{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T12:53:35Z","timestamp":1766408015076},"reference-count":57,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,6,21]],"date-time":"2013-06-21T00:00:00Z","timestamp":1371772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Inquiry"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:p>In 2008, the Minister of Health for Iceland issued a new regulation intended to govern assessment practices related to placement in nursing homes. One of the aims of the regulation was to ensure that those with the most severe need would have priority. This would be achieved, in part, by requiring older people to exhaust all available community\u2010based service options before an assessment for placement would even take place. The new regulation was received with some hostility and criticism on the part of older people and their relatives, who described the changed expectations as \u2018abandonment\u2019 by the authorities. We present our analysis of these changes by examining how older people and families are reconfigured through the new policy and argue that this \u2018new\u2019 practice of de\u2010institutionalization is underpinned by a shifting epistemic and normative context that is working to create a new identity and a different way of life in advanced age in Iceland. The analysis has implications for other nations as well, as much policy related to older people is broadly informed by this idea that \u2018home is best\u2019, that is, the idea that more care simply needs to happen outside of institutional settings.<\/jats:p>","DOI":"10.1111\/nin.12041","type":"journal-article","created":{"date-parts":[[2013,6,21]],"date-time":"2013-06-21T07:42:15Z","timestamp":1371800535000},"page":"64-73","source":"Crossref","is-referenced-by-count":20,"title":["The \u2018right\u2019 place to care for older people: home or institution?"],"prefix":"10.1111","volume":"22","author":[{"given":"Kristin","family":"Bj\u00f6rnsd\u00f3ttir","sequence":"first","affiliation":[{"name":"University of Iceland Reykjav\u00edk Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Ceci","sequence":"additional","affiliation":[{"name":"University of Alberta Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Ellen","family":"Purkis","sequence":"additional","affiliation":[{"name":"University of Victoria Victoria BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,21]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Act on the Affairs of the Elderly No. 125\/1999"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511586378"},{"key":"e_1_2_8_4_1","volume-title":"On justification: Economics of worth","author":"Bolantski L","year":"2006"},{"key":"e_1_2_8_5_1","first-page":"51","volume-title":"Social care services: The key to the Scandinavian welfare model","author":"Broddad\u00f3ttir I","year":"1997"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2008.01127.x"},{"key":"e_1_2_8_7_1","first-page":"47","volume-title":"Dilemmas of care in the Nordic welfare state: Continuity and change","author":"Dahl HM","year":"2005"},{"key":"e_1_2_8_8_1","volume-title":"Dilemmas of care in the Nordic welfare state: Continuity and change","author":"Dahl HM","year":"2005"},{"key":"e_1_2_8_9_1","volume-title":"K\u00f6nnun \u00e1 a\u00f0st\u00e6\u00f0um og vi\u00f0horfum me\u00f0al aldra\u00f0ra \u00e1 bi\u00f0lista \u00ed Reykjav\u00edk [Survey related to the situation and wishes of the elderly in Reykjavik who were on a waiting list for nursing home placement]","author":"Directorate of Health","year":"2006"},{"key":"e_1_2_8_10_1","unstructured":"European Union.2012.European year for active ageing and solidarity between generations.http:\/\/europa.eu\/ey2012\/(accessed 10 April 2013)."