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Living longer at home: a qualitative study of older clients' and practical nurses' perceptions of home care

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  • Riitta Turjamaa
  • Sirpa Hartikainen
  • Mari Kangasniemi
  • Anna‐Maija Pietilä

Abstract

Aims and objectives To identify descriptions of older (75+) home care clients and practical nurses regarding the current structure of home care available for older clients and the elements promoting the ability of clients to continue living at home. Background The ageing population is a major global challenge in social and health care. In many countries, the focus of care for older clients has shifted from institutional care towards a model of home care. Increasing attention has been paid to maximising the resources of older clients and aiming to support their living at home for as long as possible. Design A descriptive qualitative study Methods Data were collected from individual interviews by using videotaped home care visits as a tool for stimulated recall interviews. Two groups of participants were interviewed: 14 practical nurses and 23 older clients. Data were analysed by using the inductive content analysis. Results Both participant groups, practical nurses and older home care clients, described home care as organisationally driven, but highlighted the importance of individual encounters. In addition, both groups noted that clients' living at home can be supported by offering individually designed care. Individually designed care refers to showing respect to clients' opinions and promoting their individual resources. Conclusion In order to be able to promote older home clients' living at home, the provided home care needs to be individually designed and must take into account clients' resources and their perspectives of meaningful and inspirational activities. Relevance to clinical practice The information produced by this study can be used to promote older clients' living at home for as long as possible. Therefore, practical nurses are required the ability to recognise older clients' individual resources and design individual care plans accordingly.

Suggested Citation

  • Riitta Turjamaa & Sirpa Hartikainen & Mari Kangasniemi & Anna‐Maija Pietilä, 2014. "Living longer at home: a qualitative study of older clients' and practical nurses' perceptions of home care," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(21-22), pages 3206-3217, November.
    • Handle: RePEc:wly:jocnur:v:23:y:2014:i:21-22:p:3206-3217
    DOI: 10.1111/jocn.12569
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    References listed on IDEAS

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    1. Miller, N.A., 2011. "Relations among home- and community-based services investment and nursing home rates of use for working-age and older adults: A state-level analysis," American Journal of Public Health, American Public Health Association, vol. 101(9), pages 1735-1741.
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    1. Angélique Herrler & Helena Kukla & Vera Vennedey & Stephanie Stock, 2022. "What matters to people aged 80 and over regarding ambulatory care? A systematic review and meta-synthesis of qualitative studies," European Journal of Ageing, Springer, vol. 19(3), pages 325-339, September.
    2. Teemu Rantanen & Paula Lehto & Pertti Vuorinen & Kirsi Coco, 2018. "The adoption of care robots in home care—A survey on the attitudes of Finnish home care personnel," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(9-10), pages 1846-1859, May.
    3. Astrid Berland & Signe Berit Bentsen, 2017. "Medication errors in home care: a qualitative focus group study," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(21-22), pages 3734-3741, November.
    4. He Mei & Sue Turale, 2017. "Coping experience of health concerns and physical disability for older Chinese people: A qualitative, descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 19(4), pages 444-451, December.

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