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Communicative challenges in the home care of older persons - a qualitative exploration
Univ Boras, Fac Caring Sci Work Life & Social Welf, Boras, Sweden..
Univ Coll Southeast Norway, Fac Hlth Sci, Drammen, Norway..
Univ Coll Southeast Norway, Fac Hlth Sci, Drammen, Norway.;NIVEL Netherlands Inst Hlth Serv Res, Utrecht, Netherlands.;Radboud Univ Nijmegen, Med Ctr, Dept Primary & Community Care, Nijmegen, Netherlands..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. Malardalens Univ, Sch Hlth Care & Social Welf, Vasteras, Sweden..
2016 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 10, 2435-2444 p.Article in journal (Refereed) Published
Abstract [en]

Aim. To explore communicative challenges in encounters between nurse assistants and older persons during home care visits. Background. The older population is increasing worldwide. Currently, there is a shift in care for older people from institutional care to home care. Providing home care in a person's home involves several challenges, including the complexity of communication. Design. A descriptive observational design with a qualitative approach was used. Methods. The data consisted of audio recordings of real-life encounters during home care visits between nurse assistants and older persons, collected in 2014. A hermeneutic phenomenological analysis was conducted. Results. Communicative challenges were identified: (a) in situations where the older persons had a different view than the nurse assistants on the care task and its content; and (b) when unexpected actions or turns occurred in the communication. Challenges included older person's existential issues, fragility and worries and concerns, which often appeared to be only vaguely expressed and difficult to verbally detect and tackle. This engendered a risk of misinterpretation or ignorance of these challenges. Conclusion. The findings point to the importance of communication as the key to facilitate person-centred home care. Communication training should focus more on addressing needs and existential issues in older persons. Person-centred home care for older persons needs to be addressed at both an individual and an organizational level.

Place, publisher, year, edition, pages
2016. Vol. 72, no 10, 2435-2444 p.
Keyword [en]
communication, existential, home care, nurse assistant, nursing, older persons, qualitative study
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URN: urn:nbn:se:uu:diva-307275DOI: 10.1111/jan.12996ISI: 000383626900016PubMedID: 27144778OAI: oai:DiVA.org:uu-307275DiVA: diva2:1046368
Available from: 2016-11-14 Created: 2016-11-11 Last updated: 2016-11-14Bibliographically approved

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