},{"key":"e_1_2_8_11_1","first-page":"139","volume-title":"Language, countermemory, practice: Selected essays and interviews","author":"Foucault M","year":"1977"},{"key":"e_1_2_8_12_1","first-page":"113","volume-title":"Language, countermemory, practice: Selected essays and interviews","author":"Foucault M","year":"1977"},{"key":"e_1_2_8_13_1","volume-title":"\u201cSociety must be defended\u201d: Lectures at the Coll\u00e8ge De France 1975\u20131976","author":"Foucault M","year":"2003"},{"key":"e_1_2_8_14_1","unstructured":"GudbjartssonS.2009.Sj\u00e1lfsbjargarvi\u00f0leitni kemur sj\u00faklingum \u00ed koll [Self\u2010sufficiency does not pay off]. Morgunbla\u00f0i\u00f0 [online] 16 September.http:\/\/www.mbl.is\/frettir\/innlent\/2009\/09\/16\/sjalfsbjargarvidleitni_kemur_sjuklingum_i_koll\/(accessed 5 June 2010)."},{"key":"e_1_2_8_15_1","first-page":"16","article-title":"Hva\u00f0 um a\u00f0standendur? Uppl\u00fdsinga\u00f6flun \u00e1b\u00f3tavant \u00ed n\u00fdja vistunarmatskerfinu [What about the relatives? Insufficient information in the new pre\u2010nursing home assessment]","volume":"85","author":"Gunnarsd\u00f3ttir R","year":"2009","journal-title":"T\u00edmarit hj\u00fakrunarfr\u00e6\u00f0inga"},{"key":"e_1_2_8_16_1","volume-title":"Health care systems in transition: European observatory on the health systems and policies","author":"Halldorsson M","year":"2003"},{"key":"e_1_2_8_17_1","first-page":"121","article-title":"Vistunarmat aldra\u00f0ra \u00e1 \u00e1runum 1992\u20102001:Tengsl vi\u00f0 lifun og vistun \u00ed hj\u00fakrunarr\u00fdmi [The preadmission nursing home assessment (PNHA) in Iceland in 1992\u20132001: Relationship to survival and admission to long term facility]","volume":"90","author":"Ingimarsson O","year":"2004","journal-title":"L\u00e6knabla\u00f0i\u00f0"},{"key":"e_1_2_8_18_1","first-page":"767","article-title":"Hva\u00f0 getum vi\u00f0 l\u00e6rt af vistunarmati aldra\u00f0ra? [What can we learn from the preadmission assessment of the elderly]","volume":"90","author":"Jonsson PV","year":"2005","journal-title":"L\u00e6knabla\u00f0i\u00f0"},{"key":"e_1_2_8_19_1","first-page":"313","article-title":"Mat \u00e1 vistunar\u00fe\u00f6rf aldra\u00f0ra [Pre\u2010nursing home assessment for the elderly]","volume":"77","author":"Jonsson PV","year":"1991","journal-title":"L\u00e6knabla\u00f0i\u00f0"},{"key":"e_1_2_8_20_1","first-page":"67","volume-title":"Implementing Resident Assessment Instrument: Case studies of policy making for long term care in eight countries","author":"Jonsson PV","year":"2003"},{"key":"e_1_2_8_21_1","volume-title":"Elderly care in transition: Management, meaning and identity at work: A Scandinavian perspective","author":"Kamp A","year":"2012"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0890-4065(00)80008-0"},{"key":"e_1_2_8_23_1","volume-title":"Organizing modernity","author":"Law J","year":"1994"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp202"},{"key":"e_1_2_8_25_1","first-page":"12","article-title":"Aldra\u00f0ir eiga a\u00f0 f\u00e1 t\u00e6kif\u00e6ri til a\u00f0 lifa me\u00f0 reisn til \u00e6viloka: \u0102lyktanir F\u00e9lags Eldri borgara [Older people should be able to live with dignity: From the Association of the Elderly]","volume":"82","author":"Margeirsdottir M","year":"2006","journal-title":"T\u00edmarit hj\u00fakrunarfr\u00e6\u00f0inga"},{"key":"e_1_2_8_26_1","doi-asserted-by":"crossref","DOI":"10.1017\/UPO9781844653744","volume-title":"The philosophy of Foucault","author":"May T","year":"2006"},{"key":"e_1_2_8_27_1","first-page":"xi","volume-title":"Perspectives on care at home for older people","author":"May C","year":"2011"},{"key":"e_1_2_8_28_1","volume-title":"The