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

Artikel i vetenskaplig tidskrift
Författare L. Saarnio
A. M. Bostrom
R. Hedman
P. Gustavsson
Joakim Öhlen
Publicerad i Global Qualitative Nursing Research
Volym 6
ISSN 2333-3936
Publiceringsår 2019
Publicerad vid Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för vårdvetenskap och hälsa
Språk en
Länkar dx.doi.org/10.1177/2333393619881636
Ämnesord 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
Ämneskategorier Omvårdnad, Palliativ medicin

Sammanfattning

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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