Gerdin AL, Hellzén O, Alm AK, Rising MH. Older persons' experiences of care encounters in their home: A multiple-case study.
J Clin Nurs 2024;
33:2287-2297. [PMID:
38291544 DOI:
10.1111/jocn.17043]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 12/22/2023] [Accepted: 01/15/2024] [Indexed: 02/01/2024]
Abstract
AIM
To explore and describe older persons' unique experiences of care encounters with home care nurses in a real-life context.
BACKGROUND
The increasing number of older persons in society contributes to increases in age-related impairments compromising their quality of life. Future care consists of "hospitals at home" where care encounters occur in a person's private domain, partly becoming a clinical workplace. Scant research has focused on how older persons experience care encounters with home care nurses and needs to be highlighted.
DESIGN
Multiple-case study.
METHODS
The cases relied on replication logic and five purposive sampled older persons were interviewed. Data were analysed using qualitative content analysis and differences within and between cases were explored and findings across the cases were replicated.
FINDINGS
The cross-analysis emerged in three categories: "Nursing routine rules the care encounters", "Lack of knowledge and information" and "Dependency on support from others".
CONCLUSIONS
Our research has found that older persons face challenges while receiving home care, including limited engagement in their care and the need for enhanced support. Implementing person-centred care in homes poses ethical challenges that require careful consideration. Home care nurses should prioritise understanding each patient individually, recognising them beyond their patient role, which necessitates more thorough and time-sensitive care encounters.
REPORTING METHOD
Findings were reported using COREQ guidelines.
PATIENT OR PUBLIC CONTRIBUTION
Patients were interviewed and contributed with data for this study.
IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE
This study emphasises the need to prioritise individualised care in home settings and listen to the voices of older individuals to enhance quality.
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