The home as ethos of caring: A concept determination

Hilli, Yvonne; Eriksson, Kent

doi:10.1177/0969733017718395

Cited by 38 publications

(70 citation statements)

References 22 publications

(67 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Vaartio‐Rajalin et al, ), be prepared to discuss the situation among themselves and with the healthcare team and allow them to visit their home (cf. Hilli & Eriksson, ). Healthcare professionals, in turn, were presupposed to respect and support the patient and his/her family caregivers in all activities with the goal of achieving individual, continuous and comprehensive care.…”

Section: Discussionmentioning

confidence: 99%

“…Researchers have found that patients’ preferences for outpatient treatment are not based on economic factors but instead the probability of return to hospital (Lathia et al, ). The autonomy that advanced care at home provides is based on patients’ homes being regarded as healing and loving milieus (Hilli & Eriksson, ; Lou et al, ) and not inundated with medical technical apparatuses or virtual control devices (Lindberg, Fagerström, Willman, & Sivberg, ). Another central factor in advanced care at home is patients’ family caregivers.…”

Section: Background Revised Order and Some Contentmentioning

confidence: 99%

See 1 more Smart Citation

Professional care at home: Patient‐centredness, interprofessionality and effectivity? A scoping review

Vaartio-Rajalin

Fagerström

2019

Health Soc Care Community

View full text Add to dashboard Cite

The aim of this scoping review was to describe the state of knowledge on professional care at home with regard to different perspectives on patient-centredness, content of care, interprofessional collaboration, competence framework and effectivity. A scoping review, n = 35 papers, from four databases (EBSCO, CINAHL, Medline, Swemed) were reviewed between May and August 2018 using the terms:hospital-at-home, hospital-in-the-home, advanced home healthcare, hospital-based home care or patient-centered medical home. Criteria for inclusion in this review included full text papers, published between 2001 and 2018, in English, Swedish or Finnish. A descriptive content analysis was conducted. Patient-centredness appears to be one aim of professional care at home, but clarity is lacking regarding patient recruitment and the planning and evaluation of care. Content depends, to a certain degree, on the type of care at home and how it is organised: the more non-acute care needs, the more nurse-coordinated care and family involvement and the less interprofessionality. The competence framework presupposed for care at home was extensive yet not explicit, varying from maturity, clinical experience, collaboration skills, ongoing clinical assessment education to Master's studies or degree. The effectivity of care at home services was discussed in terms of experiential, clinical and economic aspects. Patients and their family caregivers were satisfied with care at home, but there was no consensus on clinical or economic outcomes compared with inpatient care. In the context of professional care at home, there is still a lot to do regarding patient-centredness, patient recruitment, patient and care staff education, the organisation of interprofessional collaboration and the analysis of effectivity. K E Y W O R D S advanced home care, competence, effectivity, home care, hospital at home, hospital in the home, interprofessionality, Patient-centred care | e271 VAARTIO-RAJALIN ANd FAGERSTRÖM

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Background Revised Order and Some Contentmentioning

confidence: 99%

Professional care at home: Patient‐centredness, interprofessionality and effectivity? A scoping review

Vaartio-Rajalin

Fagerström

2019

Health Soc Care Community

View full text Add to dashboard Cite

show abstract

“…When professionals overlook older persons’ opinions or fail to meet their needs and desires, the manager has the responsibility to address these concerns and provide guidance and support to the staff. Research has shown that such support can take the form of regular reflection 40–42. This may be the way to strengthen the ethical competence of professionals and to engage the older person in a caring relationship so that he or she experiences a feeling of “at-homeness.” The feeling of “being home” has significance in terms of the older person’s health and well-being 40.…”

Section: Discussionmentioning

confidence: 99%

“…Research has shown that such support can take the form of regular reflection 40–42. This may be the way to strengthen the ethical competence of professionals and to engage the older person in a caring relationship so that he or she experiences a feeling of “at-homeness.” The feeling of “being home” has significance in terms of the older person’s health and well-being 40. Regular reflection can also reduce or prevent moral stress 43.…”

