Back to Kindergarten? Paternalistic Care Behavior in Healthcare Contexts and Older Adults’ Mental Health
Abstract
:1. Introduction
2. Method
2.1. Recruitment and Sampling
2.2. Data Analysis
3. Results
3.1. Older Adults’ Experiences of Paternalistic Behavior in the Context of Health Services
3.1.1. Theme 1: Perceived Inattention to the Uniqueness of Each Person
3.1.2. Theme 2: Feeling a Duality of Supporting and Suppressing Independence
3.1.3. Theme 3: Selective Disclosure of Information to Keep the Patient’s Spirit Up
3.1.4. Theme 4: Feeling Neglected
3.1.5. Theme 5: Feeling Unable to Make Decisions
3.1.6. Theme 6: Receiving Opposition to the Person’s Requests
3.1.7. Theme 7: Routine Actions Being Considered as the Best Action
3.2. How Paternalistic Behavior Affects the Mental Health of Older Adults
3.2.1. Theme 1: Feeling Anxious and Stressed
3.2.2. Theme 2: Feeling Frustration and Despair
3.2.3. Theme 3: Feeling Injustice and Anger
4. Discussion
4.1. Older Adults’ Experiences of Paternalistic Behavior in the Context of Health Services
4.2. How Paternalistic Behavior Affects the Mental Health of Older Adults
4.3. Limitations
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Characteristics | Portuguese 138 (33.2) | Brazilian 151 (36.3) | English 127 (30.5) | Total 416 (100.0) |
---|---|---|---|---|
Age, Average ± SD | 70.3 ± 5.76 | |||
Biological Sex, n (%) | ||||
Female | 85 (61.5) | 92 (61.1) | 85 (67.2) | 262 (63.1) |
Male | 53 (38.5) | 59 (38.9) | 42 (32.8) | 154 (36.8) |
Education, n (%) | ||||
Primary school | 79 (57.2) | 69 (45.9) | 59 (46.4) | 207 (49.8) |
Middle school | 36 (26.0) | 56 (36.8) | 42 (33.1) | 134 (32.1) |
≥High school | 23 (16.8) | 26 (17.3) | 286(20.5) | 75 (18.1) |
Household | ||||
Live with someone | 86 (62.7) | 106 (70.3) | 79 (61.9) | 271 (65.2) |
Live alone | 52 (37.3) | 45 (29.7) | 48 (38.1) | 145 (34.8) |
Family Annual Income, n (%) | ||||
EUR ≤ 25,000 | 36 (25.9) | 34 (22.8) | 49 (38.4) | 119 (28.6) |
EUR > 25,000 | 102 (74.1) | 117 (77.2) | 78 (61.6) | 297 (71.4) |
Perceived Health, n (%) | ||||
Good | 80 (57.9) | 93 (61.9) | 73 (57.1) | 246 (59.1) |
Poor | 58 (42.1) | 58 (38.1) | 54 (42.9) | 170 (40.9) |
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von Humboldt, S.; Silva, S.; Leal, I. Back to Kindergarten? Paternalistic Care Behavior in Healthcare Contexts and Older Adults’ Mental Health. Soc. Sci. 2024, 13, 437. https://doi.org/10.3390/socsci13090437
von Humboldt S, Silva S, Leal I. Back to Kindergarten? Paternalistic Care Behavior in Healthcare Contexts and Older Adults’ Mental Health. Social Sciences. 2024; 13(9):437. https://doi.org/10.3390/socsci13090437
Chicago/Turabian Stylevon Humboldt, Sofia, Sara Silva, and Isabel Leal. 2024. "Back to Kindergarten? Paternalistic Care Behavior in Healthcare Contexts and Older Adults’ Mental Health" Social Sciences 13, no. 9: 437. https://doi.org/10.3390/socsci13090437