Social care for older people – a blind spot in the Norwegian care system

Schönfelder, Walter; Eggebø, Helga; Munkejord, Mai Camilla

doi:10.1080/00981389.2020.1847747

Cited by 10 publications

(11 citation statements)

References 35 publications

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“…Home health nursing includes services that range from practical help and psychosocial support to more advanced medical treatment, such as the administration of medication and wound care. Social home care is regulated rather loosely and regarded as an embedded part of health home care (Schönfelder et al, 2020). Most patients are elderly individuals with varying, often chronic, illnesses, disabilities or frailty.…”

Section: Home Health Care and The Purchaserprovider-split Model In A ...mentioning

confidence: 99%

Nurses' professional discretion in the purchaser‐provider split in home care in Norway

Brenne

Hedlund

2023

Journal of Advanced Nursing

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AimTo explore how nurses' professional discretion is operationalized in home care services that follow a purchaser–provider organization in Norway.DesignA qualitative descriptive study.MethodsSemi‐structured interviews with open‐ended questions were used, and data were collected from in‐depth interviews with 15 registered nurses working in home care in four Norwegian local authority areas between April and November 2020. Braun and Clark's six‐step analysis was used to analyse the empirical data.ResultsThe analysis yielded two main themes, namely ‘The purchaser's instructions: facilitating and constraining care’ and ‘Professional discretion meets the purchaser–provider organisation of healthcare,’ with five associated codes.ConclusionNurses are dependent on an organizational framework due to the complexity of health care services and the number of tasks involved. At the same time, they perform considerable compensatory work and need the ability to be flexible to enable this work and to perform actions related to the unforeseen needs of individual patients or those involving professional discretion.ImpactThe purchaser–provider model both facilitates and constrains nursing practice and professional responsibility in home nursing. Home nursing services need to be well organized because of their complexity and the wide variety of tasks they involve. In this context, the element of constraint is associated with the need for flexibility and professional discretion. Despite a strict framework, the nurses perform additional and compensatory tasks. Reforms inspired by ‘New Public Management,’ such as the purchaser–provider split, limit the workload for nurses; however, there is still a need to exercise discretion. The findings of this study may help home care managers and health policy‐makers understand the interaction between management logic and health care logic, leading to a more appropriate organization of health care services where the nurses, as actors, gain more trust.ImplicationsThis study highlights home care nurses' opportunities to exercise discretion in an organizational framework that strives towards standardization. The nurses' ability to exercise discretion is important for individual and holistic patient care. At the same time, an organizational framework is needed because nurses cannot attend to all the needs the patients may have, as this will overload both home health services and the nurses.

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Section: Home Health Care and The Purchaserprovider-split Model In A ...mentioning

confidence: 99%

Nurses' professional discretion in the purchaser‐provider split in home care in Norway

Brenne

Hedlund

2023

Journal of Advanced Nursing

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“…Schonfelder et al conducted interviews with 16 professional caregivers to investigate how professional caregivers in home care for the elderly in Norway relate their professional tasks to the social care [8]. Suwa et al investigated and analyzed the views of Japan, Ireland, and Finland on the participation of robots in home care for the elderly by means of questionnaires [9].…”

Section: Literature Reviewmentioning

confidence: 99%

Research on the Incentive Mechanism of the Pension Service Supply Chain under Asymmetric Information

Xiao-hua

2021

Mathematical Problems in Engineering

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The information asymmetry between the pension service integrator and the pension service providers will affect the efficiency of the whole supply chain, and information sharing can solve this problem to a certain extent. To achieve information sharing, mutual trust is the first condition and mutual trust is also one of the important means of endogenous incentives. In this paper, the trust incentive coefficient is embedded in the principal-agent model. Considering the service capability coefficient, the communication degree coefficient, and the information sharing degree coefficient of the pension service providers, the trust incentive model of the supply chain of the pension service is constructed, the model is solved, and the conclusion is drawn. Finally, the correctness of the conclusion is verified by the numerical simulation using SAS software. The final results show that, under the condition of information asymmetry, the trust incentive coefficient of the pension service integrator to the pension service providers is positively correlated with the effort coefficient, the service capability coefficient, the communication coefficient, and the information sharing degree coefficient of the pension service providers, while it is positively correlated with the effort cost coefficient, the output sharing coefficient, and the risk aversion coefficient of the pension service providers. The variance of number and external environmental variables is negatively correlated. This research has shown that the trust is a means of incentive for pension service providers to share information. This research has a certain practical significance for improving the service efficiency of the pension services supply chain and optimizing the level of pension services.

