Change search
ReferencesLink to record
Permanent link

Direct link
Carers' and nurses' appraisals of needs of nursing home placement for frail older in Norway
Umeå University, Faculty of Medicine, Department of Nursing. Department of Nursing and Health Sciences, University of Tromsø, Tromsø, Norway; Ersta Sköndal University College, Stockholm, Sweden.
Show others and affiliations
2009 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 22, 3079-3088 p.Article in journal (Refereed) PublishedText
Abstract [en]

Aims and objectives. The aim of this paper was to explore carers' and nurses' appraisals concerning if and when nursing home placement for frail older people awaiting placement was needed and to illuminate ethical issues involved in decisions regarding nursing home placement.

Background. Requesting nursing home placement can be a complicated decision for carers, causing feelings of failure, anxiety and guilt. After the necessity of nursing home care is determined, the names of the older people are put on waiting lists. While waiting, home health care provides support services. Even with this care, many of the older people and their carers face difficult life situations.

Design. This is a descriptive and comparative cross-sectional study using qualitative methods.

Methods. The convenience sample (n = 36) comprised 11 carers of older people on a nursing home placement waiting list in Norway and 11 nurses caring for these older people. Every one willingly participated in interviews that were transcribed and analysed by qualitative content analysis.

Results. Various similarities and differences between nurses' and carers' appraisals were found. Complex ethical issues of justice, equality, autonomy, beneficence and justifiability in nursing were involved in decision making concerning nursing home placement. Four categories constructed were: 'appraising nursing home to be the level of care needed', 'appraising the older people as able to continue living at home', 'being ambivalent about nursing home placement' and 'being sceptical about use of coercion regarding nursing home placement'.

Conclusions. Not all of the older people awaiting nursing home placements could be placed in nursing homes when beds became available. The situations were complex and involved ethical issues. Relevance to clinical practice. Despite insufficient resources in home health care, providing appropriate support for older people and their carers means that nurses have to consider individual concerns in each situation, cooperate with carers, respect their appraisals of needs and argue for the timely nursing home placement of older people.

Place, publisher, year, edition, pages
Malden: Wiley-Blackwell, 2009. Vol. 18, no 22, 3079-3088 p.
Keyword [en]
Norway, nurses, nursing, nursing homes, older people
National Category
URN: urn:nbn:se:umu:diva-115962DOI: 10.1111/j.1365-2702.2008.02663.xISI: 000270664600004PubMedID: 19374699OAI: diva2:907577
Available from: 2016-02-29 Created: 2016-02-08 Last updated: 2016-02-29Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Norberg, Astrid
By organisation
Department of Nursing
In the same journal
Journal of Clinical Nursing

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 24 hits
ReferencesLink to record
Permanent link

Direct link