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Attributes of person-centred communication: A qualitative exploration of communication with older persons in home health care.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0002-9194-3244
Home healthcare, Marks municipality, Mark.
Home healthcare, Jönköping municipality.
School of Health Care and Social Welfare, Mälardalen University.
2019 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, article id e12284Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Previous research points to challenges related to the home healthcare of older persons and to the complexity of communication. Although person-centred care has been advocated widely, there remains a need for in-depth knowledge on how to enable person-centred and supportive communication in the care of older persons.

AIM: The aim of this study was to explore attributes of person-centred communication between nurses and older persons being cared for in their home.

METHODS: A descriptive study with a qualitative approach was conducted. A data set from the COMHOME-study consisting of 77 audio-recorded home healthcare visits between registered nurses and older persons was analysed with a method for qualitative thematic analysis.

RESULTS: The findings indicate that the attributes of person-centred communication comprise recognising, inviting and involving older persons. To facilitate this form of communication, attentiveness and responsiveness on the part of RNs seemed significant. Person-centred communication was facilitated when the RNs used verbal expressions to emphasise and acknowledge the older persons' views and were attentive to their emotions and expressions.

CONCLUSION: The nurses' attentiveness and responsiveness seems important for person-centred communication with older persons. Communication skills are needed to recognise, invite and involve older persons in their care and to support their health and well-being. Implication for practice The importance of communication which facilitate a person-centred approach by nurses should be acknowledged when caring for older persons and included in education and training.

Place, publisher, year, edition, pages
2019. article id e12284
Keywords [en]
communication, home healthcare, nursing, older persons, person-centred, qualitative
National Category
Nursing
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-22312DOI: 10.1111/opn.12284ISI: 000494120600001PubMedID: 31642182Scopus ID: 2-s2.0-85074600808OAI: oai:DiVA.org:hb-22312DiVA, id: diva2:1381335
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-01-07Bibliographically approved

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Sundler, Annelie Johansson

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