During the last decades, the work of homecare nurses has been affected by several changes, including an aging population, the decentralization of health care, nursing recruitment crises and the scarcity of public resources. Few scholars have analyzed how these changes have impacted homecare nursing. In this article, we describe and discuss aspects of homecare nurses’ work, with specific focus on nurses “organising work.” We outline three phenomena that are increasingly occurring: (a) homecare nurses are frequently involved in negotiating care level and, consequently, what kind of care the patient will receive; (b) homecare nurses’ clinical practice has become increasingly advanced; and (c) and homecare nurses play an important role in coordinating care among interdependent actors. The article draws on material from participant observation and interviews with homecare nurses in two Norwegian studies. Changes in work practice increase the demand for nurses to be competent and have excellent organizational and collaborative skills.
Abstract:Background: There is little research regarding how everyday life is affected by colon cancer treatment.Few studies exist which exclusively examine colon cancer Duke C patients. Most studies include other type of bowel cancer and different stages.Objective: To explore and describe how colon cancer survivors experience everyday life in general and sexuality in particular after treatment of colon cancer Duke C Method: The study is exploratory and descriptive and uses semi-structured interviews to collect data.Nine participants were interviewed regarding their everyday lives up until two years after concluded treatment. The analysis was done using Graneheim and Lundman's method of content-analysis.Results: Bodily changes are a consequence of colon cancer. Exhaustion, colon problems and visible bodily changes are some of the challenges that survivors are faced with. Socializing with friends was different and work had to be facilitated. Social networks proved to be a good support and spouses were considered to be the most important source of social support. Sexual challenges were experienced by men and women alike Conclusion: Participants experience changes in day to day life after cancer treatment. Social networks and the participants' own coping strategies are key to shaping everyday life after treatment.Implication for Practice: It is crucial that healthcare professionals have a holistic view of patients.Both partners and physical activity were identified as an integral part of coping. Seniors are often less active and some have lost their spouses, it is therefore especially important to examine this demographic. A survey before and after treatment can help optimize rehabilitation.
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