The trajectory of tolerance for wandering-related boundary transgression: an exploration of care staff and family perceptions

MacAndrew, Margaret, Beattie, Elizabeth, O’Reilly, Maria, Kolanowski, Ann and Windsor, Carol (2015) The trajectory of tolerance for wandering-related boundary transgression: an exploration of care staff and family perceptions. The Gerontologist, . doi:10.1093/geront/gnv136

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Author MacAndrew, Margaret
Beattie, Elizabeth
O’Reilly, Maria
Kolanowski, Ann
Windsor, Carol
Title The trajectory of tolerance for wandering-related boundary transgression: an exploration of care staff and family perceptions
Journal name The Gerontologist   Check publisher's open access policy
ISSN 1758-5341
0016-9013
Publication date 2015-11-18
Sub-type Article (original research)
DOI 10.1093/geront/gnv136
Open Access Status Not Open Access
Total pages 10
Place of publication Cary, NC, United States
Publisher Oxford University Press
Collection year 2016
Language eng
Formatted abstract
Purpose of the Study: This study aimed to explore the experience of living with and caring for a person with dementia who wanders and transgresses boundaries into outof-bounds and potentially hazardous areas (wandering-related boundary transgression [BT]), from the perspective of family members and care staff.

Design and Methods: This descriptive qualitative study utilized four focus groups with care staff (n = 28), one with family members (n = 4), and individual interviews (n = 8) with family members. Content analysis generated key concepts that formed the basis of the development of a theoretical understanding of the experience.

Results and Implications: Care staff and families described wandering-related BT as a common dementia-related behavior in residential aged care (RAC). Drawing on the generated concepts, a complex theoretical trajectory of tolerance for BT was developed. At one end of the trajectory, BT was perceived as being beyond the control of the individual and when unwitnessed by others, having little or no impact. Tolerance for BT shifted when the BT was witnessed by others, and potentially unsafe consequences for the person who wanders or their coresidents were experienced. Under the latter circumstances, BT was perceived as a troubling behavior that needed more effective management. Underpinning the complexity of this behavior was a constantly shifting perception of how hazardous this behavior might be, a factor that appeared to contribute to the challenges faced by families and care staff.
Keyword Dementia
Wandering
Intrusion
Aged care
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Published online ahead of print - 18/11/2015 Link: https://gerontologist.oxfordjournals.org/content/early/2015/11/18/geront.gnv136.full

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Tue, 22 Mar 2016, 10:04:06 EST by Natalie Cowley on behalf of School of Nursing, Midwifery and Social Work