Knowledge and views about coordinated individual planning from the perspective of active older adults

Abstract

Background: Today's older adults are often well informed and want to participate in decisionmaking processes. The coordinated individual planning process offers them active involvement in deciding and owning how their care will be managed. Aim:The aim of the study was to explore active older adults' knowledge and views regarding coordinated individual planning. Methods:The study has an exploratory inductive approach. Five focus-group discussions were conducted with 40 participants from different organizations and associations. A qualitative interpretive description framework was used, and the analysis resulted in four unique themes. Results:The four themes resulting from the analysis are collaboration and continuity, participation and involvement in decision, individual need for support, and access to information and service. Collaboration between different levels of the healthcare system and between professionals is crucial. Older adults wanted to be participating actors in their healthcare. They worried about the lack of continuity and thought that services were not responsive or did not meet individuals' needs. Conclusion:Older adults want their views and preferences to be taken into consideration, and they want to be actively engaged in the decision-making process regarding their care.

Illuminating Meanings of Thriving for Persons Living in Nursing Homes

“…This seemingly highlights the significance of consultation and collaboration between persons residing in nursing homes, and persons caring for them. Previous research involving older persons in the community setting has stressed the importance of partnership in care-planning and care delivery, as health care providers’ goals and priorities may not necessarily be in alignment with those of the individual ( Jobe, Engstrom, & Lindberg, 2019 ). With this in mind, staff and managers could use the findings from the present study to inform and enhance person-centered and person-directed care practices by maximizing opportunities for persons residing in nursing homes to be given options and choices, and the agency to make decisions where possible, in relation to their everyday care and living environment.…”

From hospital-centered care to home-centered care of older people: propositions for research and development

“…This changed perspective is an important prerequisite for older person’s co-creation, which may uncover new or improved service opportunities. The study on CIP shows that many older people wish to be actively engaged in decisions regarding their care ( Jobe et al ., 2019 ). Another study by Engström et al .…”

“…This changed perspective is an important prerequisite for older person's co-creation, which may uncover new or improved service opportunities. The study on CIP shows that many older people wish to be actively engaged in decisions regarding their care (Jobe et al, 2019). Another study by Engstr€ om et al (2014) has shown that patients make different contributions to healthcare service development depending on the care setting (hospital vs. home), or if they are episodic or chronic patients.…”

“…This co-creation of services involves collaborative activities in the customer-provider sphere, potentially leading to both beneficial and counterproductive outcomes through resource integration on both the provider and customer sides ( Oertzen et al ., 2018 ). Further, Swedish research indicates that older people want to be actively involved in decisions regarding their care ( Jobe et al ., 2019 ). However, in hospital-centered care the patient is often subject to production, or at most the co-producer of value but not a co-creator ( Elg et al ., 2012 ).…”