Registered Nurses’ and nurse assistants’ responses to older persons’ expressions of emotional needs in home care

Höglander, Jessica; Eklund, Jakob Håkansson; Eide, Hilde; Holmström, Inger; Sundler, Annelie Johansson

doi:10.1111/jan.13356

Cited by 15 publications

(25 citation statements)

References 35 publications

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“…[41] The explicitness of responses was assessed in studies with other primary healthcare providers. Nurses interacting with older patients or patients with mild mental health problems and general practitioners mainly responded in a non-explicit providing space way to patients' negative emotions, with brief verbal encouragements as the most common response [21,23,27]. These studies -as well as our study -are in line with the ambitions in healthcare to make consultations more patient-centred instead of provider-centred [12].…”

Section: Discussionsupporting

confidence: 73%

“…Patients presenting negative emotions mainly as cues is also common among consultations with other primary healthcare providers. [20,27,42] Nurses' and physicians' explicit responses to patients' cues and concerns vary from 12 to 82% [21,23,24,27]. This is the first study in community pharmacy to examine patients' negative emotions during a pharmacist-patient discussion about medication therapy.…”

Section: Discussionmentioning

confidence: 99%

“…[18] A study among pharmacist prescribers showed that they provided space to patients for further disclosure of cues and concerns during private consultations in 81 % of the time [19]. This is comparable to the responses of nursing staff to patients' emotional cues during private consultations [20][21][22][23][24][25]. Whereas physicians are less likely to further explore patients' emotional cues, their positive responses vary from 33 to 80% [19,22,24,[26][27][28].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pharmacists’ responses to cues and concerns of polypharmacy patients during clinical medication reviews—A video observation study

Eikenhorst

Dijk

Cords

et al. 2020

Patient Education and Counseling

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The research questions of this study are 1) How do pharmacists respond to negative emotions of patients during a clinical medication review (CMR)? 2) How do patients express negative emotions during a CMR? 3) Who (pharmacist or patient) initiates a negative emotion to be discussed during a CMR? Methods: We used video-recordings to observe 132 CMR interviews of 49 pharmacists. Videos were coded with the Verona coding definitions on emotional sequences(provider responses) (VR-CoDES(-P)). Results: In total 2538 negative emotions were identified, mainly expressed as cues (95.0 %). Often cues were expressed as verbal hints to hidden concerns (33.2 %) or were related to cognitive or physical causes (28.3 %).Three-quarters of the negative emotions were elicited by patients. 2670 pharmacists' responses were coded. The most common response was non-explicit providing space (77.6 %) and the least common response was explicit reducing space (5.8 %). Conclusion: Pharmacists are mainly non-explicitly providing space in their responses. While this hinders their ability to capture patients' problems it also may enable patients to initiate topics. Practice implications: : Pharmacists are able to respond to patients' negative emotions. Training should focus on developing pharmacist's skills to be more explicit in their responses to get more in-depth knowledge of patients' problems.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pharmacists’ responses to cues and concerns of polypharmacy patients during clinical medication reviews—A video observation study

Eikenhorst

Dijk

Cords

et al. 2020

Patient Education and Counseling

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“…Moreover, both empathy and compassion have been reported by patients as having a positive effect on their care experiences (Sinclair et al, 2017). Attentive nursing care, including paying attention to the person's expressed emotions and narratives, is valuable for providing comforting care (Höglander et al, 2017). Thus, outcomes within the cluster theme "Themes related to the Social (1); tailor-made life review intervention (2); asking residents about last wishes and a plan to fulfill these (3); discussions of funeral and memorial preparations (4); psychosocial support for residents' mental wellbeing (5); pain and symptoms management for residents' physical wellbeing (6); routine medical checkups and physical assessments to evaluate disease progression and adjust physical care (7); family meetings with the care team for an update on clinical progress, and to provide support and promote participation (8); making sure that the advance care plan is followed (9); grief and bereavement support to families (10).…”

Section: Discussionmentioning

confidence: 99%

Dignity-conserving care for persons with palliative care needs — identifying outcomes studied in research: An integrative review

et al. 2020

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Objectives. With people living longer, palliative care may be required for lengthier periods of time. This puts demands on healthcare organizations to provide optimal palliative care. Maintaining dignity is central for any person's health and quality of life, but especially for a person with palliative care needs. Dignity-conserving care needs to be evaluated to increase knowledge about outcomes and how to assess these. The purpose of this integrative review was to identify outcomes studied within dignity-conserving care and how these have been operationalized.Methods. An integrative review was conducted in 26 quantitative or mixed-method studies and study protocols. Thematic synthesis with an abductive approach was used for analysis. Results. Seven themes of studied outcomes were identified, as well as four cluster themes: themes related to Illness-Related Concerns, themes related to the Dignity-Conserving Repertoire, themes related to the Social Dignity Inventory, and themes regarding Overarching Dignity Issues. Most outcomes studied dealt with Illness-Related Concerns within the themes of "Performance, symptoms and emotional concerns" and "End-of-life and existential aspects". Themes linked to the Social Dignity Inventory had the lowest number of outcomes studied. Outcomes regarding overarching dignity issues such as "Dignity-related distress" and "Quality of life" were common. However, the results lacked concrete communication outcomes. Significance of results. The results will underpin future research in which dignity-conserving care is implemented and evaluated, and contribute to the provision of evidence-based palliative care. A greater focus on outcomes within cluster themes related to the Dignity-Conserving Repertoire and the Social Dignity Inventory is needed, as is more focus on communication outcomes.

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“…During home care visits, older people reveal essential information about their well‐being and health, such as worries and needs (Kristensen et al, ; Sundler, Höglander, Eklund, Eide, & Holmström, ). These issues can then be listened to and solved by the nursing staff (Höglander, Eklund, Eide, Holmström, & Sundler, ). In home care settings, expressions of older people's emotional distress are common, but often implicitly expressed, which can make them difficult to identify (Hafskjold, Sundling, van Dulmen, & Eide, ; Sundler et al, ).…”

Section: Introductionmentioning

confidence: 99%

Emotional communication with older people: A cross‐sectional study of home care

Höglander

Sundler

Spreeuwenberg

et al. 2019

Nursing & Health Sciences

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The aim of this study was to explore the influence of characteristics of nurses and older people on emotional communication in home care settings. A generalized, linear, mixed model was used to analyze 188 audio‐recorded home care visits coded with Verona Coding Definitions of Emotional Sequences. The results showed that most emotional distress was expressed by older females or with female nurses. The elicitation of an expression of emotional distress was influenced by the nurses' native language and profession. Older women aged 65–84 years were given the most space for emotional expression. We found that emotional communication was primarily influenced by sex for nurses and older people, with an impact on the frequency of expressions of and responses to emotional distress. Expressions of emotional distress by older males were less common and could risk being missed in communication. The results have implications for students' and health professionals' education in increasing their knowledge of and attentiveness to the impacts of their and others' characteristics and stereotypes on emotional communication with older people.

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Registered Nurses’ and nurse assistants’ responses to older persons’ expressions of emotional needs in home care

Cited by 15 publications

References 35 publications

Pharmacists’ responses to cues and concerns of polypharmacy patients during clinical medication reviews—A video observation study

Pharmacists’ responses to cues and concerns of polypharmacy patients during clinical medication reviews—A video observation study

Dignity-conserving care for persons with palliative care needs — identifying outcomes studied in research: An integrative review

Emotional communication with older people: A cross‐sectional study of home care

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