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What implies registered nurses’ leadershipclose to older adults in municipal homehealth care? A systematic review
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Äldreforskargruppen)ORCID iD: 0000-0003-2979-3705
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0002-7117-9808
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0002-0848-6098
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0001-7488-4038
2020 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 19, no 30, p. 1-11, article id 1472-6955Article in journal (Refereed) Published
Abstract [en]

Background: Registered nurses are key figures in municipal home health care for older adults. Thus, registerednurses’ leadership is crucial to a successful and preventive care process as well as a supportive organization in orderto achieve safe care. However, there is limited research on what registered nurses’ leadership implies close to olderadults in municipal home health care. Thus, the aim is to compile and critically evaluate how international researchresults describe registered nurses’ leadership close to older adults in municipal home health care.

Methods: A systematic literature review was performed in accordance with a qualitative research study. The mainsearch was conducted on 20 April 2018. The review was reported according to the PRISMA guidelines and is registeredin the PROSPERO database (ID# CRD42019109206). Nine articles from PubMed and CINAHL meet the quality criteria. Asynthesis of data was performed in four stages according to qualitative research synthesis.

Results: Ten themes describe what registered nurses’ leadership close to older adults in municipal home health careentails: trust and control; continuous learning; competence through knowledge and ability; nursing responsibility on anorganizational level; application of skills; awareness of the individual’s needs and wholeness; mutual support; mutualrelationships; collaborating on organizational and interpersonal levels; and exposure to challenges.

Conclusions: Registered nurses leading close to older adults in municipal home health care implies being multi-artists.Nursing education, including specialist education for registered nurses, should prepare individuals for their unique andcomplex leadership role as a multi-artist. Municipal employers require knowledge about what registered nurses’leadership implies in order to create adequate conditions for their leadership objectives to achieve safe care. Furtherresearch is warranted to explore registered nurses’ leadership close to older adults in municipal home health care fromdifferent perspectives, such as older adults and next of kin.

Place, publisher, year, edition, pages
Springer Nature, 2020. Vol. 19, no 30, p. 1-11, article id 1472-6955
Keywords [en]
Home health care, Leadership, Multi-artist, Municipal, Older adults, Registered nurse, Systematic review
National Category
Medical and Health Sciences
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-23162DOI: 10.1186/s12912-020-00413-1ISI: 000528899900001Scopus ID: 2-s2.0-85084292503OAI: oai:DiVA.org:hb-23162DiVA, id: diva2:1427365
Projects
Sjuksköterskans patientnära ledarskap i vården för den äldre människan i kommunens hemsjukvårdAvailable from: 2020-04-29 Created: 2020-04-29 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, KarinJonasson, Lise-LotteLindberg, Elisabeth

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