Older people's experience of utilisation and administration of medicines in a health‐ and social care context

Craftman, Åsa Gransjön; Westerbotn, Margareta; Strauss, Esther; Hillerås, Pernilla; Hammar, Lena Marmstål

doi:10.1111/scs.12207

Cited by 7 publications

(3 citation statements)

References 33 publications

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“…Hence, the increase of older people with complex needs getting help in their own homes (Savla et al, 2008;Schön et al, 2016), might explain that the care workers visited more clients per day in 2015 as well as the increased intensity of personal care and the fact that medical tasks, such as giving injections, had become more commonly part of the job. The increase of workers undertaking medical tasks is also in line with previous research, showing that delegation of prescribed medicine has become a central part of the everyday work in Swedish home care (Craftman, Westerbotn, Strauss, Hilleras, & Marmstal Hammar, 2015). In addition, the daily work intensification and the many and short visits in home care in 2015 mirror the international trend of fragmentation of work (England & Dyck, 2011;Szebehely & Trydegård, 2012).…”

Section: Discussion: Under S Tanding Chang E S In the Work S Ituatsupporting

confidence: 82%

Care workers under pressure – A comparison of the work situation in Swedish home care 2005 and 2015

Strandell

2019

Health Soc Care Community

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As in many Western countries, eldercare services in Sweden have changed dramatically over recent decades. Population ageing, ageing‐in‐place policies, pressures to contain costs and organisational reforms linked to New Public Management are challenging public home care. There is, however, limited knowledge about how the job content and working conditions have changed in the Swedish home care across this period. This article aims to analyse and compare the work situation in the Swedish home care in 2005 and 2015. The analysis is based on the international Nordcare survey and draws on the subsample of respondents working in Swedish home care 2005 and 2015 (n = 371). The data were analysed with bivariate and multivariate methods. The results suggest that, overall, the work situation of home‐care workers was worse in 2015 compared to 2005. For example, those surveyed in 2015 reported meeting a larger number of clients per day, receiving less support from their supervisors, and having less time to discuss difficult situations with colleagues and considerably less scope to affect the planning of their daily work. Care workers in 2015 were also more mentally exhausted than those surveyed in 2005. In addition, the workers in 2015 experienced an accumulation of work‐related problems. Deteriorating working conditions could be related to cutbacks and organisational reforms, and evidence suggests that home‐care workers are paying a high price for ageing‐in‐place policies. Improvements of the work situation in home care are necessary not only to ensure the quality of care for older people, but also to ensure workers’ well‐being and to recruit and retain care workers, and thus, to meet the future needs for home care in an ageing society.

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Section: Discussion: Under S Tanding Chang E S In the Work S Ituatsupporting

confidence: 82%

Care workers under pressure – A comparison of the work situation in Swedish home care 2005 and 2015

Strandell

2019

Health Soc Care Community

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“…Frail older people's experiences of feeling safe were also related to their relationships with the staff, which were based on the staff's continuity, their capacity to create opportunities to listen and their positive approach and attitude. The findings stress that staff members can make a big difference in this context, which means that staff need to have an ability to achieve well-functioning relationships with the frail older people (Craftman, Westerbotn, von Strauss, Hilleras, & Marmstal Hammar, 2015). This interaction can enable older people's participation in their own care by encouraging conversation, confirmation and acceptance of each other's feelings, thoughts and opinions (Sahlsten, Larsson, Lindencrona, & Plos, 2005).…”

Section: Discussionmentioning

confidence: 99%

What constitutes feeling safe at home? A qualitative interview study with frail older people receiving home care

et al. 2020

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Aim To highlight experiences of what constitutes feeling safe at home among frail older people receiving home care. Design Qualitative descriptive study. Methods The sample consists of 12 individual recorded interviews with frail older people in their homes. Interviews were transcribed verbatim and analysed using qualitative content analysis. The data collection was performed in spring 2018. Results The analysis resulted in three categories: “Having a feeling of ‘ at‐homeness’” describes the older people's surrounding environment and their efforts to maintain independence; “being able to influence” describes the importance for older people to shape their care by being in control and having an opportunity for self‐determination in the context of home care; and “being able to trust staff” relates to expecting staff's knowledge and skills and to appreciating the staff's ability to create positive relations.

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“…These skills included patient safety and the control of medications. Gransjön Craftman et al, (2015) showed that older people assumed that home care assistants had the relevant skills to administer medication in a practical way. However, their experiences indicated that the home care assistants did not have the knowledge of the side effects and purposes of the medications.…”

Section: Discussionmentioning

confidence: 99%

‘My registered nurse’: Older people’s experiences of registered nurses’ leadership close to them in community home care in Sweden

Claesson

Josefsson

Jonasson

2021

Int J Older People Nursing

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Aim To explore older people's experiences of registered nurses’ leadership close to them in community home care. Introduction In Sweden and throughout the world, the number of people 65 years and older is increasing. While older people are living for more years, living longer can bring more diseases and disabilities, which might lead to the need for home care. Registered nurses are responsible for older people's care needs in their leadership in community home care; this is a part of their professional role as registered nurses, and it implies that they must be multi‐artists. Design An explorative and inductive design was used in two communities in western Sweden. Methods Individual interviews were conducted with older people (n = 12) with at least one year of experience with community home care. Data were analysed using qualitative content analysis. Results The results are presented in the theme ‘my registered nurse’, including five categories – relationship, professional competence, nursing interventions, coordination and collaboration and organisation – and 15 sub‐categories. Conclusions These findings are based on older people's own experiences. This is specific, as the phenomenon of the RNs leadership is rarely explored from the perspective of older people. Implications for practice There is a need for organisations to create more opportunities for older people to have their own registered nurses leading close to them. This is because registered nurses have specific competences for meeting older people's individual needs and involving them as competent partners in satisfying their care needs.

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Older people's experience of utilisation and administration of medicines in a health‐ and social care context

Cited by 7 publications

References 33 publications

Care workers under pressure – A comparison of the work situation in Swedish home care 2005 and 2015

Care workers under pressure – A comparison of the work situation in Swedish home care 2005 and 2015

What constitutes feeling safe at home? A qualitative interview study with frail older people receiving home care

‘My registered nurse’: Older people’s experiences of registered nurses’ leadership close to them in community home care in Sweden

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