| 1. |
- Andersson, Henrik, 1968-, et al.
(författare)
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Nurses competencies in Home health care : An interview study
- 2017
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Ingår i: BMC Nursing. - : Springer. - 1472-6955. ; 16:65
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Tidskriftsartikel (refereegranskat)abstract
- Background: Nurses working in Home health care (HHC) are facing major challenges when more advanced care and treatment are performing in the patient’s home. The aim of this study was to explore how nurses experiencing their competencies in HHC. Methods: This study has a qualitative and explorative design. Ten nurses were interviewed and data were analysed by content analysis.Results: The themes “Being a capable nurse”, “Being a useful nurse” and “Being a subordinate and dependent nurse” were identified. Nurses want to be capable to take care of patients, develop their competencies and perform their duties in the way that are requested. They also want to be useful in their work and providing good and safe HHC. Finally, nurses want to improve the care in HHC with their competencies. Simultaneously, they are subordinate and dependent in the relation with their manager and manager’s interest to encourage nurses’ competence development.Conclusions: Nurses in HHC are responsible for many seriously ill patients and they want to contribute to a good and safe patient care. To maintain patient safety, reduce the risk for burnout and staff turnover as well as to contribute to a sustainable development of the work, strategies for transfer competencies between nurses and efforts for competence development are needed.
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| 2. |
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| 3. |
- Claesson, Maria, 1971-, et al.
(författare)
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'My registered nurse' : Older people's experiences of registered nurses' leadership close to them in community home care in Sweden
- 2021
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Ingår i: International Journal of Older People Nursing. - : John Wiley & Sons. - 1748-3735 .- 1748-3743. ; 16:5
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To explore older people's experiences of registered nurses' leadership close to them in community home care. Introduction: In Sweden and throughout the world, the number of people 65 years and older is increasing. While older people are living for more years, living longer can bring more diseases and disabilities, which might lead to the need for home care. Registered nurses are responsible for older people's care needs in their leadership in community home care; this is a part of their professional role as registered nurses, and it implies that they must be multi-artists. Design: An explorative and inductive design was used in two communities in western Sweden. Methods: Individual interviews were conducted with older people (n = 12) with at least one year of experience with community home care. Data were analysed using qualitative content analysis. Results: The results are presented in the theme 'my registered nurse', including five categories - relationship, professional competence, nursing interventions, coordination and collaboration and organisation - and 15 sub-categories. Conclusions: These findings are based on older people's own experiences. This is specific, as the phenomenon of the RNs leadership is rarely explored from the perspective of older people. Implications for practice: There is a need for organisations to create more opportunities for older people to have their own registered nurses leading close to them. This is because registered nurses have specific competences for meeting older people's individual needs and involving them as competent partners in satisfying their care needs.
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| 4. |
- Claesson, Maria, 1971-, et al.
(författare)
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Next of kin’s experiences of registered nurses’ leadership close to older adults in municipal home care in Sweden : an interview study
- 2021
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Ingår i: BMC Nursing. - : BioMed Central Ltd. - 1472-6955. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Next of kin to older adults over 65 years in municipal home care are concerned whether their older adults’ needs are being met. In municipal home care, the registered nurses’ leadership is important and complex, entailing multi-artist skills involving the older adults and their next of kin. Yet, little is known about next of kin’s experiences of registered nurses’ leadership. Thus, the aim of this study was to explore next of kin’s experiences of registered nurses’ leadership close to older adults in municipal home care. Methods: Individual telephone interviews were conducted with next of kin (n = 11) of older adults from April to September 2020 in two municipalities in western Sweden. Data were analysed using qualitative content analysis. Results: The results are presented with the theme, registered nurses do what they can, including two categories, interaction and competence, and the subcategories, relationship, communication, availability, responsibility, team leadership and cooperation. Registered nurses’ leadership was experienced as a balancing act between their commitments and what they were able to achieve. Conclusions: Next of kin’s experiences of registered nurses’ leadership can contribute knowledge that will strengthen and prepare registered nurses for their leadership roles. This knowledge can support the development of policies for organisational preconditions that ensure quality and safe care to older adults in municipal home care. © 2021, The Author(s).
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| 5. |
- Claesson, Maria, 1971-, et al.
(författare)
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What implies registered nurses leadership close to older adults in the municipality home health care?
