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Home care nurses lived experiences of caring relationships with older adults: A phenomenological study
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.ORCID iD: 0009-0000-4206-6313
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.ORCID iD: 0000-0001-7488-4038
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.ORCID iD: 0000-0003-4719-5610
Birmingham City University Birmingham UK.ORCID iD: 0000-0002-9355-8059
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2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: This paper describes registered nurses' lived experiences of caring relationships in the context of homecare provision for older adults living in Denmark. With the growing ageing population throughout Europe, more older adults will require complex care solutions within already overburdened care systems. This development places demands on the competencies and organisation of homecare nurses, as they become key players in healthcare systems. Fostering caring relationships in homecare is a rewarding and valuable process that enhances the holistic and humanising aspects of caring for older adults. For a caring relationship to be truly caring, we must understand not only the subjective experience of such a relationship but also how it is experienced in relation to and shared with others. Aim: This study aimed to describe the essential meaning of the phenomenon of caring relationships in homecare for older adults based on the lived experiences of homecare nurses. Approach and Methods: Registered nurses working in homecare for older adults were interviewed, and a phenomenological analysis was conducted according to the methodological principles of the reflective lifeworld research approach. Findings: The essential meaning of the phenomenon is described as creating an existential and embodied space in which each patient's world is the foundation of caring. The constituents are as follows: caring for the whole person, a sense of ‘at-homeness’ through trusting ‘the other’, experiencing continuity as caring and prioritising the time to care. Conclusion: Caring competence in homecare for older adults relies on a nurse's ability to intertwine physical and existential care needs and articulate them in their daily work. A focus on the phenomenon of caring relationships brings value to and adds an extra layer to the discussion on caring competence.

Place, publisher, year, edition, pages
2023.
Keywords [en]
caring competence, caring relationship, caring science, existential care, homecare, lifeworld, older adults, phenomenology, reflective lifeworld research, registered nurses
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-30637DOI: 10.1111/scs.13217ISI: 001070388100001Scopus ID: 2-s2.0-85172278121OAI: oai:DiVA.org:hb-30637DiVA, id: diva2:1806168
Funder
European Commission, 813928University of BoråsAvailable from: 2023-10-19 Created: 2023-10-19 Last updated: 2025-11-25Bibliographically approved
In thesis
1. Freedom and At-Homeness as Existential Meanings of Caring Relationships in Homecare: Lived Experiences of Older Adults and Homecare Nurses
Open this publication in new window or tab >>Freedom and At-Homeness as Existential Meanings of Caring Relationships in Homecare: Lived Experiences of Older Adults and Homecare Nurses
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim of this thesis is to deepen the understanding of caring relationships in homecare for older adults by exploring the lived experiences of older adults and homecare nurses. 

Approach and method: The first study was a meta-ethnography aimed at identifying and synthesising qualitative studies focusing on older adults’ and homecare nurses’ interpretations of competence in homecare. Drawing on this study, the remaining three studies describe experiences and dimensions of caring relationships in homecare for older adults using a reflective lifeworld research approach. Study II describes the essential meaning of caring relationships based on the lived experiences of homecare nurses in Denmark, including 10 lifeworld interviews analysed using a phenomenological life-world analysis. Study III describes the essential meaning of caring relationships from the perspectives of older adults in Denmark, based on 10 lifeworld interviews; these are analysed using phenomenological lifeworld analysis. Building on the findings from Study III and Jarling et al., 2018, Study IV seeks to describe the existential dimensions of caring relationships in homecare for older adults in Denmark and Sweden. This resulted in the development of a general structure, which was further enriched through a philosophical examination. 

Main results: Collectively, the different experiences and dimensions of the phenomenon of the caring relationship in homecare are shaped by the physical caregiving meetings and the existential and embodied space that is ‘the home’. This intertwinement highlights the profound ethical and existential aspects that so closely link the notion of the home to the caring relationships that occur within it, by linking the relational aspects of being cared for in one’s own home with the experience of relationships that originate from what is culturally and traditionally experienced within the home. Across the studies (I–IV), the findings uncover the essential meanings of caring relationship in homecare, revealing the deeply embedded nature of caring as a question of existential value; namely of freedom and at-homeness.

Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2025
Series
Skrifter från Högskolan i Borås, ISSN 0280-381X ; 161
Keywords
Caring, Caring relationship, Homecare, At-homeness, Existential phenomenology, Freedom, Lifeworld, Lived experience, Nurses, Older adults
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-33687 (URN)978-91-89833-83-8 (ISBN)978-91-89833-84-5 (ISBN)
Public defence
2025-12-18, C203, Allégatan 1, Borås, 09:00 (English)
Opponent
Supervisors
Available from: 2025-11-27 Created: 2025-06-17 Last updated: 2025-11-27Bibliographically approved

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Mathiesen, Karoline LangLindberg, ElisabethNässén, KristinaPalmér, Lina

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Mathiesen, Karoline LangLindberg, ElisabethNässén, KristinaCowdell, FionaPalmér, Lina
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