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Next of kin’s experiences of registered nurses’ leadership close to older adults in municipal home care in Sweden: an interview study
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0003-2979-3705
Jönköping University.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0002-7117-9808
2021 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 20, no 1, article id 213Article in journal (Refereed) Published
Abstract [en]

Background: Next of kin to older adults over 65 years in municipal home care are concerned whether their older adults’ needs are being met. In municipal home care, the registered nurses’ leadership is important and complex, entailing multi-artist skills involving the older adults and their next of kin. Yet, little is known about next of kin’s experiences of registered nurses’ leadership. Thus, the aim of this study was to explore next of kin’s experiences of registered nurses’ leadership close to older adults in municipal home care. Methods: Individual telephone interviews were conducted with next of kin (n = 11) of older adults from April to September 2020 in two municipalities in western Sweden. Data were analysed using qualitative content analysis. Results: The results are presented with the theme, registered nurses do what they can, including two categories, interaction and competence, and the subcategories, relationship, communication, availability, responsibility, team leadership and cooperation. Registered nurses’ leadership was experienced as a balancing act between their commitments and what they were able to achieve. Conclusions: Next of kin’s experiences of registered nurses’ leadership can contribute knowledge that will strengthen and prepare registered nurses for their leadership roles. This knowledge can support the development of policies for organisational preconditions that ensure quality and safe care to older adults in municipal home care. © 2021, The Author(s).

Place, publisher, year, edition, pages
BioMed Central Ltd , 2021. Vol. 20, no 1, article id 213
Keywords [en]
Interviews, Leadership, Municipal home care, Next of kin, Older adult, Registered nurse, aged, article, clinical article, content analysis, female, home care, human, male, responsibility, Sweden, telephone interview
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-26976DOI: 10.1186/s12912-021-00745-6ISI: 000712833300001Scopus ID: 2-s2.0-85118278511OAI: oai:DiVA.org:hb-26976DiVA, id: diva2:1616168
Note

Export Date: 2 December 2021; Article; Correspondence Address: Claesson, M.; Faculty of Caring Science, Sweden; email: maria.claesson@hb.se

Available from: 2021-12-02 Created: 2021-12-02 Last updated: 2022-12-30Bibliographically approved
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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Claesson, MariaJosefsson, Karin

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