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Characteristics of communication with older people in home care: A qualitative analysis of audio recordings of home care visits.
University College of Southeast Norway.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Vårdande, Hälsa och Lärande)ORCID iD: 0000-0002-9194-3244
University College of Southeast Norway.
University College of Southeast Norway.
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2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 4613-4621Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe the characteristics of communication practice in home care visits between older people (over 65 years old) and nurse assistants and to discuss the findings from a person-centered perspective.

BACKGROUND: The older population is increasing worldwide, along with the need for healthcare services in the person's home. To achieve a high-quality care, person-centered communication is crucial.

DESIGN: A descriptive design with a qualitative inductive approach was used.

METHOD: Fifteen audio recordings of naturally occurring conversations between 12 nurse assistants and 13 older people in Norway were analysed by qualitative content analysis.

RESULTS: Four categories were revealed through analysis: (i) supporting older people's connection to everyday life; (ii) supporting older people's involvement in their own care; (iii) attention to older people's bodily and existential needs; and (iv) the impact of continuity and predictability on older people's well-being.

CONCLUSIONS: The communication between the older people and the nurse assistants during home care visits was mainly task-oriented, but also related to the person. The older people were involved in the tasks to be carried out and humour was part of the communication. Greater attention was paid to bodily than existential needs. The communication was connected with the older people's everyday life in several ways. Time frames and interruptions concern the older people; hearing and speech impairments were a challenge to communication. To enhance person-centred communication, further studies are needed, especially intervention studies for healthcare professionals and students.

RELEVANCE TO CLINICAL PRACTICE: Being responsive to older people's subjective experiences is important in meeting their needs in home care. Communication that addresses the need for trust and predictability is important for older people. Responding to existential needs require more attention. The home care setting has an impact on communication.

Place, publisher, year, edition, pages
2017. Vol. 26, no 23-24, p. 4613-4621
Keywords [en]
Norway, audio recordings, communication, older people, person-centered care, qualitative content analysis
National Category
Nursing
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-13416DOI: 10.1111/jocn.13807ISI: 000416319600074PubMedID: 28301068Scopus ID: 2-s2.0-85021229502OAI: oai:DiVA.org:hb-13416DiVA, id: diva2:1173457
Projects
Personcentrerad kommunikation med äldre vårdtagareAvailable from: 2018-01-12 Created: 2018-01-12 Last updated: 2018-01-12Bibliographically approved

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Sundler, Annelie Johansson

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