Being altruistically egoistic*Nursing aides’ experiences of caring for older persons with mental disorders

摘要

Older persons with mental disorders, excluding dementia disorders, constitute a vulnerable group of people. With the futureninternational increase in the older population, mental disorders will increase as well, thus entailing new challenges for theirncaregivers. These older persons often remain in their own homes, and in Sweden they are cared for by nursing aides. Withnlittle previous research, an increased workload and facing new strenuous situations, it is important to make use of thenknowledge the nursing aides possess and to deepen the understanding of their experiences. The study aimed at illuminatingnthe meaning of caring for older persons with mental disorders as experienced by nursing aides in the municipal home helpnservice. Interviews with nine female nursing aides were performed and analysed with a phenomenological hermeneuticalnresearch method inspired by the philosophy of Paul Ricoeur. Being altruistically egoistic emerged as a main theme in thennursing aides’ narratives. The nursing aides’ experiences could be interpreted as a movement between being altruistic andnegoistic. The findings revealed a continuous distancing by the nursing aides and their struggle to redress the balancenbetween their altruistic and egoistic actions. Caring for these older persons constitutes a complex situation where distancingnfunctions as a recourse to prioritize oneself and to diminish the value of caring. The study suggests that an increasednknowledge base on older persons with mental disorders, followed by continuous supervision, is necessary for the nursingnaides to improve the quality of the care given.