A purposeful Yet Nonimposing Approach: How Japanese Home Care Nurses Establish Relationships With Older Clients and Their Families

Author:

Iwasaki Takako12,Yamamoto-Mitani Noriko3,Sato Kana4,Yumoto Yoshie2,Noguchi-Watanabe Maiko3,Ogata Yasuko2

Affiliation:

1. Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan

2. Tokyo Medical and Dental University, Japan

3. The University of Tokyo, Japan

4. Miyagi University, Taiwa, Japan

Abstract

Relationship development is crucial to nursing practice with families. However, little is known about the process of building relationships with multiple family members in home care settings and in various cultures. The objective of this study was to explore the experiences of home care nurses about how they established relationships with older clients and their families in Japan. Grounded theory was used to guide the research. Twenty-three expert home care nurses participated in semistructured interviews concerning their family nursing practice. The establishment of relationships with clients/family members was based on a purposeful yet nonimposing approach composed of four aspects: keeping a mindful distance from the family, not being a threat to family life, being a comfortable neighbor, and gaining trust as a competent nurse. Through a purposeful nonimposing approach, Japanese home care nurses promoted and nurtured nurse–family relationships and became involved in the life of the family. These findings provide a useful foundation to guide practice with families and grow knowledge about the process of establishing relationships with multiple family members in home settings.

Publisher

SAGE Publications

Subject

Family Practice,Community and Home Care

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Safety in the Home Care Environment of Families Caring for the Elderly;Contemporary Topics in Patient Safety - Volume 2 [Working Title];2022-10-10

2. Home‐based nursing care competencies: A scoping review;Journal of Clinical Nursing;2021-12-12

3. Coping strategies adopted by Iranian families of children with Down syndrome;Medicine;2020-07-10

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