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‘My registered nurse’: Older people’s experiences of registered nurses’ leadership close to them in community home care in Sweden
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0003-2979-3705
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0002-7117-9808
Department of Nursing School of Health and Welfare, Jönköping University, Jönköping, Sweden.
2021 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, article id e12399Article in journal (Refereed) Published
Abstract [en]

Aim

To explore older people's experiences of registered nurses? leadership close to them in community home care.

Introduction

In Sweden and throughout the world, the number of people 65 years and older is increasing. While older people are living for more years, living longer can bring more diseases and disabilities, which might lead to the need for home care. Registered nurses are responsible for older people's care needs in their leadership in community home care; this is a part of their professional role as registered nurses, and it implies that they must be multi-artists.

Design

An explorative and inductive design was used in two communities in western Sweden.

Methods

Individual interviews were conducted with older people (n = 12) with at least one year of experience with community home care. Data were analysed using qualitative content analysis. Results The results are presented in the theme "my registered nurse", including five categories - relationship, professional competence, nursing interventions, coordination and collaboration and organisation - and 15 sub-categories.

Conclusions

These findings are based on older people's own experiences. This is specific, as the phenomenon of the RNs leadership is rarely explored from the perspective of older people.

Implications for practice

There is a need for organisations to create more opportunities for older people to have their own registered nurses leading close to them. This is because registered nurses have specific competences for meeting older people's individual needs and involving them as competent partners in satisfying their care needs.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021. article id e12399
Keywords [en]
community home care, interview, leadership, older people, registered nurse
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-26160DOI: 10.1111/opn.12399ISI: 000669227800001Scopus ID: 2-s2.0-85109034978OAI: oai:DiVA.org:hb-26160DiVA, id: diva2:1584166
Available from: 2021-08-11 Created: 2021-08-11 Last updated: 2022-12-30
In thesis
1. Sjuksköterskans ledarskap i det patientnära vårdandet av äldre personer i kommunens hemsjukvård: Att leda i ett mellanrum av närhet och distans
Open this publication in new window or tab >>Sjuksköterskans ledarskap i det patientnära vårdandet av äldre personer i kommunens hemsjukvård: Att leda i ett mellanrum av närhet och distans
2022 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim is to develop knowledge about the phenomenon of leading care close to the patient in community home care from the perspectives of older persons (aged 65 years and older), next of kin and registered nurses. Methods: A qualitative, descriptive and interpretative approach guided the methodology of this dissertation. The first study was a systematic literature review with the following research question: What implies registered nurses’ leadership close to older persons in community home care? The review was documented in accordance with the PRISMA reporting guidelines. Nine articles, all with a qualitative research approach, met the quality criteria, and a qualitative research synthesis of the data was performed in four stages. Studies II–III were interview studies consisting of individual interviews with 12 older persons in their own homes (Study II) and telephone interviews with 11 next of kin (Study III), focusing on their experiences of registered nurses’ leadership of the care close to older persons in community home care. The data material in Studies II–III was analysed using qualitative content analysis. Study IV was based on the reflective lifeworld research method, comprising individual interviews with nine registered nurses working in community home care. The data material was analysed with a lifeworld hermeneutic approach. Main Findings: Leading care close to the patient in community home care was found to consist of an ethical demand that came with the responsibility for leading those involved in the care – in a space between closeness and distance. From a caring science perspective, leading care in a space between closeness and distance can be understood as leading between health and illness, between biology and existence and being aware of the older person’s autonomy and integrity, allowing the other to trustingly surrender to care. Leading care can then mean maintaining an ethical approach in the meeting with the patient to safeguard dignified care for older persons in need of home care. Conclusions: The knowledge gained from these studies can help us better understand the prerequisites for leading the care of patients in community home care and contribute to improving the care for patients who are in an existentially vulnerable life situation. 

Place, publisher, year, edition, pages
orås: Högskolan i Borås, 2022
Series
Skrifter från Högskolan i Borås, ISSN 0280-381X ; 132
Keywords
Caring science, leading care, registered nurses, community home care, patient perspective, older persons, next of kin, qualitative research
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-28661 (URN)978-91-89271-80-7 (ISBN)978-91-89271-81-4 (ISBN)
Public defence
2023-02-03, C203, Allégatan 1, Borås, 09:30 (Swedish)
Opponent
Supervisors
Note

Disputationen sänds via videolänk, för information se kalendariet påhb.se/forskning.

Available from: 2023-01-13 Created: 2022-09-26 Last updated: 2022-12-30Bibliographically approved

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Publisher's full textScopushttps://doi.org/10.1111/opn.12399

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Claesson, MariaJosefsson, Karin

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