title: From perpetrator to victim in a violent situation in institutional care for elderly persons: exploring a narrative from one involved care provider.
abstract: In order to reach a more comprehensive understanding of the dynamics in violent situations in institutional care for elderly people the aim of this study was to explore involved parties' positions, and to illuminate forces and moves related to these positions. One involved care provider's narrative was analysed using narrative analysis and positioning theory. In the narrative the involved parties' positions were fluid and often overlapping, and not exclusively as victim or perpetrator. Across the narrative the narrator altered the involved parties' positions by using available discourses. We understand that the altered positions were a salient way for the care provider to make sense of her experiences. By reading the care provider's narrative we further understand that she was much more than just a perpetrator, which was the origin for her narrative. This study led us to two assumptions important for implications in nursing practice. First, it is of significance how we position ourselves and others in narratives and conversations. Second, there is a difference between being categorised in advance and getting the opportunity to narrate one's own story.
authors.affiliation: Department of Health and Behavioural Sciences, University of Kalmar, Kalmar, Sweden. asa.sandvide@hik.se
authors.forename: Asa
authors.initials: A
authors.lastname: Sandvide
authors.forename: Siv
authors.initials: S
authors.lastname: Fahlgren
authors.forename: Astrid
authors.initials: A
authors.lastname: Norberg
authors.forename: Britt-Inger
authors.initials: BI
authors.lastname: Saveman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D004552:Elder Abuse / Q000523:psychology*; D005260:Female; D016330:Frail Elderly / Q000523:psychology*; D005610:Freedom; D006801:Humans; D007326:Institutionalization; D008875:Middle Aged; D008960:Models, Psychological; D033262:Narration; D009723:Nurse-Patient Relations; D009728:Nursing Assistants / Q000523:psychology*; D015404:Nursing Methodology Research; D028701:Patient Rights; D011209:Power, Psychological; D011582:Psychological Theory; D012149:Restraint, Physical / Q000523:psychology; D012649:Self Concept; D012660:Semantics; D011795:Surveys and Questionnaires; D013548:Sweden