerhof, Gerben J.
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2023/3
Y1 - 2023/3
N2 - The aim of the paper was to define what narrative care is and identify and discuss everyday conversational narrative care strategies regarding people living with dementia in long-term care institutional settings. To do so, we differentiate between two approaches to narrative care: a big-story approach (reflecting on life stories) and a small-story approach (enacting stories in everyday conservations). The paper is focused on the second approach, which appears to be particularly fit to be used with people living with dementia. We identify three main strategies to implement this approach in everyday care: (1) prompting and sustaining narratives; (2) valuing non-verbal and embodied cues; and (3) constructing narrative environments. Finally, we discuss some training, institutional and cultural barriers and challenges for providing conversational, small story-based narrative care for people living with dementia in long-term care institutions.
AB - The aim of the paper was to define what narrative care is and identify and discuss everyday conversational narrative care strategies regarding people living with dementia in long-term care institutional settings. To do so, we differentiate between two approaches to narrative care: a big-story approach (reflecting on life stories) and a small-story approach (enacting stories in everyday conservations). The paper is focused on the second approach, which appears to be particularly fit to be used with people living with dementia. We identify three main strategies to implement this approach in everyday care: (1) prompting and sustaining narratives; (2) valuing non-verbal and embodied cues; and (3) constructing narrative environments. Finally, we discuss some training, institutional and cultural barriers and challenges for providing conversational, small story-based narrative care for people living with dementia in long-term care institutions.
KW - Long-term institutional care: Persons living with dementia
KW - Narrative care
KW - Person-centered care
UR - http://www.scopus.com/inward/record.url?scp=85146830512&partnerID=8YFLogxK
U2 - 10.1016/j.jaging.2023.101105
DO - 10.1016/j.jaging.2023.101105
M3 - Article
C2 - 36868619
AN - SCOPUS:85146830512
SN - 0890-4065
VL - 64
JO - Journal of aging studies
JF - Journal of aging studies
M1 - 101105
ER -