- 2019
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Konferensbidrag (refereegranskat)abstract
- Title. What implies registered nurses leadership close to older adults in the municipality home health care?Objective. The objective was to explore how the literature describes the registered nurses’ leadership near to older adults in municipal home care.Background. Home health care in Sweden and world-wide is affected by the increasing number of older adults, 65 years and over. One challenge is that older adults report more health problems compared with health professionals’ needs assessments. The primary task of care is to support and strengthen people’s health processes to as good health as possible by alleviating the effects of disease and suffering. The registered nurse may be the one who contributes or makes a difference to the older adults’ experience of health. According to this; great demands are placed on the registered nurse's leadership close to the patient. There is a common agreement that registered nurses’ leadership is important. However, research is limited of what implies registered nurses’ leadership close to older adults in municipal home care.Method. A systematic literature review. The literature search was performed in CINAHL and PubMed during February to April, 2018. A total of 37 articles were identified and nine articles were screened in full text. Quality valuation and analyses of articles were performed doing qualitative research synthesis based of the PRISMA statement.Results. The results will be presented for the first time at the 9th IAGG-ER Congress, May 23-25, 2019, Gothenburg, Sweden.
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| 6. |
- Claesson, Maria, 1971-, et al.
(författare)
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What implies registered nurses’ leadershipclose to older adults in municipal homehealth care? A systematic review
- 2020
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Ingår i: BMC Nursing. - : Springer. - 1472-6955. ; 19:30, s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- Background: Registered nurses are key figures in municipal home health care for older adults. Thus, registerednurses’ leadership is crucial to a successful and preventive care process as well as a supportive organization in orderto achieve safe care. However, there is limited research on what registered nurses’ leadership implies close to olderadults in municipal home health care. Thus, the aim is to compile and critically evaluate how international researchresults describe registered nurses’ leadership close to older adults in municipal home health care.Methods: A systematic literature review was performed in accordance with a qualitative research study. The mainsearch was conducted on 20 April 2018. The review was reported according to the PRISMA guidelines and is registeredin the PROSPERO database (ID# CRD42019109206). Nine articles from PubMed and CINAHL meet the quality criteria. Asynthesis of data was performed in four stages according to qualitative research synthesis.Results: Ten themes describe what registered nurses’ leadership close to older adults in municipal home health careentails: trust and control; continuous learning; competence through knowledge and ability; nursing responsibility on anorganizational level; application of skills; awareness of the individual’s needs and wholeness; mutual support; mutualrelationships; collaborating on organizational and interpersonal levels; and exposure to challenges.Conclusions: Registered nurses leading close to older adults in municipal home health care implies being multi-artists.Nursing education, including specialist education for registered nurses, should prepare individuals for their unique andcomplex leadership role as a multi-artist. Municipal employers require knowledge about what registered nurses’leadership implies in order to create adequate conditions for their leadership objectives to achieve safe care. Furtherresearch is warranted to explore registered nurses’ leadership close to older adults in municipal home health care fromdifferent perspectives, such as older adults and next of kin.
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| 7. |
- Jonasson, Lise-Lotte, 1956-, et al.
(författare)
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Empirical Ethical Values Promoting Good Caring Encounters with Older Patients and Relatives in a Geriatric Setting
- 2019
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Ingår i: Journal of Clinical Cases and Reports. - : Published by TRIDHA Scholars.. - 2582-0435. ; 4:1, s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- Objective: This study describes empirical ethical values promoting good caring encounters with older patients 65, relatives, and care staff in a geriatric clinic. Methods: Hermeneutic method was used in a secondary analysis, a re-analysis, of data already collected in three previous studies describing empirical ethical values. Data in the previous studies was collected in a geriatric clinic at a county hospital in a medium-sized city in Sweden. In study I were older patients (n = 22) with registered nurses and enrolled nurses observed during caring encounters (n = 57). Study II was an interview study with older patients´ relatives (n = 14). Study III observed encounters with registered nurses (n = 20) who cared for older patients. Result: Empirical ethical values promoting good caring encounters comprising a welcoming environment, moral actions in physical and social movements, showing respect, participation, security, and a worthy start, middle, and end of caring encounters. Conclusion: Bearing these empirical ethical values in mind should help care staff to focus on patient safety and their own ethical values, with the aim to promote good caring encounters with older patients and relatives. Respect establishes the basis for reciprocity, when people in caring encounters trust one another, security ensues and the fundamentals for patient safety fall into place.
