The needs of older people receiving home care: a scoping review

Dostálová, Vladimíra; Bártová, Alžběta; Bláhová, Hana; Holmerová, Iva

doi:10.1007/s40520-020-01505-3

Cited by 33 publications

(38 citation statements)

References 52 publications

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“…The possibility of ensuring patient autonomy varies, but, in general, health workers can use their interpersonal skills to achieve this goal. The present ndings are in accordance with the literature by showing that patients living at home want to have a say in structuring their daily lives and care [8], and also want to be involved in decision-making as far as possible [9,12].…”

Section: Discussionsupporting

confidence: 91%

“…Relationships with others are of great importance for a person's health and the experience of well-being and meaning [42]. Health workers' interpersonal skills are crucial, given that they are often the only persons with whom patients have contact the entire day [12]. At the same time, since patients differ and have varying needs, health workers need interpersonal skills to assess individual patients and meet their particular needs.…”

Section: Discussionmentioning

confidence: 99%

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Keeping Calm on a Busy Day—An Interpersonal Skill Home Care Patients Desire in Health Workers: Hermeneutical Phenomenological Method

Watz

2021

Preprint

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BackgroundIn Western countries, many health and social care provisions have been transferred to primary care, and most older patients wish to remain in their own homes for as long as possible. For older patients who live alone, health workers could be their only personal contacts. Hence, health workers’ personal skills affect their relationships with these patients. Accordingly, this study aimed to shed light on the interpersonal skills needed by health workers to establish good relationships with older home care patients and highlight the importance of interpersonal skills training in nursing education.Methods The qualitative method was used to elicit data on patients’ perspectives. Ten home care patients were interviewed individually in their own homes between December 2019 and January 2020.Results Despite individual variations, health workers’ interpersonal skills are of significance with regard to the social well-being of patients living at home. The findings revealed that patients want health workers to be mentally present, congruent in their communications, calm and relaxed during the available time spent with them, and capable of facilitating autonomy.Conclusions It is important to present patients’ perspectives to ensure that nursing education is geared towards patients’ best interests.Registration number: The Norwegian Centre for Research Data (NSD): 953937.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Keeping Calm on a Busy Day—An Interpersonal Skill Home Care Patients Desire in Health Workers: Hermeneutical Phenomenological Method

Watz

2021

Preprint

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“…The authors stated that in the opinion of older people, good care also counteracts loneliness and includes casual conversations with caregivers, whereas a lack of interest in the care recipients was considered poor-quality care. While Dostálová et al (2020) focused only on home care, this review shows that the themes are similar for ambulatory medical and nursing care in general. This might be an indication that the results truly represent the fundamental motives of the oldest old, which tend to be related to the general circumstances of their age rather than their specific care dependency.…”

Section: Discussionmentioning

confidence: 94%

What matters to people aged 80 and over regarding ambulatory care? A systematic review and meta-synthesis of qualitative studies

et al. 2021

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The growing percentage of the population aged 80 and over is challenging for healthcare systems, as frailty and other complex health issues are common in this age group. In order to provide patient-centered ambulatory healthcare, their preferences and expectations need to be explored. Therefore, the aim of this study was to systematically search for and synthesize qualitative evidence on how people aged 80 and over believe ambulatory healthcare (medical and nursing care) should be delivered to them. Medline, PsycINFO, CINAHL, Web of Science Core Collection and Google Scholar were searched for full research reports of qualitative studies focusing on the preferences, wishes, needs, expectations and experiences of people aged 80 and over regarding ambulatory medical and nursing care. The results were screened by two independent reviewers using a two-step approach. The included studies were meta-synthesized using Thomas and Harden’s ‘thematic synthesis’ approach in order to gain a new, second-order interpretation of the findings of the primary studies. In the intermediate synthesis step, 14 aspects of healthcare structures and care relationships were identified as relevant. Based on these, three underlying wishes were found: feeling safe, feeling like a meaningful human being, and maintaining control and independence. The results of this review are in line with other research, such as reviews focusing on the preferences of the younger age group (65–80). However, the importance of aspects of care relationships as an integral part of favorable ambulatory healthcare and the wish to be strengthened as a meaningful human being are emphasized more strongly.

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“…There is a gap between the current internet-based home care and the market demand in terms of service items, service time, and service continuity, and many improvements need to be made to form comprehensive, coordinated, and high-quality internet-based home care [ 42 , 43 ]. In addition, most internet-based home care involves the use of video recordings to document the whole service process, and a balance between ensuring the safety of nursing patients and protecting patients’ personal privacy needs to be achieved [ 44 , 45 ]. Finally, safety is a central issue in the home care of older patients [ 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Barriers to accessing internet-based home Care for Older Patients: a qualitative study

et al. 2021

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Background Due to the increasingly ageing society and the shortage of nursing human resources in China, the imbalance between the home care needs of older patients and the inadequate supply of nursing services is increasing. Based on this medical situation, China is implementing internet-based home care (with the nurses who provide this care called online nurses or sharing nurses) based on the concept of the sharing economy, internet technology and knowledge from the home care experience in other countries. Internet-based home care follows an online application/offline service model. Patients place orders through an app, nurses grab orders instantly, and managers dispatch orders through a web platform based on various factors such as nurses’ qualifications, professionalism and distance from the patient. In this way, home care is provided for patients with limited mobility, such as older or disabled patients, patients in rehabilitation and terminal patients. Only by fully understanding the barriers to accessing internet-based home care can we provide quality nursing services to older patients and achieve the sustainable development of internet-based home care. Objective The goal of this study was to use qualitative methods to explore barriers to accessing internet-based home care for older patients. Methods Based on Levesque’s access to health care framework, semi-structured personal interviews were conducted with 19 older patients in a descriptive qualitative study using directed content analysis. Results We identified four barriers to accessing internet-based home care for older patients: barriers to perceiving, seeking, paying for, and engaging in internet-based home care. Specific barriers included traditional perceptions, barriers to internet use, high payment costs, uneven quality of services, and concerns about privacy and patient safety. Conclusions Internet-based home care brings new risks and challenges. In order to enable older patients to better enjoy it, it is necessary to strengthen publicity, optimize the network application process, improve the health insurance system, formulate unified nursing service standards, and address safety risks.

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The needs of older people receiving home care: a scoping review

Cited by 33 publications

References 52 publications

Keeping Calm on a Busy Day—An Interpersonal Skill Home Care Patients Desire in Health Workers: Hermeneutical Phenomenological Method

Keeping Calm on a Busy Day—An Interpersonal Skill Home Care Patients Desire in Health Workers: Hermeneutical Phenomenological Method

What matters to people aged 80 and over regarding ambulatory care? A systematic review and meta-synthesis of qualitative studies

Barriers to accessing internet-based home Care for Older Patients: a qualitative study

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