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Communication in home care—A feasibility study of an educational intervention in self‐efficacy and job satisfaction
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Tillämpad vård och kommunikationsforskning)ORCID iD: 000-0002-8379-7910
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Tillämpad vård och kommunikationsforskning)ORCID iD: 0000-0002-9194-3244
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Tillämpad vård och kommunikationsforskning)ORCID iD: 0000-0001-7067-2687
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Tillämpad vård och kommunikationsforskning)ORCID iD: 0000-0001-7488-4038
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2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 3, p. 1375-1382Article in journal (Refereed) Published
Abstract [en]

Aim

To explore the feasibility of evaluating a novel educational intervention on person-centered communication for nursing assistants (NAs) in home care.

Design

A feasibility study with pre- and post-assessments.

Methods

Feasibility was assessed pre- and post-intervention, including evaluation of data collection procedures, completion rates and missing data in two questionnaires: Self-efficacy Questionnaire measuring communication skills and Measure of Job Satisfaction, analysed descriptively and statistically.

Results

The questionnaires were feasible and acceptable for the NAs to complete and understand. The pre- and post-assessments showed 83% and 61% completion rates, respectively, and a low proportion of missing data. Barriers for not participating in data collection were stress caused by staff shortages and high workload. Preliminary analysis of the questionnaires showed no significant difference pre- and post-intervention, even though an overall tendency of increased communication self-efficacy was observed. The NAs' self-efficacy ratings also revealed a ceiling effect.

 

Place, publisher, year, edition, pages
John Wiley & Sons, 2023. Vol. 10, no 3, p. 1375-1382
Keywords [en]
communication, evaluation, feasibility, home care, intervention, job satisfaction, self-efficacy
National Category
Didactics
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-28722DOI: 10.1002/nop2.1387ISI: 000860296700001Scopus ID: 2-s2.0-85138725712OAI: oai:DiVA.org:hb-28722DiVA, id: diva2:1702623
Funder
University of Borås
Note

Forskningsfinansering: Agneta Prytz-Folkes och Gösta Folkes Stiftelse

Available from: 2022-10-11 Created: 2022-10-11 Last updated: 2023-08-24Bibliographically approved
In thesis
1. Att mötas genom och bortom orden: Implementering av personcentrerad kommunikation inom vård och omsorg i hemmet
Open this publication in new window or tab >>Att mötas genom och bortom orden: Implementering av personcentrerad kommunikation inom vård och omsorg i hemmet
2023 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Through words and beyond : Implementation of person-centered communication in home care
Abstract [en]

Background: Communication between older persons and nursing staff is an important component in the provision of person-centered home care. However, there is a lack of research on how to implement person-centered communication in home care settings. Aim: The overall aim of the thesis was to explore the communication between older persons and nursing assistants (NAs) in home care, as well as to implement and evaluate an educational intervention on person-centered communication.  

Methods: The thesis consist of four studies combining qualitative and quantitative approaches. Study I explore emotional communication during home care visits. Data was collected by audio-recordings and analyzed by using VR-CoDES and thematic analysis based on descriptive phenomenology. Study II was a process evaluation of the implementation, where multiple data was gathered and analyzed by mixed methods. Study III explore the NAs’ experiences of developing communication skills. Data collection consisted of interviews and written assignments, analyzed using a phenomenological approach. Study IV explore the feasibility of evaluating the intervention by using a self-efficacy questionnaire and measuring job satisfaction, analyzed descriptively and statistically. 

Main results: Emotional communication during home care visits can create empathic opportunities for meaningfulness and trust, at the same time as it can be challenging, requiring courage, time, and communication skills. The intervention, aimed at supporting the NAs to develop communication skills, was implemented through a web-based educational program. The program format offered flexibility and accessibility for the NAs. The education contributed to insights on strengths and weaknesses in the NAs communication through reflection, and they obtained strategies on how to communicate in challenging situations. Organizational barriers challenged the implementation process and program completion. The NAs ratings of communication skills before and after the intervention showed tendencies towards improvement. There was no difference in their estimate of job satisfaction before and after intervention.    

Conclusion: Emotional communication is a complex and dynamic phenomenon, requiring NAs being equipped with a repertoire of communication skills that can guide them to manage different situations in home care. Key factors for successful implementation of educational interventions were identified: the possibility to adapt and modify the implementation to the context, and organizational prerequisites that support the implementation process and the participants’ learning. Educational interventions, together with support from the organization, can enable NAs to flourish in their communication with older persons through words and beyond. 

Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2023
Series
Skrifter från Högskolan i Borås, ISSN 0280-381X ; 133
Keywords
person-centered communication, home care, educational intervention, implementation
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-28711 (URN)978-91-89271-82-1 (ISBN)978-91-89271-83-8 (ISBN)
Public defence
2023-03-10, Sparbankssalen, Allégatan 1, Borås, 13:00 (Swedish)
Opponent
Available from: 2023-01-30 Created: 2023-01-30 Last updated: 2023-01-30Bibliographically approved

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Gustafsson, TanjaSundler, Annelie JohanssonHedén, LenaLindberg, ElisabethMaurin Söderholm, Hanna

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