Background
Aim
Methods
Design
Setting
Procedure and participants
Variable | Persons (N = 13) | |
---|---|---|
Gender (n) | Female | 13 |
Age (years) a | 36–45 years | 1 |
46–55 years | 7 | |
56–69 years | 5 | |
Work experience in current nursing home (years)a | 4 (0,5 years–23 years) | |
0.5–5 years | 5 | |
6–10 years | 1 | |
11–15 years | 0 | |
16–20 years | 1 | |
21–25 years | 2 | |
Professional level | Registered nurse | 3 |
Assistant nurse | 7 | |
Registrar | 1 | |
Missing information | 2 | |
Position in hierarchy | Employee | 10 |
Manager | 1 | |
Pensioner | 2 | |
Place of birth | Finland | 5 |
Sweden | 7 | |
Syria | 1 |
Data collection
Data analysis
Categories | No. of codes | Sub-categories | No. of codes |
---|---|---|---|
Motivation to development of the current culture-specific nursing home | 18 | Initiative, information and access | 12 |
Localization and language preferences | 6 | ||
Organizational issues | 87 | Adjustment to provide culturally specific services based on Finnish-speaking cultural background | 26 |
Organization and activities at the nursing home | 29 | ||
Work environment for the staff | 12 | ||
Partnership between staff at the nursing home, Finnish-speaking migrant associations, representatives of the municipality and family members | 20 | ||
Aspirations for the future | 20 | Adjusting to culturally adapted service at the current nursing home | 19 |
Independent administrative area | 1 | ||
Total number of codes | 125 |
Results
Motivation to development of the current culture-specific nursing home
Initiative, information and access
"I think that it is the Finnish association here in town that has been pushing and complaining to the municipality that they want a wholly Finnish old people’s home … that we came here after the fifties, sixties and did the most difficult jobs and … you get all the dirty jobs … then of course you can stand up for yourself and you have learned how to live in the country and what rights and opportunities you have … ”.
“It is the need that governs … . There is a waiting list, and it is the one who has the greatest need who gets in and it is not certain that it will be a Finnish speaker”.
Localization and language preferences
“ … .And he (dad) has the opportunity to talk Finnish with others … that he has all this Finnish and he seems happy to be there too, so that is very good. Yes, I think that he can’t speak Swedish anymore … he has pretty much forgotten about … that he can, like, converse with someone in Finnish it … it is worth its weight in gold”
Organizational issues
Adjustment to provide culturally specific services based on Finnish-speaking cultural background
“ … it also depends on diseases. We had Finnish-speaking staff but it was not possible so I (not Finnish-speaking) had to go in and help him because he recognized me. He was more confident with me than with her, though she spoke Finnish with him … .”
Organization and activities at the nursing home
The home was staffed with a Finnish-speaking registered nurse and three assistant nurses, with a fixed schedule and placement. The planning of the time schedules was done so that one Finnish-speaking staff member should always be present at the nursing home to assist with language barriers. However, it was not always possible to fulfil the requirement to have a Finnish-speaking staff member present at the home due to difficulty in recruiting them.“other residents at the home may be a little annoyed when they speak Finnish at the dining table, for example.”
Informants described how activities related to Finnish culture, such as singing, baking and cooking to mark holidays, are organized by the Finnish-speaking association in cooperation with Finnish-speaking staff, while staff who do not speak Finnish were not involved.“That was the aim (to have Finnish-speaking staff at the home) but sometimes it is not possible to arrange, it fails because there is a huge shortage of staff … . staff who speak Finnish … … It is not, but it is deficient … eh we say in dad’s staff … I don’t think there is anyone who speaks Finnish … ”
Work environment for the staff
“I don’t see any difference in the care they need, they get it. Everyone has different needs as regards what kind of care they need. Everyone gets what they need, be it Swedish or Finnish or other nationalities.I agree.They live here because they have needs “ (Focus group interview, Swedish-speaking assistant nurses )“I think it is very good … . it is a way for me to keep the language. … then I have to use the language in my job.”“There are times (difficulties) when you can’t understand each other. It’s very frustrating.”
Partnership between staff at the nursing home, Finnish-speaking migrant associations, representatives of the municipality and family members
“ … No … she (person from the Finnish administration at the municipality) … she says what she has done but she does not say … what she is planning or what to do, but then when it’s done she says here it is … ”
Aspirations for the future
Adjusting to culturally adapted service at the current nursing home
“Not to divide people as if there were something special about being Finnish, or there is something special about being Swedish.All are of equal worth …
… In such cases I think of a multicultural home with all nationalities so that there would be no groupings.”
Independent administrative area
“ … what the old … the old … what is it called … the trade union meetings that … the representative was very much on the workers’ side but then when they came to the (laughter) managers …… the managers were on their side.
… we feel the same … we all feel the same way … that she (person from the Finnish administration at the municipality) sides more with the municipality so she wants to sit there and make decisions with the municipality.… so she is not wholeheartedly on our side … ”