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Moments of meaning

Enacted narratives of occupational engagement within a dementia town

Bibliographic Data

ID12644352
AuthorsKamilla Kielsgaard (0000-0002-4530-7116, University of Southern Denmark, corresponding author), Sissel Horghagen (0000-0003-1514-3445, University of Southern Denmark), Dorthe Susanne Nielsen (0000-0002-3954-7551, University of Southern Denmark), Hanne Kaae Kristensen (0000-0002-9596-5571, University of Southern Denmark)
Year2021
Volume28
Issue4
Pages510-524
Publication date2021-02-11
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Occupational Science (JOURNAL)
Journal identifiersISSN: 1442-7591 • E-ISSN: 2158-1576
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/14427591.2020.1859403
OpenAlexW3133470534
LanguageEN
Citations received6
References cited37

Engagement in meaningful occupation is important to health and well-being. People living with dementia are challenged in engagement due to consequences of their disease and environmental barriers. In Europe, there is increasing interest in addressing these challenges by transforming care services into dementia-friendly contexts such as dementia towns. It is unclear, however, how engagement in occupation occurs within a dementia town. This study applies a narrative, ethnographic approach to explore how people with moderate dementia engage in occupation in the context of a Danish dementia town, and how meaning is related. Data were generated and analysed based on the “narrative in action” approach. We produced in-depth knowledge of engagement and meaning through participant observations by following nine persons for an extended period while they participated in occupations in the everyday life of the dementia town. The narrative analysis revealed an overarching narrative of “moments of meaning – possibilities for engagement” that illustrated the thin line between potential engagement and deprivation from occupation. The stories that emerged in the analysis showed how people with dementia enacted meaning through occupation. Meaningful engagement seemed to be a way for people with dementia to connect to self, others, and place. The enacted narratives display the significance for people with dementia of being able to enact their story and thus create meaning from everyday life situations. However, the process of being engaged in occupation depended on co-creation with others, who supported the enactment process by drawing on the person’s occupational biography

Aesthetics · Art · Dementia · Literature · Meaning (existential · Narrative · Narrative inquiry · Occupational science · Psychiatry · Psychotherapist · Sociology · Assistive Technology in Communication and Mobility · Gender Studies · Innovative Education and Learning Practices · Medicine · Occupational Therapy Practice and Research · Psychology · Occupational Therapy

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    Sigrún Kristín Jónasdóttir, Sissel Horghagen et al.•Journal of Occupational Science•2024

  • Applying the go-along method to enhance understandings of occupation in context

    China Hand, Katharine E Stewart et al.•Journal of Occupational Science•2021

  • Social citizenship when living with dementia

    Hanne Peoples, Jakob Varming et al.•Journal of Occupational Science•2022

  • Defining and refining emplacement by deepening the understanding of embeddedness, situatedness, and enactedness

    Open Access•Isabel Margot‐cattin, Isabel Margot-Cattin et al.•Journal of Occupational Science•2024

  • It doesn’t really feel like home anymore”

    Open Access•M Sahraoui, Isabel Margot-Cattin et al.•Journal of Occupational Science•2025

  • The physical environment of Green Care Farms and its relation to residents’ activity engagement

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    Open Access•Karen Whalley Hammell•Canadian Journal of Occupational…•2004

  • Ethnography

    M Hammersley, Paul Atkinson•Ethnography•2019

  • Justifying Knowledge, Justifying Method, Taking Action

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  • Qualitative research methodologies for occupational science and therapy

    Nancy Krusen•Journal of Occupational Science•2016

  • Meanings Created in Co-occupation

    Fenna van Nes, Hans Jonsson et al.•Journal of Occupational Science•2012

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    Karen Morris, D L Cox•Journal of Occupational Science•2017

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    Debbie Laliberte Rudman, Debbie Laliberte‐Rudman•Journal of Occupational Science•2002

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    Open Access•Verena C Tatzer•Journal of Occupational Science•2019

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    Kirk Reed, Elizabeth Smythe et al.•Journal of Occupational Science•2012

  • Qualities of the environment that support a sense of home and belonging in nursing homes for older people

    Open Access•Karin Johansson, Lena Borell et al.•Ageing and Society•2022

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Unique citing works6
Citations per year1,2
Citation span2021 - 2025 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 6

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