Icelandic National Health Plan Until the Year 2010","author":"Ministry of Health","year":"2001"},{"key":"e_1_2_8_29_1","volume-title":"Sk\u00fdrsla st\u00fdrih\u00f3ps um stefnum\u00f3tun \u00ed m\u00e1lefnum aldra\u00f0ra til \u00e1rsins 2015 [Report of steering group on policies in geriatric care until 2015]","author":"Ministry of Health","year":"2003"},{"key":"e_1_2_8_30_1","volume-title":"N\u00fd s\u00fdn \u2013 n\u00fdjar lei\u00f0ir: \u00c1herslur heilbrig\u00f0is\u2010 og tryggingam\u00e1lar\u00e1\u00f0herra \u00ed \u00f6ldrunarm\u00e1lum [New visions \u2013 new methods: Minister of Health and Social Services' emphases in elderly care]","author":"Ministry of Health","year":"2006"},{"key":"e_1_2_8_31_1","unstructured":"Ministry of Social Affairs and Social Security.2008.M\u00f3tun stefnu \u00ed \u00fej\u00f3nustu vi\u00f0 aldra\u00f0a til n\u00e6stu \u00e1ra: Till\u00f6gur r\u00e1\u00f0gjafah\u00f3ps f\u00e9lags\u2010 og tryggingam\u00e1lar\u00e1\u00f0herra [Policy regarding services for the elderly: Suggestions from the Ministries consulting group]. Reykjav\u00edk: F\u00e9lags\u2010 og tryggingam\u00e1lar\u00e1\u00f0uneyti\u00f0.http:\/\/www.velferdarraduneyti.is\/utgefid-efni\/utgafa\/nr\/4888(accessed 5 June 2012)."},{"key":"e_1_2_8_32_1","unstructured":"Ministry of Welfare.2012.Breytt fyrirkomulag vi\u00f0 mat \u00e1 \u00fe\u00f6rf f\u00f3lks fyrir dvalar\u2010 e\u00f0a hj\u00fakrunarr\u00fdmi [Changed assessment of the need for placements in a nursing home].http:\/\/www.velferdarraduneyti.is\/frettir-vel\/nr\/33406(accessed 8 July 2012)."},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1215\/9780822383550-001"},{"key":"e_1_2_8_34_1","volume-title":"\u00dej\u00f3nusta vi\u00f0 aldra\u00f0a: Stj\u00f3rns\u00fdslu\u00fattekt [Services for the elderly: Administrative evaluation]","author":"National Audit Office","year":"2005"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.5117\/9789089642752"},{"key":"e_1_2_8_36_1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1017\/S0047279408002201","article-title":"Beyond modernization? Social care and the ransformation of welfare govenance","volume":"30","author":"Newman J","year":"2008","journal-title":"International Social Policy"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1787\/9789264015852-en"},{"key":"e_1_2_8_38_1","volume-title":"OECD Economic Surveys \u2013 Iceland. 3","author":"OECD","year":"2008"},{"key":"e_1_2_8_39_1","unstructured":"OlafssonS KSigurdssonandMJAmmendrup.1999.L\u00edfskj\u00f6r l\u00edfsh\u00e6ttir og l\u00edfssko\u00f0un eldri borgara \u00e1 \u00cdslandi 1998\u20101999: Kynsl\u00f3\u00f0argreining og samanbur\u00f0ur milli landa. [Standard of living ways of life and outlook among the elderly in Iceland 1998\u20101999].http:\/\/www.velferdarraduneyti.is\/media\/Skyrslur\/Eldri_borgarar.pdf(accessed 12 December 2012)."},{"key":"e_1_2_8_40_1","volume-title":"Good care: Enacting a complex ideal in long\u2010term psychiatry","author":"Pols J","year":"2004"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X10001169"},{"key":"e_1_2_8_42_1","unstructured":"Regluger\u00f0 um vistunarmat vegan hj\u00fakrunarr\u00fdma.2008. [Regulation on preadmission assessment for nursing home placement]. Reykjavik: Ministry of Health.http:\/\/www.heilbrigdisraduneyti.is\/log-og-reglugerdir\/reglugerdir\/nr\/939(accessed 17 October 2009)."},{"key":"e_1_2_8_43_1","volume-title":"Governing the soul: The shaping of the private self","author":"Rose N","year":"1989"},{"key":"e_1_2_8_44_1","volume-title":"Living home \u2013 Living independently at home: Reforms in home care in 9 European countries","author":"Rostgaard T","year":"2011"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494811421976"},{"key":"e_1_2_8_46_1","unstructured":"Sk\u00fdrsla samr\u00e1\u00f0sh\u00f3ps um m\u00e1lefni aldra\u00f0ra2002.http:\/\/www.forsaetisraduneyti.is\/media\/Skyrslur\/eldri_borgararP.pdf(accessed 15 May 2012)."