Support in acute situations when a community health nurse is called: experiences of older patients, their significant others, and involved healthcare professionals- a qualitative interview study

Author:

Forsgärde Elin-SofieORCID,Rööst Mattias,Svensson AndersORCID,Fridlund BengtORCID,Elmqvist CarinaORCID

Abstract

Abstract Background Care decisions for older patients in acute situations are challenging to make, and there is limited knowledge of support in home healthcare settings, where older patients receive ongoing health care from, for example, community health nurses. Therefore, this study aimed to describe the support for all involved in acute situations when a community health nurse was called, as experienced by older patients, their significant others and healthcare professionals involved. Methods The study was conducted using a phenomenological reflective lifeworld research approach, in which meanings of the study phenomenon were analyzed. The included participants were those who had been involved in acute situations. Twelve participants from four acute situations were interviewed. The participant included three older patients, one significant other, four community health nurses, one registered nurse student, one specialist in general practice, and two ambulance personnel, with one being a registered nurse and the other a specialist ambulance nurse. Results Support in decision-making was received from the knowledge of temporality, which provided a comprehensive understanding based on past and present knowledge of the older patient. The knowledge of temporality allowed for the early detection of new symptoms and facilitated care decisions tailored to the older patient. There was a dependency on pre-existing mutual interpersonal support, and confidence developed through relational, caring, and medical competence. Conclusions The advantages of temporality, confidence and mutual interpersonal support in acute situations highlight the importance of enhancing relational continuity in home healthcare settings and establishing a structural collaboration among community health nurses, specialists in general practice, and ambulance personnel. This collaboration aims to provide support for making decisions regarding tailored care.

Funder

Linnaeus University

Publisher

Springer Science and Business Media LLC

Subject

Geriatrics and Gerontology

Reference53 articles.

1. Basinska K, Künzler-Heule P, Guerbaai RA, Zúñiga F, Simon M, Wellens NIH, Serdaly C, Nicca D. Residents’ and relatives’ experiences of acute situations: a qualitative study to inform a care model. Geront 2021;61(7):1041–52. https://doi.org/10.1093/geront/gnab027.

2. Chester JG, Rudolph JL. Vital signs in older patients: age-related changes. J Am Med Dir Assoc. 2011;12(5):337–43. https://doi.org/10.1016/j.jamda.2010.04.009.

3. Swedish National Board of Health and Welfare. Akut omhändertagande: ett underlag för kompetensutveckling vid omhändertagande av akut sjuka och skadade (Eng. Emergency care: a document for competence development). Stockholm: Swedish National Board of Health and Welfare; 1994.

4. SOU 2020:19. God och nära vård: en reform för ett hållbart hälso- och sjukvårdssystem (Eng. Proper and close care: a reform for a sustainable health care). Stockholm: Norstedts juridik; 2020.

5. Shepperd S, Iliffe S, Doll HA, Clarke MJ, Kalra L, Wilson AD, Gonçalves-Bradley DC. Admission avoidance hospital at home. Cochrane Database Syst Rev. 2016;9(9):CD007491. https://doi.org/10.1002/14651858.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3