Nurse assistants' experiences and knowledge of how they create a meaningful daily life for older persons receiving municipal home healthcare.

IF 1.9 4区 医学 Q2 NURSING Scandinavian Journal of Caring Sciences Pub Date : 2024-03-01 Epub Date: 2023-10-10 DOI:10.1111/scs.13219
Inger James, Margaretha Norell Pejner, Annica Kihlgren
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Abstract

Aims and objectives: To explore nurse assistants' experiences and knowledge of how they create a meaningful daily life for older people receiving municipal home healthcare.

Design: A participatory appreciative action reflection approach.

Methods: Interviews, participant observations and informal conversations with 23 nurse assistants in municipal home healthcare generated the data. A thematic analysis was used.

Results: Two main themes were developed. The first main theme, building a reciprocal relationship, was structured by three subthemes: To strengthen the older person's self-esteem, to co-create care and to create equality. The second main theme, creating meaning, was structured by two subthemes: To create closeness and to receive appreciation. The two main themes are each other's prerequisite. Nursing assistants' building reciprocal relationships gives meaning; through the meaning, reciprocal relationships are achieved, and by that, meaningful daily lives for both the older people and the nurse assistants.

Conclusion: Nurse assistants built a reciprocal relationship both for the older people and for the nurse assistant. This contributes to create a meaningful daily life for the older people. The older person was the main character, and it seems that the nurse assistants apply person-centred care, which can represent a shared common vision that can be used in the encounter.

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护士助理如何为接受城市家庭医疗保健的老年人创造有意义的日常生活的经验和知识。
目的和目的:探索护士助理如何为接受城市家庭医疗服务的老年人创造有意义的日常生活的经验和知识。设计:一种参与式的欣赏行动反思方法。方法:通过访谈、参与者观察和与23名城市家庭护理助理的非正式对话生成数据。使用了专题分析。结果:形成了两个主要主题。第一个主题,建立互惠关系,由三个子主题构成:加强老年人的自尊,共同创造关爱和创造平等。第二个主题,创造意义,由两个子主题构成:创造亲密感和获得欣赏。这两个主题是彼此的先决条件。护理助理建立互惠关系是有意义的;通过意义,实现了互惠关系,从而为老年人和护士助理提供了有意义的日常生活。结论:护理助理为老年人和护理助理建立了互惠关系。这有助于为老年人创造有意义的日常生活。老年人是主角,护士助理似乎采用了以人为中心的护理,这可以代表一个共同的愿景,可以在遭遇中使用。
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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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