Living longer at home: a qualitative study of older clients' and practical nurses' perceptions of home care

Turjamaa, Riitta; Hartikainen, Sirpa; Kangasniemi, Mari; Pietilä, Anna‐Maija

doi:10.1111/jocn.12569

Cited by 45 publications

(89 citation statements)

References 31 publications

(41 reference statements)

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“…Receiving homecare nursing changes a private home into a workplace, but the owner of the home is still in charge; therefore, homecare nurses have to show a little humbleness (Öresland et al, 2008). However, to ensure working conditions are appropriate or to achieve a safe environment for the client, nurses could suggest alterations such as changing or moving furniture to ensure there was enough space or other modifications, which could be contrary to the wishes of the client (Turjamaa et al, 2014). Cooperation within these special conditions should build on mutual respect (Turjamaa et al, 2014;Öresland et al, 2008), not only because the client is the centre of homecare nursing but also because working conditions of the nurses must be taken into consideration.…”

Section: Homecare Nursing As a Professional Practice On Foreign Groundmentioning

confidence: 99%

Nordic homecare nursing from the perspective of homecare nurses—a meta-ethnography

Martinsen

Mortensen²,

Norlyk

2018

Br J Community Nurs

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The pressure on homecare nursing in the Nordic countries has increased in recent years because of a reorganisation of healthcare systems that has put a focus on very early discharge from hospital as well as demographic changes. This article details an analysis of the findings of 13 published qualitative research reports about Nordic homecare nurses' experiences of their work. Using a process of meta-ethnography, the authors identify five themes within the primary research: home care as a professional practice on foreign ground; home care as a massive time constraint; home care as fair rationing; home care as relationships with relatives as fellow players or opponents; and home care as latent paternalism. These have two main implications for practice: homecare nurses should continuously be taught how to cooperate with partners who are emotionally involved; and also homecare nurses may benefit from training that focuses on the challenges of carrying out professional work in private settings

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Section: Homecare Nursing As a Professional Practice On Foreign Groundmentioning

confidence: 99%

Nordic homecare nursing from the perspective of homecare nurses—a meta-ethnography

Martinsen

Mortensen²,

Norlyk

2018

Br J Community Nurs

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“…Despite the fact that most older people want to live in their own homes for as long as possible (de Bruin et al, ; Turjamaa, Hartikainen, Kangasniemi, & Pietilä, ), some dislike it because they feel that their home is a lonely and unsafe environment. Therefore, it is essential to take into account older people's rights to make decisions about their own lives (Jacobs, ; Zhang et al, ).…”

Section: Introductionmentioning

confidence: 99%

How smart homes are used to support older people: An integrative review

Turjamaa

Pehkonen

Kangasniemi

2019

Int J Older People Nursing

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Background The number of healthy older people is increasing, and most of them want to live in their own homes for as long as possible. Smart home technology can support living at home, but synthetised knowledge of previous studies about their suitability for the everyday lives of older people is rare. Methods Data for this integrated review were obtained by searching the PubMed, CINAHL and Scopus databases from 2012 to 2019, based on inclusion and exclusion criteria, and then carrying out quality appraisals of the papers that were selected. Results We identified 944 papers, and 16 were included in the review. According to our analysis, smart home solutions for older people focused on devices for daily and healthy living and older people's safety. The smart home solutions they discussed were used to help older people carry out everyday activities and lead healthier and more fulfilled lives, by improving their physical safety and social communication. Older people reported that smart homes improved their sense of security, quality of daily life and activities and provided them with information about the care they could receive. However, research on older people playing an active role in developing smart home technology was lacking. Conclusion The existing literature focused on evaluating daily activities with routine measurements. There has been a lack of research that has focused on older people's experiences as the end users of this technology. However, the papers lacked data on how older people could maintain their social relationships and become more proactive in daily living. Implications for practice With further development, smart homes can be used to support older people to perform daily activities and help them maintain their social relationships. These steps will ensure that they can continue to live independently in their own homes for longer.

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“…The focus of care for older patients has shifted from institutional care towards a model of home care, to enable patients to live at home for as long as possible (Turjamaa et al 2014). Home care is organised differently from nursing in hospitals and nursing homes.…”

Section: Introductionmentioning

confidence: 99%

Medication errors in home care: a qualitative focus group study

Berland

Bentsen

2017

Journal of Clinical Nursing

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To prevent medication errors in home care, up-to-date information and communication between healthcare workers is important when patients are transferred from specialist to home care. It is also important to ensure adequate competence with regard to medication, and that there should be openness when medication errors occur, as well as in setting routines for the preparation, alteration and administration of medications.

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Living longer at home: a qualitative study of older clients' and practical nurses' perceptions of home care

Abstract: The information produced by this study can be used to promote older clients' living at home for as long as possible. Therefore, practical nurses are required the ability to recognise older clients' individual resources and design individual care plans accordingly.

Cited by 45 publications

References 31 publications

Nordic homecare nursing from the perspective of homecare nurses—a meta-ethnography

Nordic homecare nursing from the perspective of homecare nurses—a meta-ethnography

How smart homes are used to support older people: An integrative review

Medication errors in home care: a qualitative focus group study

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