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Redefining professional boundaries: Relationship-based practice in the care for older people with dementia / FAYE GRINTER

Swansea University Author: FAYE GRINTER

  • E-Thesis – open access under embargo until: 12th September 2025

DOI (Published version): 10.23889/SUthesis.67884

Abstract

In recent years, relationship-based practice has emerged as a pivotal framework in social work, particularly in child and family practice. However, its application in residential care for older people with dementia remains underexplored. This gap is significant amidst a globally ageing population an...

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Published: Swansea, Wales, UK 2024
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Verity, Fiona ; Beech, Christian
URI: https://cronfa.swan.ac.uk/Record/cronfa67884
first_indexed 2024-10-02T08:55:29Z
last_indexed 2024-11-25T14:21:01Z
id cronfa67884
recordtype RisThesis
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spelling 2024-10-04T09:28:43.9643532 v2 67884 2024-10-02 Redefining professional boundaries: Relationship-based practice in the care for older people with dementia 105f0465faaa96929aa4998fcd91d909 FAYE GRINTER FAYE GRINTER true false 2024-10-02 In recent years, relationship-based practice has emerged as a pivotal framework in social work, particularly in child and family practice. However, its application in residential care for older people with dementia remains underexplored. This gap is significant amidst a globally ageing population and increasing demand for social care, especially in a sector facing workforce challenges. Social care workers in residential settings establish crucial caring relationships with people with dementia. However, these often contend with managerialist influences. This thesis aims to understand effective relationship-based practices in residential care for people with dementia, focusing on the experiences of residents and staff. It explores necessary cultural and practical changes to enhance support for these practices. Using a case study approach in two residential social care settings in South Wales, the study identifies principles of effective relationship-based practice through documentation analysis, direct observations, and interviews with staff and residents. A social constructionist ontological approach, recognising that social realities are constructed through interactions, is utilised to understand how residents and staff co-create the social environment and influence the effectiveness of relationship-based practices. The results were analysed using qualitative content analysis, from an ethics of care perspective, providing deeper insights into what constitutes effective care practices for people living with dementia. Analysis suggests that laughter, touch, and closeness are vital elements of effective relationships. The findings emphasise that a 'one size fits all' approach is ineffective, as some residents prefer distance. Time was found to be crucial in fostering positive relationships, while current professional boundaries and lack of time are barriers. This thesis advocates for cultural and contextual shifts in residential social care to enhance the practical and emotional dimensions of social care relationships. It suggests that practice and professional boundaries should better align with a relationship-based approach to care in residential settings. E-Thesis Swansea, Wales, UK Relationship based practice, social care, residential care, older people, dementia, case study 12 9 2024 2024-09-12 10.23889/SUthesis.67884 COLLEGE NANME COLLEGE CODE Swansea University Verity, Fiona ; Beech, Christian Doctoral Ph.D ESRC and Health and Care Research Wales ESRC and Health and Care Research Wales 2024-10-04T09:28:43.9643532 2024-10-02T09:45:17.3322405 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health FAYE GRINTER 1 Under embargo Under embargo 2024-10-02T10:33:21.2534472 Output 2818759 application/pdf E-Thesis – open access true 2025-09-12T00:00:00.0000000 Copyright: The author, Faye Grinter, 2024. true eng
title Redefining professional boundaries: Relationship-based practice in the care for older people with dementia
spellingShingle Redefining professional boundaries: Relationship-based practice in the care for older people with dementia
FAYE GRINTER
title_short Redefining professional boundaries: Relationship-based practice in the care for older people with dementia
title_full Redefining professional boundaries: Relationship-based practice in the care for older people with dementia
title_fullStr Redefining professional boundaries: Relationship-based practice in the care for older people with dementia
title_full_unstemmed Redefining professional boundaries: Relationship-based practice in the care for older people with dementia
title_sort Redefining professional boundaries: Relationship-based practice in the care for older people with dementia
author_id_str_mv 105f0465faaa96929aa4998fcd91d909
author_id_fullname_str_mv 105f0465faaa96929aa4998fcd91d909_***_FAYE GRINTER
author FAYE GRINTER
author2 FAYE GRINTER
format E-Thesis
publishDate 2024
institution Swansea University
doi_str_mv 10.23889/SUthesis.67884
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 0
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description In recent years, relationship-based practice has emerged as a pivotal framework in social work, particularly in child and family practice. However, its application in residential care for older people with dementia remains underexplored. This gap is significant amidst a globally ageing population and increasing demand for social care, especially in a sector facing workforce challenges. Social care workers in residential settings establish crucial caring relationships with people with dementia. However, these often contend with managerialist influences. This thesis aims to understand effective relationship-based practices in residential care for people with dementia, focusing on the experiences of residents and staff. It explores necessary cultural and practical changes to enhance support for these practices. Using a case study approach in two residential social care settings in South Wales, the study identifies principles of effective relationship-based practice through documentation analysis, direct observations, and interviews with staff and residents. A social constructionist ontological approach, recognising that social realities are constructed through interactions, is utilised to understand how residents and staff co-create the social environment and influence the effectiveness of relationship-based practices. The results were analysed using qualitative content analysis, from an ethics of care perspective, providing deeper insights into what constitutes effective care practices for people living with dementia. Analysis suggests that laughter, touch, and closeness are vital elements of effective relationships. The findings emphasise that a 'one size fits all' approach is ineffective, as some residents prefer distance. Time was found to be crucial in fostering positive relationships, while current professional boundaries and lack of time are barriers. This thesis advocates for cultural and contextual shifts in residential social care to enhance the practical and emotional dimensions of social care relationships. It suggests that practice and professional boundaries should better align with a relationship-based approach to care in residential settings.
published_date 2024-09-12T14:44:20Z
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score 11.048237

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