onr:"swepub:oai:DiVA.org:mdh-60077"
Sökning: onr:"swepub:oai:DiVA.org:mdh-60077" > Actions taken to sa...
- 1 av 1
- Föregående post
- Nästa post
- Till träfflistan
Actions taken to safeguard the intended health care chain of older people with multiple diagnoses-a critical incident study
-
- Gustafsson, Lena-Karin, 1966- (författare)
- Mälardalens universitet,Hälsa och välfärd,CaReHel; Care, Recovery & Health
-
- Zander, Viktoria, Med dr (författare)
- Mälardalens universitet,Hälsa och välfärd,PrILiv
-
- Bondesson, Anna (författare)
- Mälardalens universitet,Hälsa och välfärd
- visa fler...
- visa färre...
- (creator_code:org_t)
- 2022-09-21
- 2022
- Engelska.
- Ingår i: BMC Nursing. - : BMC. - 1472-6955. ; 21:1
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- Background: Older people with multiple diagnoses often have problems coping with their daily lives at home because of lack of coordination between various parts of the healthcare chain during the transit from hospital care to the home. To provide good care to those persons who have the most complex needs, regions and municipalities must work together. It is of importance to develop further empirical knowledge in relation to older persons with multiple diagnoses to illuminate possible obstacles to person-centred care during the transition between healthcare institutions and the persons livelihood. The aim of the present study was to describe nurses' experienced critical incidents in different parts of the intended healthcare chain of older people with multiple diagnoses.Methods: The sample consisted of 18 RNs in different parts of the healthcare system involved in the care of older people with multiple diagnoses. Data were collected by semi structured interviews and analysed according to Critical Incident Technique (CIT). A total of 169 critical incidents were identified describing experiences in recently experienced situations.Results: The result showed that organizational restrictions in providing care and limitations in collaboration were the main areas of experienced critical incidents. Actions took place due to the lack of preventive actions for care, difficulties in upholding patients' legal rights to participation in care, deficiencies in cooperation between organizations as well as ambiguous responsibilities and roles. The RNs experienced critical incidents that required moral actions to ensure continued person-centred nursing and provide evidence-based care. Both types of critical incidents required sole responsibility from the nurse. The RNs acted due to ethics, 'walking the extra mile', searching for person-centred information, and finding out own knowledge barriers.Conclusions: In conclusion and based on this critical incident study, home-based healthcare of older people with multiple diagnoses requires a nurse that is prepared to take personal and moral responsibility to ensure person-centred home-based healthcare. Furthermore, the development of in-between adjustments of organizations to secure cooperation, and transference of person-centred knowledge is needed.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Nyckelord
- Critical incidence technique
- Home-based healthcare
- Multiple diagnoses
- Older people
- Person-centred care
- Care-coordination
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
- 1 av 1
- Föregående post
- Nästa post
- Till träfflistan
Hitta mer i SwePub
- Av författaren/redakt...
- Gustafsson, Lena ...
- Zander, Viktoria ...
- Bondesson, Anna
- Pettersson, Tina
- Anbäcken, Els-Ma ...
- Östlund, Gunnel, ...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
- MEDICIN OCH HÄLS ...
- och Hälsovetenskap
- Artiklar i publikationen
- BMC Nursing
- Av lärosätet
- Mälardalens universitet
Sök utanför SwePub
- Sök vidare i:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - Nationella bibliotekssystem
- LIBRIS.kb.se
