title: "I stand alone." An ethnodrama about the (dis)connections between a client and professionals in a residential care home.
abstract: Client participation in elderly care organizations requires shifting traditional power relations and establishing communicative action that involves the lifeworlds of clients and professionals alike. This article describes a particular form of client participation in which one client was part of a team of professionals in a residential care home. Their joint remit was to plan the implementation of a new personal care file for residents. We describe the interactions within this team through an ethnodrama, based on participant observations and the embodied presence of the researcher (first author). The narratives and voices of all team members are dramatized in this ethnodrama. Throughout the project the team members experienced confusion relating to the confrontation between lifeworld and system, as experienced by the client and professionals in the team. We analyze these tensions by making use of a Habermasian theoretical framework. We conclude that forms for collective client participation in residential care homes should be developed based on communicative action between clients and professionals, with room for emotional engagement.
authors.affiliation: Department of Medical Humanities, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherland, v.baur@vumc.nl.
authors.forename: Vivianne
authors.initials: V
authors.lastname: Baur
authors.forename: Tineke
authors.initials: T
authors.lastname: Abma
authors.forename: Ingrid
authors.initials: I
authors.lastname: Baart
mesh_terms: D000368:Aged; D003142:Communication; D003299:Cooperative Behavior; D004324:Drama; D006801:Humans; D008962:Models, Theoretical; D010358:Patient Participation / Q000523:psychology*; D011369:Professional-Patient Relations; D036301:Qualitative Research; D012112:Residential Facilities