Physicians' expectations regarding registered nurses caring for older people living in sheltered housing, retirement homes and group dwellings

Karlsson, Inger; Nilsson, Mikael; Ekman, Sirkka‐Liisa

doi:10.1080/13561820600711563

Cited by 4 publications

(2 citation statements)

References 14 publications

(20 reference statements)

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“…They reported that things usually went well and that the RNs are competent, know about residents’ health status and know which residents are in need of assessment or an updated ACP. Similar results were found in another study . In our study, a high turnover or work overload among nurses affected the GPs’ work situation negatively, and was perceived as a general risk for patient safety.…”

Section: Discussionsupporting

confidence: 90%

General practitioners’ experiences as nursing home medical consultants

Kirsebom

Hedström

Pöder

et al. 2016

Scandinavian Caring Sciences

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The study highlights the importance of advance care planning together with residents and family members in facilitating future decisions on medical treatment and end-of-life care. To meet the increasing demands for more complex medical treatment at nursing homes and to provide high-quality palliative care, there would seem to be a need to increase Registered Nurses' staffing and acquire more advanced medical equipment, as well as to create better possibilities for Registered Nurses and general practitioners to access each other's healthcare record systems.

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Section: Discussionsupporting

confidence: 90%

General practitioners’ experiences as nursing home medical consultants

Kirsebom

Hedström

Pöder

et al. 2016

Scandinavian Caring Sciences

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“…This study forms part of a larger study regarding expectations on RNs in residential care homes (26–28). Co‐workers in care of older persons could have diverging expectations on the RNs, and it could be a difficult task for the RNs to meet all of expectations placed on them.…”

Section: Introductionmentioning

confidence: 99%

A difficult mission to work as a nurse in a residential care home – some registered nurses’ experiences of their work situation

Karlsson

Ekman

Fagerberg

2009

Scandinavian Caring Sciences

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134

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The aim of the study was to describe Registered Nurses' (RNs) experiences of their work environment in residential care homes for older persons. Twelve RNs were interviewed and latent content analysis was used for analysing the data. The data were collected in the spring of 2006. The findings revealed that these RNs experienced a paradoxical work environment: feeling appreciated and valuable, whilst at the same time feeling underestimated and frustrated. They felt appreciated and valuable when they provided nursing care and trust and support to others. The RNs experienced a positive work environment when the border between social and nursing care were clear. They also felt frustrated when they were expected to 'be everywhere and to know everything', but at the same time they felt invisible and underestimated. They experienced themselves as 'lonely fixers', having the ability to solve practical problems when the older persons were discharged from hospital and expected to be able to provide specialist nursing care without having specialised competence and specialist staff team members. In conclusion, it is important that the RNs can identify the border for nursing care. When these are clear, the nursing care objectives are apparent and the RNs become more autonomous, visible and listened to. The manager should listen to and support the RNs, with continuous supervision and competence development being mandatory elements. It is a difficult task for RNs working in residential care homes to meet all of the expectations placed on them, resulting in a risk of moral distress, making mistakes and developing illnesses caused by stress.

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