The effective ingredients of social support at home for people with dementia: a literature review

Argyle, Elaine; Kelly, Tony; Gladman, John; Jones, Rob

doi:10.1108/jica-09-2016-0032

Cited by 4 publications

(1 citation statement)

References 14 publications

(29 reference statements)

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“…There is an increasingly blurred distinction between health and social care (Argyle et al, 2017) and this is an important context for the delivery of district nursing care in which both clinical and social elements of care can provide opportunities for dignity to manifest. Within district nursing, "demand is rising faster than funding" (Charles et al, 2018, p. 26), yet, at a national level, relatively little data on community health services is collected, compared with care delivered in hospitals.…”

Section: "Behind Closed Doors": the Context Of District Nursingmentioning

confidence: 99%

“Just because people are old, just because they're ill…” dignity matters in district nursing

Stevens

Price

Walker

2021

JAP

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Purpose This paper aims to explore the concept and practice, of dignity as understood and experienced by older adults and district nursing staff. The paper adds a new, nuanced, understanding of safeguarding possibilities in the context of district nursing care delivered in the home. Design/methodology/approach The research used an ethnographic methodology involving observations of care between community district nursing clinicians and patients (n = 62) and semi-structured interviews with nursing staff (n = 11) and older adult recipients of district nursing care (n = 11) in England. Findings Abuse is less likely to occur when clinicians are maintaining the dignity of their patients. The themes of time and space are used to demonstrate some fundamental ways in which dignity manifests. The absence of dignity offers opportunities for abuse and neglect to thrive; therefore, both time and space are essential safeguarding considerations. Dignity is influenced by time and how it is experienced temporally, but nurses are not allocated time to “do dignity”, an arguably essential component of the caregiving role, yet one that can become marginalised. The home-clinic exists as a clinical space requiring careful management to ensure it is also an environment of dignity that can safeguard older adults. Practical implications District nurses have both a proactive and reactive role in ensuring their patients remain safeguarded. By ensuring care is delivered with dignity and taking appropriate action if they suspect abuse or neglect, district nurses can safeguard their patients. Originality/value This paper begins to address an omission in existing empirical research regarding the role of district nursing teams in delivering dignified care and how this can safeguard older adults.

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Section: "Behind Closed Doors": the Context Of District Nursingmentioning

confidence: 99%