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Nighttime home care in Sweden: "a constant struggle to manage unforeseen events": operations managers' perceptions of organization and provision of care for older people
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0003-1456-1207
Umeå University, Faculty of Social Sciences, Department of Social Work. Department of Social Work, Umeå University, 901 87 Umeå, Sweden.ORCID iD: 0000-0001-9521-982X
2023 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 2023, article id 4101574Article in journal (Refereed) Published
Abstract [en]

This article aims to explore how community home care of older people is provided and organized at night. In times of welfare decline, organizational changes, and an increasing aged population, questions arise about home care and support for older people. In Sweden as in many other western countries 'ageing in place' is a guiding principle in care provision for older people, which put increasing pressure on home care services. Still, night-time care represents a research gap within health and social care research, nationally and internationally. This telephone interview survey examines 41 operations managers' perceptions of organization and care provision and how they account for the goals and work of home care at night-time in a selection of 37 Swedish municipalities. The analysis was inspired by thematic content analysis where three central themes were categorized: organizational context of night-time care, working conditions, and challenges of night-time care. Our results reveal that organizational context varied depending on the demography and size of the municipality. The work situation was characterizeded by constantly unforeseen events to manage. Multiple challenges were identified on societal and political levels, as were limited resources and recruitment problems. In conclusion, our analysis has identified unpredictability as a core feature of night-time care work. The complexity of the provision of night-time care was not recognized as important for the municipal organization. To provide high quality care at night in ordinary housing, there is a need to both focus on organizational aspects and to have sufficient resources and time. 

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2023. Vol. 2023, article id 4101574
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-212806DOI: 10.1155/2023/4101574ISI: 001051128900001Scopus ID: 2-s2.0-85206319669OAI: oai:DiVA.org:umu-212806DiVA, id: diva2:1787288
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00820Available from: 2023-08-11 Created: 2023-08-11 Last updated: 2024-11-06Bibliographically approved

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Andersson, KatarinaSjölund, Maria

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  • apa
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Output format
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  • asciidoc
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