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Dealing with daily emotions: supportive activities for the elderly in a municipal care setting
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-2873-4247
2012 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, article id 9510Article in journal (Refereed) Published
Abstract [en]

There are diverse descriptions of supportive activities in nursing to be found in the literature. What they have in common is their association with good care outcomes, but they may differ depending on the context in which the care is given. In a Swedish municipal elderly care setting, registered nurses (RNs) work in a consultative way and they describe a part of their tasks as comprising supportive activities, without specifying what kind of supportive activities they mean. The aim of the study was to explore the main concern of the support given by RNs to a group of patients in an elderly home care setting. The study was conducted using Grounded Theory. Data were collected using nonparticipant observations regarding the supportive activities of 12 RNs at the home of 36 patients between the ages of 80 and 102 years. Most of the home visit lasted about 40 min but some lasted for 90 min. The central category was about dealing with daily emotions. This was done by encouraging the situation and reducing the patient's limitations, but situations also occurred in which there was a gap of support. Support was about capturing the emotions that the patient expressed for a particular moment, but there were also situations in which RNs chose not to give support. To develop a holistic eldercare, more knowledge is needed about the factors causing the RNs to choose not to provide support on some occasions.

Place, publisher, year, edition, pages
Järfälla, Sweden: Co-Action Publishing , 2012. Vol. 7, article id 9510
Keywords [en]
Support, maintaining wellness, municipal care, the elderly
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-22132DOI: 10.3402/qhw.v7i0.9510ISI: 000300455000001PubMedID: 22312410Scopus ID: 2-s2.0-84875208481OAI: oai:DiVA.org:oru-22132DiVA, id: diva2:510511
Available from: 2012-03-16 Created: 2012-03-16 Last updated: 2017-12-07Bibliographically approved
In thesis
1. The bright side of life: support in municipal elderly home care
Open this publication in new window or tab >>The bright side of life: support in municipal elderly home care
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Registered nurses in municipal elderly home care have in some occasionsdifficulties in identifying the patients’ needs and prioritize intervention inaccordance with the patients’ preferences, which is to obtain social and emotional support. The overall aim was to explore and describe which supportive interventions registered nurses use in municipal elderly home care settings and if it is in agreement with the patient’s preferences. Methods: A retrospective descriptive study (I ) were conducted and followed up by a qualitative approach with Grounded Theory as a method (II IV ). Sample to study; I , registered nurses (62) performed interventions to 6138 patients between 80- 109 years. II , 12 registered nurses, who performed 36 home visits to patients between 80- 102 years. III , 16 registered nurses. IV , 18 patients between 80- 96 years. Data was collected by; I , between 2004- 2008, during the months of April and October using a web- based form which was filled in by registered nurses. II , through nonparticipant observations when the registered nurse made a home visit. III and IV , using informal conversational interviews. Results: Combined, the four studies show that emotional support is important to a group of older patients because it helps them to experience serenity. Serenity is a state of relief and the moment required for the patient to be able to move forward in a dignify way. Patients lost or reduced ability to process their emotions makes so that they get stuck in a state, which fatigue them with additional experience of disease and illness. To get out of their state the patient uses the registered nurse as a reliever whose mission is to identify their needs and guide them into a state of serenity. Registered nurses on the other hand, makes priorities based on patients preferences. Registered nurses strengths was their profession that contributed to the patient's emotions became available to them. Weaknesses was registered nurses workload and lack of knowledge about the identification of emotions. Emotional support should be developed as a nursing intervention and be integrated as a part of nursing.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. p. 70
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 45
Keywords
Emotion, elderly home care, intervention, priorities, support, registered nurse, older patients, serenity
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-28939 (URN)978-91-7668-940-0 (ISBN)
Public defence
2013-06-14, Hörsal 2 Prismahuset, HSP2, Örebro universitet, Fakultetsgatan 1, Örebro, 13:00 (Swedish)
Opponent
Available from: 2013-05-05 Created: 2013-05-05 Last updated: 2017-10-17Bibliographically approved

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Norell, MargarethaZiegert, KristinaKihlgren, Annica

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