Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial

Lämås, Kristina; Bölenius, Karin; Sandman, Per‐Olof; Lindkvist, Marie; Edvardsson, David

doi:10.1186/s12877-021-02661-5

Cited by 4 publications

(1 citation statement)

References 48 publications

(54 reference statements)

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“…With a growing number of older Canadians expressing a desire to age in place, PCC is now increasingly being employed in non-clinical domestic settings. Aging in place, if appropriately supported with home modifications and care arrangements, has benefits for physical and mental health ( Lamas et al, 2021 ; Lee et al, 2020 ). The overall aim of this study was to understand how approaches to care shape the pathways of older adult home care clients with chronic and long-term conditions in Nova Scotia and Manitoba ( i.e., will clients decline, improve, or maintain over time?).…”

Section: Introductionmentioning

confidence: 99%

Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework

Spring,

Funk,

Kuryk

et al. 2023

J Appl Gerontol

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More research is needed into how “person-centered care” (PCC) manifests in home care (HC) worker-client relationships. Qualitative data were collected at three time points from twelve HC workers and others to better understand how approaches to care shape the pathways of older adult HC clients with chronic conditions in two Canadian health jurisdictions. This paper uses critical disability and intersectionality frameworks to highlight ways in which PCC enables social and instrumental benefits for workers’ and clients. It also exposes difficulties in being flexible and developing interpersonal relationships because of HC policies. Workers also acknowledged risks when trying to prioritize client preferences, sometimes drawing distinctions between reasonable and unreasonable demands. Implications for enhanced training and support for workers around navigating flexibility and boundaries and using a relational approach to PCC are discussed, as are implications for policy-making that protect all parties.

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Section: Introductionmentioning

confidence: 99%

Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework

Spring,

Funk,

Kuryk

et al. 2023

J Appl Gerontol

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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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Stakeholder perspectives on the preferred service ecosystem for senior citizens living at home: a qualitative interview study

Kattouw,

Aase,

Viksveen

2023

BMC Geriatr

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Background Most senior citizens want to live independently at home as long as possible. The World Health Organization recommends an age-friendly community approach by transforming the service ecosystem for senior citizens and basing it on the question “What matters to you?”. However, there is limited research-based knowledge to determine the characteristics of the preferred service ecosystem from the perspectives of multiple stakeholders. Therefore, the aim of the study was to gain a deeper understanding of multiple stakeholder perspectives on the preferred service ecosystem for senior citizens living at home. Methods Four stakeholder groups (n = 57) from a Norwegian municipality participated in an interview study in 2019 and 2020: senior citizens, carers, healthcare professionals, and managers. Data were analysed according to qualitative content analysis. Results Overall, there was considerable correspondence between the four stakeholder groups’ perspectives on the preferred service ecosystem for senior citizens. Six themes were developed: (1) “self-reliance – living independently at home as long as possible”; (2) “remaining active and social within the community”; (3) “support for living at home as long as possible”; (4) “accessible information and services”; (5) “continuity of services”; and (6) “compassionate and competent healthcare professionals”. Conclusions In order to adapt and meet changing needs, the preferred service ecosystem should support senior citizens’ autonomy through interpersonal relationships and involvement. Healthcare managers and decision makers should consider a broader range of practical and social support services. Municipalities should plan for and develop age-friendly infrastructures, while healthcare professionals should rely on their compassion and competence to meet senior citizens’ needs.

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Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial

Cited by 4 publications

References 48 publications

Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework

Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework

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

Stakeholder perspectives on the preferred service ecosystem for senior citizens living at home: a qualitative interview study

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