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“A becoming in the meeting”: the interpretations of competence in home care from the perspectives of older people and registered nurses – a meta-ethnography
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Faculty of Caring Science, Work Life and Social Welfare, Doctoral student, 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, Senior lecturer, University of Borås, Borås Sweden.
Professor of Nursing and Health Research and NIHR Knowledge Mobilisation Research Fellow, Birmingham City University, Birmingham UK.ORCID iD: 0000-0002-9355-8059
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2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, article id 2262170Article in journal (Refereed) Published
Sustainable development
According to the author(s), the content of this publication falls within the area of sustainable development.
Abstract [en]

Aim

The aim of this meta-ethnography was to identify and synthesize qualitative studies focusing on older people’s and registered nurses’ interpretations of competence in home care. 

Methods

The meta-ethnography followed the six phases developed by Noblit and Hare (1988). 

Results

In Phase 6, the translation process of the included studies, three themes were identified: i) temporality—the feeling of being of value; ii) dignity—a person, not just a patient; and iii) mutuality of being—togetherness. A synthesis was developed, and the phrase “a becoming in the meeting” emerged. 

Conclusion

The sense of becoming includes progress, which means becoming something other than before in relation with others and refers to what constitutes the meeting between the older person and the registered nurse working in home care. Competence originates from becoming in the meeting, and registered nurses should therefore value what they do and hold on to this aspect of caring competence that centres on a caring relationship. It is important for registered nurses working in home care to be able to cultivate a caring relationship.

Place, publisher, year, edition, pages
Taylor & Francis, 2023. Vol. 18, article id 2262170
Keywords [en]
Competence, care, caring, relationship, dignity, home care, meta-ethnography, older people, registered nurses, temporality, togetherness
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-30983DOI: 10.1080/17482631.2023.2262170ISI: 001073146400001Scopus ID: 2-s2.0-85173465701OAI: oai:DiVA.org:hb-30983DiVA, id: diva2:1818754
Funder
EU, Horizon 2020, 813,928
Note

INNOVATEDIGNITY The European Union’s Horizon 2020 Research and Innovation Programme (MSCA-ITN-2018 under grant agreement number 813,928)

Available from: 2023-12-12 Created: 2023-12-12 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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