Open AccessCreation of Care Through Communication by Nurses, Welfare Workers, and Persons (Children) With Profound Intellectual Multiple Disabilities at a Day Care Center
Author(s) -
Tomomi Satō
Publication year - 2021
Publication title -
advances in nursing science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 60
eISSN - 1550-5014
pISSN - 0161-9268
DOI - 10.1097/ans.0000000000000386
Subject(s) - autonomy , shame , welfare , psychology , ethnography , nursing , multiple disabilities , gerontology , medicine , social psychology , developmental psychology , sociology , political science , anthropology , law
This study aimed to demonstrate how persons with profound intellectual multiple disabilities (PIMD) and nurses, together with welfare workers, communicate with one another and create care at a day care center for persons with PIMD in Japan. The ethnographic method was used. The research participants were persons with PIMD and their mothers, nurses, and welfare workers. The results indicated that care aims at autonomy based on intentions in response to signs. These findings suggest that this practice emancipated persons with PIMD and their mothers from the Japanese "culture of shame" and enable their autonomy.