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Perceptions of Professional Responsibility When Caring for Older People in Home Care in Sweden
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
Jönköping University.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
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2020 (English)In: Journal of Community Health Nursing, Vol. 37, no 3, p. 141-152Article in journal (Refereed) Published
Abstract [en]

Older people in Sweden are increasingly being cared for in the own home, where professional caregivers play an important role. This study aimed to describe perceptions of caring responsibility in the context of older people’s homes from the perspective of professional caregivers from caring professions. Fourteen interviews were conducted with professional caregivers from different professions. The result show how professional caregivers perceive responsibility as limitless, constrained by time, moral, overseeing, meaningful and lonesome. Responsibility seems to affect caregivers to a large extent when the burden is high. Professional caregivers’ perceptions of responsibility, and the potential consequences of a perceived strained work situation therefore need to be addressed. The findings also indicate a need for professional support and guidance when it is difficult to distinguish between professional and personal responsibility.

Place, publisher, year, edition, pages
2020. Vol. 37, no 3, p. 141-152
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-23963DOI: 10.1080/07370016.2020.1780044ISI: 000561996900003Scopus ID: 2-s2.0-85089745456OAI: oai:DiVA.org:hb-23963DiVA, id: diva2:1478447
Available from: 2020-10-22 Created: 2020-10-22 Last updated: 2021-10-21Bibliographically approved
In thesis
1. Delad utsatthet: Vård i hemmet ur äldre människors, anhörigas och professionella vårdares perspektiv
Open this publication in new window or tab >>Delad utsatthet: Vård i hemmet ur äldre människors, anhörigas och professionella vårdares perspektiv
2020 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim of the thesis was to deepen the knowledge about home care from the perspective of older people, family caregivers, and professional caregivers.

Approach and method: A lifeworld approach was used to describe different experiences of home care. Lifeworld interviews were performed in three studies, and analyses were conducted according to different methodological principles. Study I describes the meaning of home care from the perspective of older people who live alone, including interviews with 12 participants analyzed with qualitative content analysis. Study II describes the life situation in which responsibility for an older person is imposed upon family caregivers. Ten interviews were conducted and analyzed using a phenomenological method. Study III, using phenomenography, describes perceptions of caring responsibility based on interviews with 14 professional caregivers. Study IV explores health and social network factors related to receiving care in the home among older adults (n = 317). Descriptive statistics and regression analyses were conducted. Finally, a synthesis was carried out and interpreted with a philosophical analysis in order to support the understanding of home care from different perspectives as a whole.

Main results: Becoming older with increased caring needs disrupts one’s life when the private home becomes a public arena. The older person needs to adapt to a caring culture, but they are often unable to influence their care and must deal with forced relations. Family caregivers assume a great responsibility that changes and interferes with their whole life situation and impacts their health and relationships. Professional caregivers are also affected to a great extent, as the burden is high. Responsibility is perceived as limitless, constrained by time, moral, overseeing, meaningful and lonesome. To be cared for in one’s own home is complex from both a medical and psychosocial perspective. The results also give an indication of the importance of relationships and increasing awareness of the social perspectives of home care.

Conclusion: This thesis contributes to the existing knowledge of how home care can be experienced from the perspectives of older people, family caregivers and professional caregivers in order to provide good and safe home care based on individual needs. Home care as a phenomenon is complex—it entails a vulnerable situation for the older person, the family caregivers, and professional caregivers. The results show the importance of a holistic perspective that includes individual experiences. They also highlight the importance of considering social perspectives and relationships in home care rather than merely focusing on medical and/or functional factors.

Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2020
Series
Skrifter från Högskolan i Borås, ISSN 0280-381X ; 113
Keywords
home care, older people, family caregivers, informal care, formal care, professional caregivers, health, lifeworld.
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-23848 (URN)978-91-88838-95-7 (ISBN)978-91-88838-96-4 (ISBN)
Public defence
2020-12-04, M404, Sandgärdet, Borås, 09:30 (Swedish)
Opponent
Supervisors
Note

Disputationen sänds via videolänk, förinformation se kalendariet på hb.se/forskning.

Available from: 2020-11-13 Created: 2020-09-24 Last updated: 2022-04-12Bibliographically approved

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Jarling, AleksandraRydström, IngelaNyström, MariaDalheim Englund, Ann-Charlotte

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