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Effects and meanings of a person-centredand health-promoting intervention in homecare services - a study protocol of a non-randomised controlled trial
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2017 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318Article in journal (Refereed) Published
Abstract [en]

Background: The literature indicates that current home care service are largely task oriented with limited focus onthe involvement of the older people themselves, and studies show that lack of involvement might reduce olderpeople’s quality of life. Person-centred care has been shown to improve the satisfaction with care and quality of lifein older people cared for in hospitals and nursing homes, with limited pub lished evidence about the effects andmeanings of person-centred interventions in home care services for older people. This study protocol outlines astudy aiming to evaluate such effects and meanings of a person-centred and health-promoting intervention inhome aged care services.Methods/design: The study will take the form of a non-randomised controlled trial with a before/after approach. Itwill include 270 older people >65 years receiving home care services, 270 relatives and 65 staff, as well as a matchedcontrol group of equal size. All participants will be recruited from a municipality in northern Sweden. The interventionis based on the theoretical concepts of person-centredness and health-promotion, and builds on the four pedagogicalphases of: theory apprehension, e xperimen tal learning , ope rationalizatio n, and clinical super vision. Out comeassessments will focus on: a) health and quality of life (primary outcomes), thriving and satisfaction with care for olderpeople; b) caregiver strain, informal caregiving engagement and relatives’ satisfaction with care: c) job satisfaction andstress of conscience among care staff (secondary outcomes). Evaluation will be conducted by means of self-reportedquestionnaires and qualitative research interviews.Discussion: Person-centred home care services have the potential to improve the recurrently reported sub-standardexperiences of home care services, and the results can point the way to establishing a more person-centred andhealth-promoting model for home care services for older people

Place, publisher, year, edition, pages
2017.
Keyword [en]
Aged care, Decision making, Health, Home care services, Older people, Person-centred, Quality of life
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-132087DOI: 10.1186/s12877-017-0445-0OAI: oai:DiVA.org:umu-132087DiVA: diva2:1078133
Available from: 2017-03-02 Created: 2017-03-02 Last updated: 2017-03-02

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Bölenius, KarinLämås, KristinaSandman, Per-OlofEdvardsson, David
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf