Older persons’ expressions of emotional cues and concerns during home care visits. Application of the Verona coding definitions of emotional sequences (VR-CoDES) in home care

Registered Nurses’ and nurse assistants’ responses to older persons’ expressions of emotional needs in home care

“…The emotional expressions, i.e. cues and concerns, have been reported in a previous paper (Sundler et al 2017), as parts of the international research program COMHOME (Hafskjold et al 2015).…”

“…The VR-CoDES have been used and found reliable in studies on communication from different caring contexts (Del Piccolo et al 2011, Wright et al 2012, Sundler et al 2017.…”

“…Previously, few studies have focused on communication of older persons' emotional needs in home care (Hafskjold et al 2016, Sundler et al 2016, Sundler et al 2017. Still more knowledge is needed on how to respond to these needs and how to enable a more personcentered communication based on older persons' needs and concerns.…”

“…In Sweden, where this study was carried out, home care services are performed either by nurse assistants (NAs) or by registered nurses (RNs). The home care performed by NAs mainly includes social care and, for example, help with daily living, personal care and medication, while home health care performed by RNs includes elements such as tests, medical information and administration (Sundler et al 2017).…”

“…Earlier studies have described how nursing staff encounter older person's needs and wishes in an organizational-driven (Breitholtz et al 2013, Choe et al 2015 and task-oriented home care (Sundler et al 2017), which may have an impact on communication. To facilitate a holistic care, time for older persons' emotional concerns has to be acknowledged and considered as essential when practicing home care.…”