Section: Discussionmentioning

confidence: 99%

<p>Managers’ experiences of ethical problems in municipal elderly care: a qualitative study of written reflections as part of leadership training</p>

Jonasson¹,

Sandman²,

Bremer³

2019

JHL

View full text Add to dashboard Cite

Background: Managers in elderly care have a complex ethical responsibility to address the needs and preferences of older persons while balancing the conflicting interests and requirements of relatives’ demands and nursing staff’s work environment. In addition, managers must consider laws, guidelines, and organizational conditions that can cause ethical problems and dilemmas that need to be resolved. However, few studies have focused on the role of health care managers in the context of how they relate to and deal with ethical conflicts. Therefore, the aim of this study was to describe ethical problems experienced by managers in elderly care. Methods: We used a descriptive, interpretative design to analyze textual data from two examinations in leadership courses for managers in elderly care. A simple random selection of 100 out of 345 written exams was made to obtain a manageable amount of data. The data consisted of approximately 300 pages of single-spaced written text. Thematic analysis was used to evaluate the data. Results: The results show that managers perceive the central ethical conflicts relate to the older persons’ autonomy and values versus their needs and the values of the staff. Additionally, ethical dilemmas arise in relation to the relatives’ perspective of their loved one’s needs and preferences. Legislations, guidelines, and a lack of resources create difficulties when managers perceive these factors as conflicting with the care needs of older persons. Conclusion: Managers in elderly care experience ethical conflicts that arise as unavoidable and perennial values conflicts, poorly substantiated values, and problematic organizational conditions. Structured approaches for identifying, reflecting on, and assessing ethical problems in the organization should therefore be implemented.

show abstract

“…A distinction between being at home physically and being at home emotionally or existentially is common in the literature on dementia [6–8, 12] and in health and care sciences in general [13–17]. In this literature, there is also an understanding of being at home as a progressive process [15, 16].…”

Section: Introductionmentioning

confidence: 99%

“We live as good a life as we can, in the situation we’re in” – the significance of the home as perceived by persons with dementia

et al. 2019

View full text Add to dashboard Cite

Background The coming years will see more persons with dementia living longer at home. However, “the home” is a complex concept with a multitude of meanings, varying among individuals and raising ethical and practical dilemmas in the support provided for this group. This study aims to increase the understanding of experiences and attitudes among persons with dementia related to living at home. Methods Qualitative interviews were conducted with 12 persons, 69 to 89 years old, with a dementia diagnosis and living at home. Using a hermeneutical approach, the interviews were analysed as single texts, as parts of a set of texts and as a whole single text. The writings of care philosopher Kari Martinsen on “The home” were chosen as a framework for the theoretical interpretation of the findings. Results The participants experienced a vital interconnectedness between the home and their lives, placing their home as a core foundation for life. Through stories of persisting love, they illuminated how their lived lives functioned as a foundation for their homes. Further, they described how progressing dementia disturbed rhythms of life at home, forcing them to adapt and change their routines and rhythms in life. Finally, in the hope of an enhanced future home the participants showed an acceptance of, but also a reluctance to, the prospect of having to move out of their homes at some future point. Conclusion The study suggests that the participants’ home generated existential meaning for the participating persons with dementia. Their experience of being at home was based on a variety of individual factors working together in various ways. These findings imply a need to understand what factors are important for the individual, as well as how these factors interact in order to provide support for this group of people.

show abstract

The home as ethos of caring: A concept determination

Cited by 38 publications

References 22 publications

Professional care at home: Patient‐centredness, interprofessionality and effectivity? A scoping review

Professional care at home: Patient‐centredness, interprofessionality and effectivity? A scoping review

<p>Managers’ experiences of ethical problems in municipal elderly care: a qualitative study of written reflections as part of leadership training</p>

“We live as good a life as we can, in the situation we’re in” – the significance of the home as perceived by persons with dementia

Contact Info

Product

Resources

About