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Enacting person-cen...
Enacting person-centred care in home care services for people with dementia
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- Hedman, Ragnhild, 1962- (författare)
- Ersta Sköndal Bräcke högskola,Sophiahemmet Högskola,Institutionen för vårdvetenskap,Karolinska institutet; Sophiahemmet högskola
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- Sandman, Per-Olof (författare)
- Karolinska Institutet,Umeå universitet,Institutionen för omvårdnad,Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden,Karolinska institutet; Umeå universitet
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- Edvardsson, David (författare)
- Umeå universitet,Institutionen för omvårdnad,School of Nursing and Midwifery, La Trobe University, Melbourne, Australia,Umeå universitet; La Trobe University, Melbourne, Australia
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(creator_code:org_t)
- 2021-08-15
- 2022
- Engelska.
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Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 31:11-12, s. 1519-1530
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Abstract
Ämnesord
Stäng
- Aims and objectives: To develop the theoretical understanding of the process of providing person-centred home care for people with dementia.Background: People with dementia are increasingly cared for at home by family members and home care staff. Care of people with dementia should be person-centred; however, little is known about how home care staff understand and enact person-centred care in their daily work.Design: Grounded theory.Methods: Home care staff (n = 29) were recruited from home care services specialised in providing care for people with dementia. Group interviews were conducted, and a tentative theoretical model for providing person-centred home care to people with dementia was outlined. Nine of the participants were then individually interviewed to further develop the model. The analysis was conducted parallel to the data collection, and hypotheses concerning the evolving theoretical model were continuously tested in the following interviews. The COREQ checklist for qualitative studies was used in reporting the study.Results: Person-centred home care of people with dementia was conceptualised as a series of processes: Getting ready, getting in, giving care, getting out and finalising the story, each with subprocesses. Theatre metaphors were used to describe how the care was provided. A core process, Enacting and re-enacting familiarity, was at centre in all processes.Conclusions: In the person-centred care of people with dementia, familiarity had to be established and continuously fostered. When familiarity was in place, the care recipient and the home care staff acted as a team to perform the care. The theoretical works of Goffman were used to interpret the results.Relevance to clinical practice: The study provides a model for person-centred care of people with dementia at home that deepens the understanding of its processes, prerequisites and outcomes. The model can inform education and administration of home care for people with dementia.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Community care
- dementia
- Goffman
- Grounded theory
- home care services
- home care staff
- nursing research
- person-centred care
- person-centred nursing
- omvårdnadsforskning med samhällsvetenskaplig inriktning
- caring sciences in social sciences
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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