Feeling safe and motivated to achieve better health: Experiences with a partnership‐based nursing practice programme for in‐home patients with chronic obstructive pulmonary disease

Leine, Marit; Wahl, Astrid Klopstad; Borge, Christine Råheim; Hustavenes, Magne; Bondevik, Hilde

doi:10.1111/jocn.13794

Cited by 10 publications

(15 citation statements)

References 39 publications

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“…It is well known that self-management support can improve health-related quality of life [30], and our findings do in accordance with the findings of Leine et al [31] illustrate how the feeling of being safe is a central theme and somehow relates to the patients’ ability to self-manage life with COPD. For COPD, self-management to be effective, patients’ psychosocial needs, alongside medication and exacerbation management must be prioritized [32] .…”

Section: Discussionsupporting

confidence: 92%

Assigned nurses and a professional relationship: a qualitative study of COPD patients’ perspective on a new palliative outpatient structure named CAPTAIN

et al. 2019

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Background Little is known of how to organize non-malign palliative care, and existing knowledge show that patients with COPD live with unmet palliative needs and low quality of life. With the intent to improve palliative care for patients with COPD, we changed the structure of our outpatient clinic from routine visits by a pulmonary specialist to a structure where each patient was assigned a nurse, offered annual advance care planning dialogues, and ad hoc pulmonary specialist visits. The aim of this study was to explore COPD patients’ experiences with a new and altered palliative organization. Methods The design was interpretive description as described by Thorne. We conducted ten semi-structured interviews with patients with severe COPD from January 2017 to December 2017. Results Patients described how the professional relationship and the availability of their nurse was considered as the most important and positive change. It made the patients feel safe, in control, and subsequently influenced their ability to self-manage their life and prevent being hospitalized. The patients did not emphasize the advanced care planning dialogues as something special or troublesome. Conclusion We showed that it is relevant and meaningful to establish a structure that supports professional relationships between patient, nurse and physician based on patients needs. The new way of structuring the outpatient care was highly appreciated by COPD patients and made them feel safe which brought confidence in self-management abilities. Electronic supplementary material The online version of this article (10.1186/s12904-019-0410-0) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 92%

Assigned nurses and a professional relationship: a qualitative study of COPD patients’ perspective on a new palliative outpatient structure named CAPTAIN

et al. 2019

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“… describe as a good professional caregiver–patient relationship when the professional caregiver approaches the patient as a valued person was described in this study as nurses showing themselves as ordinary people, being a little bit more familiar and showing their private self. Leine also shows that relating to the professional caregiver–patient relationship as a partnership in a patient‐centred framework provides an individualised practice for each patient where the patient can feel safe and motivated and achieve better health. Eriksson say that caring skills are not a form of behaviour, feeling or state, but the way or the spirit in which it is done.…”

Section: Discussionmentioning

confidence: 99%

‘Best fit’ caring skills of an interprofessional team in short‐term goal‐directed reablement: older adults’ perceptions

Gustafsson

Östlund

Zander

et al. 2019

Scandinavian Caring Sciences

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This paper reports a study conducted to illuminate older adults’ perceptions of multiproffesional team's caring skills as success factors for health support in short‐term goal‐directed reablement. The fact that older adults are given perquisites to live in their own homes puts great demands on the professional care given them at home. An option offered could be short‐term goal‐directed reablement delivered by an interprofessional team. This means after periods in hospitals to strengthen their multidimensional health, older adults’ reablement processes are supported to return to their daily life as soon as possible. Crucial in making these intentions a reality seems to be identifying the professional's approach that works as success factors for health support in the reablement process. A descriptive qualitative design with a phenomenographic approach based on interviews with 23 older persons who had received short‐term goal‐directed reablement at home after a period at hospital was used. The study was approved by an ethical board. The analysis revealed four major referential aspects of multiproffesional team's caring skills as success factors for health‐support in short‐term goal‐directed reablement: a motivating caregiver, a positive atmosphere‐creating caregiver, a human fellowship‐oriented caregiver and a caregiver that goes beyond the expected. In this study, all caring skills in the continuum are perceived as positively loaded necessities in different situations during the reablement process. Caring skills as success factors are initially shown at a practical level, such as how the professional caregivers encourage and motivate the older persons in different training situations. At a deeper level, the caregivers open their hearts and have the capacity to go beyond the expected in the professional caregiver–patient relationship. The multiproffesional team's best fit caring skills during the home reablement process need to be addressed as evidence base in the area of elderly home care.

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“…During home visits, nurses’ work is much more flexible and open than their work in hospitals, where services are highly structured with predefined tasks and routine procedures and monitoring and follow‐up take place in a given time frame (Allen, ). Home visits offer the opportunity to talk to one patient at a time without distraction, which hospital routines rarely allow (Leine et al, ; Wang, Haugen, Steihaug, & Werner, ).…”

Section: Discussionmentioning

confidence: 99%

“…To date, ambulatory services have been evaluated primarily in terms of the economic and clinical outcomes for patients and services (Shepperd et al, 2016;Wong et al, 2008). With a few exceptions, for example, Sahlsten, Larsson, Sjöström, and Plos (2009), Ingadóttir and Jónsdóttir (2010), Leine, Wahl, Borge, Hustavenes, and Bondevik (2017), little effort has been made to understand the role of professionals' engagement in dialogues with patients and their families to provide both individual and relational support. To our knowledge, the ways ambulatory nurses' work during home visits to support both patients and caregivers remains unexplored.…”

Section: Introductionmentioning

confidence: 99%

Searching for “transformative moments”: A qualitative study of nurses’ work during home visits to COPD patients and their caregivers in Norway

et al. 2018

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Aim The integration of families into healthcare services is being emphasized increasingly in healthcare polices. The aim of this study was to investigate how professionals during home visits support both patients and caregivers in accepting and accommodating to illness. Design An explorative qualitative design. Methods Participant observations from home visits ( N = 20) of pulmonary ambulatory nurses to COPD patients in Norway, followed by interviews with these nurses. Results Our findings demonstrate the delicate nature of nurses’ work during home visits to COPD patients and their caregivers. They support both patients and caregivers in reconciling themselves with the negative consequences of illness, as well as giving legitimation to and potential room for, sustainable arrangements within the scope of the relationship. The nurses address significant issues, having transformative potential concerning attitudes and practices related to the management of illness and adjusting to a complex illness trajectory.

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Feeling safe and motivated to achieve better health: Experiences with a partnership‐based nursing practice programme for in‐home patients with chronic obstructive pulmonary disease

Abstract: The results suggest that the partnership-based nursing practice programme that includes home visits and interdisciplinary collaboration can be a good approach to meeting the complexity of the chronic obstructive pulmonary disease patient's health needs.

Cited by 10 publications

References 39 publications

Assigned nurses and a professional relationship: a qualitative study of COPD patients’ perspective on a new palliative outpatient structure named CAPTAIN

Assigned nurses and a professional relationship: a qualitative study of COPD patients’ perspective on a new palliative outpatient structure named CAPTAIN

‘Best fit’ caring skills of an interprofessional team in short‐term goal‐directed reablement: older adults’ perceptions

Searching for “transformative moments”: A qualitative study of nurses’ work during home visits to COPD patients and their caregivers in Norway

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