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“…A study of Norwegian nursing homes found that residents tend to experience sadness and loneliness as a result of a lack of meaningful communication with other residents and the nursing staff ( 10 ). Although long-term care facilities provide their residents with a wide range of services to assist with their medical and non-medical needs, they frequently fall short on providing sufficient social and emotional care ( 9 , 11 ). Most institutionalized older adults are therefore dependent on family members and friends to uphold their social well-being.…”

Section: Introductionmentioning

confidence: 99%

“…Various factors at the organizational level can also contribute to the risk of social isolation, including staff shortage and high turnover ( 6 , 25 ). Due to constrains in time and resources, healthcare workers often find themselves compelled to prioritize residents’ essential care needs, leaving limited room for addressing their social and emotional needs ( 6 , 11 ). Moreover, the high staff turnover rate often observed in long-term care facilities can be disruptive to residents’ sense of continuity and familiarity.…”

Section: Introductionmentioning

confidence: 99%

“…Similar observations have been made in Norwegian long-term care facilities, where, despite being proficient in delivering essential treatment and care, there is often a shortfall in providing adequate social care ( 26 ). For instance, Schönfelder et al ( 11 ) found that care is understood rather instrumentally by most healthcare workers in Norway, usually limited to health-related issues and practical tasks. Social care in form of listening and conversing with the older care recipient is often positioned outside of their professional mandate and treated more like a common courtesy or something that occasionally occurs if there is a surplus of time.…”

Section: Introductionmentioning

confidence: 99%

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Socially connected while apart: the use of technology to increase social connection between nursing home residents and their relatives

Akhtar

2024

Front. Public Health

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IntroductionThis study examines whether the use of a communication technology can enhance social connectedness among nursing home residents in Norway. The concept of social connectedness suggest that positive and significant interpersonal relationships can help reduce the risk of loneliness and social isolation among older adults and can be beneficial for both their health and overall well-being. In recent years, technology has been increasingly utilized as a method to overcome physical distances and to keep families connected. Although the use of digital solutions among older people has increased in recent years, few studies have addressed the use and impact of such technologies within a nursing home context.MethodsA total of 225 residents participated in the study, making it one of the few quantitative studies that examine the use of communication technologies in nursing homes at such a large scale. The study combines two sources of data: (1) survey data collected over a 14-month period, in three different waves, at all public nursing homes in Oslo municipality and (2) a highly detailed weekly datastream from each Komp-device, which provides an objective measure of the frequency of contact between the residents and their families. The two sources of data were combined and analyzed using multiple regression analysis.ResultsThe regression analysis revealed a positive and significant relationship between Komp use and increased social satisfaction among the residents. The results indicate that Komp is a feasible communication tool to help nursing home residents maintain relations with their families.DiscussionThe positive response to Komp among the residents suggests that when designed with the user’s needs in mind, technology can indeed facilitate meaningful social interactions, even for those with limited technological experience. Such interventions can thus be crucial in bridging the gap between older residents and the outside world, effectively addressing their unique challenges of social isolation and disconnection from the broader community.

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Social care for older people – a blind spot in the Norwegian care system

Cited by 10 publications

References 35 publications

Nurses' professional discretion in the purchaser‐provider split in home care in Norway

Nurses' professional discretion in the purchaser‐provider split in home care in Norway

Research on the Incentive Mechanism of the Pension Service Supply Chain under Asymmetric Information

Socially connected while apart: the use of technology to increase social connection between nursing home residents and their relatives

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