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Enabling At-Homeness for Older People With Life-Limiting Conditions: A Participant Observation Study From Nursing Homes

Journal article
Authors L. Saarnio
A. M. Bostrom
R. Hedman
P. Gustavsson
Joakim Öhlen
Published in Global Qualitative Nursing Research
Volume 6
ISSN 2333-3936
Publication year 2019
Published at University of Gothenburg Centre for person-centred care (GPCC)
Institute of Health and Care Sciences
Language en
Links dx.doi.org/10.1177/2333393619881636
Keywords at-homeness, care relationships, nursing home, nursing staff, older, people, participant observation, palliative care, person-centeredness, end-of-life, palliative care, population-level, experience, place, death, knowledge, work, Nursing
Subject categories Palliative medicine, Nursing

Abstract

At-homeness, as an aspect of well-being, can be experienced despite living with life-limiting conditions and needs for a palliative approach to care. In nursing homes, older residents with life-limiting conditions face losses and changes which could influence their experience of at-homeness. The aim of this study was to explore how nursing staff enable at-homeness for residents with life-limiting conditions. Interpretive description was employed as the design using data from participant observations and formal and informal interviews related to nursing care situations. The strategies found to be used to enable at-homeness comprising nursing staff presenting themselves as reliable, respecting the resident's integrity, being responsive to the resident's needs, collaborating with the resident in decision-making, and through nurturing comforting relationships. The result on how to enable at-homeness could be used as strategies for a person-centered palliative approach in the care for residents in nursing homes.

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