},{"key":"e_1_2_8_47_1","unstructured":"SnaedalJ.2010.Vistunarmat aldra\u00f0ra [Preadmission assessment of the elderly for nursing home placement]. Fr\u00e9ttabla\u00f0i\u00f0 [online] 28 January.http:\/\/www.visir.is\/vistunarmat-aldradra\/article\/2010722255009(accessed 6 June 2010)."},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2008.12.016"},{"key":"e_1_2_8_49_1","unstructured":"SteinssonHL.2010.Vistunarmat og f\u00f3lk me\u00f0 heilabilun [Preadmission nursing home assessment and people diagnosed with dementia]. Morgunbla\u00f0i\u00f0 [online] 5 February http:\/\/www.mbl.is\/greinasafn\/innskraning\/?redirect=%2Fgreinasafn%2Fgrein%2F1321017%2F%3Fitem_num%3D82%26dags%3D2010-02-05%26t%3D756439676andpage_name=articleandgrein_id=1321017(accessed 15 June 2010)."},{"key":"e_1_2_8_50_1","unstructured":"SteinthorsdottirB JVRKristj\u00e1nsd\u00f3ttirandRStephensen.2011.Vistunarmat = f\u00e6rni\u2010 og heilsufarsmat. Morgunbla\u00f0i\u00f0 February 5 http:\/\/www.mbl.is\/greinasafn\/leit\/?qs=vistunarmatandsort_by_date=1anddate_from=01.01.2011anddate_to=31.12.2011(accessed January 26 2012)."},{"key":"e_1_2_8_51_1","unstructured":"Stj\u00f3rnv\u00f6ld kanna hvort vistunarmati\u00f0 s\u00e9 of strangt2010. [The authorities are investigating if the preadmission evaluation is too strict]. Morgunbla\u00f0i\u00f0 [online] 11 January http:\/\/www.mbl.is\/frettir\/innlent\/2010\/01\/11\/stjornvold_kanna_hvort_vistunarmatid_se_of_strangt\/(accessed 8 June 2010)."},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1177\/0306312709338767"},{"key":"e_1_2_8_53_1","unstructured":"United Nations.2002.Political declaration and Madrid international plan of action on aging.New York:United Nations.http:\/\/social.un.org\/ageing-working-group\/documents\/mipaa-enpdf (accessed 26 January 2012)."},{"key":"e_1_2_8_54_1","first-page":"87","volume-title":"Participation, responsibility and choice: Summoning the active citizen in western European welfare states","author":"Vab\u00f8 M","year":"2011"},{"key":"e_1_2_8_55_1","first-page":"121","volume-title":"Welfare state, universalism and diversity","author":"Vab\u00f8 M","year":"2012"},{"key":"e_1_2_8_56_1","unstructured":"Vistunarmat samr\u00e6mt2008[Preadmission assessment for nursing home placement]. Morgunbla\u00f0i\u00f0 [online] 11 Januaryhttp:\/\/www.mbl.is\/frettir\/search\/?period=0andcategory=andsort=1andqs=Vistunarmat+samr%C3%A6mt(accessed 8 June 2010)."},{"key":"e_1_2_8_57_1","first-page":"15","volume-title":"Securing the future of old age in Europe","author":"Walker A","year":"2008"},{"key":"e_1_2_8_58_1","unstructured":"WHO.2002.Active aging: A policy framework.http:\/\/whqlibdoc.who.int\/hq\/2002\/WHO_NMH_NPH_02.8.pdf(accessed 26 January 2012)."}],"container-title":["Nursing Inquiry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fnin.12041","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nin.12041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T21:52:37Z","timestamp":1694641957000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nin.12041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,21]]},"references-count":57,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,3]]}},"alternative-id":["10.1111\/nin.12041"],"URL":"https:\/\/doi.org\/10.1111\/nin.12041","archive":["Portico"],"relation":{},"ISSN":["1320-7881","1440-1800"],"issn-type":[{"value":"1320-7881","type":"print"},{"value":"1440-1800","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,21]]}}}