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| 8. |
- Jonasson, Lise-Lotte, 1956-
(författare)
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Inkontinensprojektet : Personalens uppfattningar om äldre vårdtagares urininkontinens vid tre kommunala vård- och omsorgsboenden och hantering av frågor kring detta
- 2016
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Ur inledning: I föreliggande rapport redovisas förekomst av urininkontinens hos äldrevårdtagare vid vård- och omsorgsboenden (benämns även särskilda boenden) itre kommuner och hur personal inom berörda professioner uppfattar problematiken samt deras förslag till förbättringar. I rapporten används följande begreppoch de avser samma betydelse; äldre vårdtagare, äldre person, vårdtagare, äldre påsärskilt boende samt äldre på vård- och omsorgsboende. Studiens professioner harindelats i två kategorier: lednings- och handledningspersonal och omvårdspersonal. Ledningspersonal är ansvariga chefer vid särskilda boenden, handledningspersonal handleder omvårdnadspersonal och är distriktssköterska eller sjuksköterska med förskrivningsansvar. Som omvårdnadspersonal benämns undersköterskor med ansvar för omvårdnadsarbetet.
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| 9. |
- Jonasson, Lise-Lotte, 1956-, et al.
(författare)
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Life situation and participation as experienced by adult patients in palliative home care
- 2019
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Ingår i: Nursing and Palliative Care. - 2397-9623. ; 4:2
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Tidskriftsartikel (refereegranskat)abstract
- Background: Many patients are currently cared for at the end-of-life stage at home, and the number is expected to increase. The patient’s participation is a prerequisite for good care, which also relates to ethical principles and evidence-based action.Aim: To describe adult patients’ experiences of their life situation and their participation in palliative home care. Method: A reflective lifeworld approach and a phenomenological meaning analysis were conducted. Six adult patients in palliative home care were interviewed in Sweden during 2018.Results: One essential meaning and five elements of that meaning describe adult patients’ life situations and participation in their palliative home care. The essential meaning referred to needing and endeavouring to live as usual and taking responsibility for life. The five essential elements were: The home should be my home, where I know who is coming through the door; I should know when help is coming and be included when decisions are made; routines should be maintained, but without booking up tomorrow; accept death, feel hope, and plan for relatives after my death; and be aware that death is imminent, but not know when it will come.Conclusions: Participation in palliative home care can be maintained and improved by caregivers behaving as guests in the patient’s home, building up the patient’s trust, showing consideration for patients and their relatives, promoting patients living everyday life as they previously had, asking about the patient’s habits, and giving patients time and continuity in the caregiving relationship. Education should focus on how to have supportive conversations with a patient who is dying and preparing for death.
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| 10. |
- Jonasson, Lise-Lotte, 1956-, et al.
(författare)
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Managers’ experiences of ethical problems in municipal elderly care : a qualitative study of written reflections as part of leadership training
- 2019
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Ingår i: Journal of Healthcare Leadership. - : Dove Medical Press. - 1179-3201. ; 11:63-74
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Tidskriftsartikel (refereegranskat)abstract
- Background: Managers in elderly care have a complex ethical responsibility to address the needs and preferences of older persons while balancing the conflicting interests and requirements of relatives’ demands and nursing staff’s work environment. In addition, managers must consider laws, guidelines, and organizational conditions that can cause ethical problems and dilemmas that need to be resolved. However, few studies have focused on the role of health care managers in the context of how they relate to and deal with ethical conflicts. Therefore, the aim of this study was to describe ethical problems experienced by managers in elderly care. Methods: We used a descriptive, interpretative design to analyze textual data from two examinations in leadership courses for managers in elderly care. A simple random selection of 100 out of 345 written exams was made to obtain a manageable amount of data. The data consisted of approximately 300 pages of single-spaced written text. Thematic analysis was used to evaluate the data. Results: The results show that managers perceive the central ethical conflicts relate to the older persons’ autonomy and values versus their needs and the values of the staff. Additionally, ethical dilemmas arise in relation to the relatives’ perspective of their loved one’s needs and preferences. Legislations, guidelines, and a lack of resources create difficulties when managers perceive these factors as conflicting with the care needs of older persons. Conclusion: Managers in elderly care experience ethical conflicts that arise as unavoidable and perennial values conflicts, poorly substantiated values, and problematic organizational conditions. Structured approaches for identifying, reflecting on, and assessing ethical problems in the organization should therefore be implemented.
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