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作者机构:Mid Sweden Univ Dept Hlth Sci Sundsvall Sweden Mid Sweden Univ Dept Hlth Sci Holmgatan 10 S-85170 Sundsvall Sweden
出 版 物:《JOURNAL OF CLINICAL NURSING》 (临床护理杂志)
年 卷 期:2024年第33卷第6期
页 面:2287-2297页
核心收录:
学科分类:1011[医学-护理学(可授医学、理学学位)] 10[医学]
主 题:asymmetry care encounter experiences home care multiple-case study older persons subordination
摘 要:AimTo explore and describe older persons unique experiences of care encounters with home care nurses in a real-life *** increasing number of older persons in society contributes to increases in age-related impairments compromising their quality of life. Future care consists of hospitals at home where care encounters occur in a person s private domain, partly becoming a clinical workplace. Scant research has focused on how older persons experience care encounters with home care nurses and needs to be ***-case *** cases relied on replication logic and five purposive sampled older persons were interviewed. Data were analysed using qualitative content analysis and differences within and between cases were explored and findings across the cases were *** cross-analysis emerged in three categories: Nursing routine rules the care encounters, Lack of knowledge and information and Dependency on support from others.ConclusionsOur research has found that older persons face challenges while receiving home care, including limited engagement in their care and the need for enhanced support. Implementing person-centred care in homes poses ethical challenges that require careful consideration. Home care nurses should prioritise understanding each patient individually, recognising them beyond their patient role, which necessitates more thorough and time-sensitive care *** MethodFindings were reported using COREQ *** or Public ContributionPatients were interviewed and contributed with data for this *** for the Profession and Patient CareThis study emphasises the need to prioritise individualised care in home settings and listen to the voices of older individuals to enhance quality.