Couples in Need of Home Care Services: Experiences With Support From Care Professionals

Pejner, Margaretha Norell; Brobeck, Elisabeth

doi:10.1177/1084822318755379

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…Although previous research shows that nursing staff are willing to pay attention to existential issues (Strang, Strang, & Ternestedt, 2002), more recent research shows that it is difficult and challenging to find time and space for this in everyday elderly care (Beck, 2013; Norell Pejner, 2013; Sundler, Eide, Van Dulmen, & Holmström, 2016). This can lead nursing staff to feel compelled to focus more on practical tasks than on relations with the older people and their relatives (Beck, 2013).…”

Section: Introductionmentioning

confidence: 99%

Encountering existential loneliness among older people: perspectives of health care professionals

Sundström

Edberg

Rämgård

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: Existential loneliness is part of being human that is little understood in health care, but, to provide good care to their older patients, professionals need to be able to meet their existential concerns. The aim of this study was to explore health care professionals’ experiences of their encounters with older people they perceive to experience existential loneliness. Method: We conducted 11 focus groups with 61 health professionals working in home care, nursing home care, palliative care, primary care, hospital care, or pre-hospital care. Our deductive–inductive analytical approach used a theoretical framework based on the work of Emmy van Deurzen in the deductive phase and an interpretative approach in the inductive phase. Results: The results show that professionals perceived existential loneliness to appear in various forms associated with barriers in their encounters, such as the older people’s bodily limitations, demands and needs perceived as insatiable, personal shield of privacy, or fear and difficulty in encountering existential issues. Conclusion: Encountering existential loneliness affected the professionals and their feelings in various ways, but they generally found the experience both challenging and meaningful.

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Section: Introductionmentioning

confidence: 99%

Encountering existential loneliness among older people: perspectives of health care professionals

Sundström

Edberg

Rämgård

et al. 2018

International Journal of Qualitative Studies on Health and Well

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“…Lack of professional support provided to clients was identified as another contributing factor in the knowledge of staff quality domain. For instance, Norell Pejner and Brobeck ( 2018 ) found clients reported a lack of professional support when seeking out services, which, from the clients' perspective was viewed as professionals lacking knowledge about their individual care needs and situation, and thus withholding care. One particular study explored the differences between staff and clients' perceptions of clients' psychological well‐being and found clients rated staff knowledge and their ability to motivate them to engage in activities outside the home, engage with community groups within their age group and engage in hobbies of their interests, as very low (Eloranta et al, 2010 ).…”

Section: Resultsmentioning

confidence: 99%

What constitutes a quality community aged care service—client perspectives: An international scoping study

Smith

Martin‐Khan

Travers

2022

Health Social Care Comm

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Overwhelmingly, older Australians (people aged 65 years and older or 50 years and older for Aboriginal and Torres Strait Islander people) prefer to remain living in their own home rather than moving into residential care. To enable older Australians who require assistance to remain living at home, the Federal Government provides a wide range of community care services, the provision of which has increased substantially over the last 15 years. The importance of client preferences, prefaced by the introduction of consumer directed care across community aged care services, has gathered momentum in Australia following legislation in 2015. Older peoples' preferences differ in comparison to younger people with disability and those with mental health concerns. Older people focus more on the provision of services rather than the notion of independent living itself. This scoping review aimed to explore what aspects people aged 65 years and older consider to be important qualities of aged care services delivered in the community. A computerised search in MEDLINE, CINAHL, PubMed and PsychINFO and hand searches of the Cochrane database and Google Scholar were completed in May 2022. Sixty‐two articles met the selection criteria and were included in the review. Data were extracted using a fit‐for‐purpose protocol and analysed using the Miles and Huberman Model for thematic analysis. Results identified five themes representing quality domains that describe features that are important to clients: staff knowledge, respect for clients, a person‐centred approach, a collaborative partnership with clients and clear communication. When providers of community aged care services are planning to assess the quality of their services, these findings could be used to guide their evaluation. This will ensure that future services delivered accommodate the needs and preferences of clients who receive them.

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“…It appears that older couples in need of health care experience poor support and that support is more adapted to the organization than their individual needs (Norell Pejner & Brobeck, 2019). Fjordside and Morville (2016) show in a literature review is something that will counteract the autonomy and health of the older persons.…”

Section: Introductionmentioning

confidence: 99%

“…The shortcomings are related to difficulties for the older person due to poor staff continuity or how to influence at what time(s) the staff members are to arrive (Socialstyrelsen, 2018 ). It appears that older couples in need of health care experience poor support and that support is more adapted to the organization than their individual needs (Norell Pejner & Brobeck, 2019 ). Fjordside and Morville ( 2016 ) show in a literature review is something that will counteract the autonomy and health of the older persons.…”

Section: Introductionmentioning

confidence: 99%

We have to turn a transatlantic liner—Leaders' perspectives on creating a meaningful life for older persons receiving municipal care

2023

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AimsTo describe leaders’ perspectives on what is important to create a meaningful daily life for older persons receiving municipal elderly care.DesignThis study combined the Participatory Appreciative Action Reflection approach and qualitative methods.MethodsFocus Group Discussions were performed with eighty leaders that was analysed with qualitative content analysis.ResultsOne overall theme emerged “We have to turn a transatlantic liner”. The leaders proposed a need to change from an institutional care to a more person‐centered care approach on all levels of the healthcare system. This meant that everyone in the organization needed to think outside the box and find new ways to provide care to older persons. They needed to hire the right persons with the right values and knowledge. The leaders would need to provide for and support staff empowerment. There was also a need to see the older person and their relatives as co‐participants.No Patient or Public Contribution.

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Couples in Need of Home Care Services: Experiences With Support From Care Professionals

Cited by 3 publications

References 12 publications

Encountering existential loneliness among older people: perspectives of health care professionals

Encountering existential loneliness among older people: perspectives of health care professionals

What constitutes a quality community aged care service—client perspectives: An international scoping study

We have to turn a transatlantic liner—Leaders' perspectives on creating a meaningful life for older persons receiving municipal care

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