Academic literature on the topic 'Person-centred nursing care'
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Journal articles on the topic "Person-centred nursing care"
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Broderick, Margaret C., and Alice Coffey. "Person-centred care in nursing documentation." International Journal of Older People Nursing 8, no. 4 (2012): 309–18. http://dx.doi.org/10.1111/opn.12012.
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Harrison, Penny. "Ensuring person-centred care in gastrointestinal nursing." Gastrointestinal Nursing 11, no. 10 (2013): 49. http://dx.doi.org/10.12968/gasn.2013.11.10.49.
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Sköldunger, Anders B., and Annica Backman. "ORGANIZATIONAL CHARACTERISTICS OF HIGHLY PERSON-CENTERED UNITS IN SWEDISH NURSING HOME." Innovation in Aging 3, Supplement_1 (2019): S700—S701. http://dx.doi.org/10.1093/geroni/igz038.2577.
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Abstract The movement from an institutional model of care towards a person-centred care as the gold standard of practice is now guiding the provision of care services in nursing homes around the world. The organizational context of care has been described as a determining factor for the extent to which staff can offer person-centred care. However, few studies have empirically investigated which factors that defines nursing home units as being person-centred. Providing information about organizational characteristics would therefor provide insight into an organizational context with capacity to enhance a person-centred care. Thus, the aim was to explore factors of nursing homes with high vs. low person-centred care with focus on organizational variables. The study was based on a cross-sectional national survey, and data on 4831 residents, 3605 staff, and facility variables were collected in 2014. Descriptive statistics and regression modelling were used to analyze the data. The preliminary results showed that characteristics of highly person-centred units were; dementia specific units and units with fewer number of beds. No significant differences were seen between private and public nursing homes in terms of degree of person-centred care. Person-centred units was characterized by managers supporting staff to provide individualized care based on the resident’s needs, as well as staff receiving supervision of a reg. nurse in the direct care. These findings can be seen as facilitators ’ for person-centred care, suggesting several contextual and organizational elements of significance for enhancing person-centred practice.
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Nolan, Mike. "Successful ageing: keeping the ‘person’ in person-centred care." British Journal of Nursing 10, no. 7 (2001): 450–54. http://dx.doi.org/10.12968/bjon.2001.10.7.5330.
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Manley, Kim, Val Hills, and Sheila Marriot. "Person-centred care: Principle of Nursing Practice D." Nursing Standard 25, no. 31 (2011): 35–37. http://dx.doi.org/10.7748/ns2011.04.25.31.35.c8431.
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Manley, Kim, Val Hills, Yorkshire, Humber, and Sheila Marriot. "Person-centred care: principle of nursing practice d." Nursing Standard 25, no. 31 (2011): 35–37. http://dx.doi.org/10.7748/ns.25.31.35.s51.
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Alexiou, Eirini, Irma Lindström Kjellberg, and Helle Wijk. "Sustainable implementation of person-centred care in residential care facilities: hindering and supporting factors when improving incontinence care." Nursing and Residential Care 23, no. 1 (2021): 1–14. http://dx.doi.org/10.12968/nrec.2021.23.1.5.
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Purpose: The aim of the present study was to focus on the impact of the implementation of a person-centred approach on staff perception of the likelihood of being able to provide person-centred care and strain in the workplace. Design: The study was a controlled prospective cohort study performed at three residential care facilities in western Sweden involving all nursing staff members active from 2013 through 2015 at baseline and at three follow-ups during and after the implementation period. Two of the residential care facilities were assigned to the intervention group and one was assigned to the control group. Method: The study was designed to test the sustainability of a person-centred approach based on three aspects: partnership, narrative and documentation. A cross-section of 20 coworkers were purposively sampled from a total of 100 persons working at the two Intervention nursing homes to participate in the intervention group. The process outcome was measured as: perceived ward atmosphere, using the staff version of the validated Person-Centred Climate Questionnaire; person-centred care, measured using the validated Person-centred Care Assessment Tool; and experience of strain in work, using the Strain in Nursing Care Assessment Scale. Descriptive statistics were calculated for all variables using the SPSS Statistics software package. Findings: The results show that, at the control site, there were lower staff perceptions of the care atmosphere, higher level of strain experienced in their work and a lower likelihood of providing a person-centred care approach, whereas these factors remained rather stable over time at the intervention residential care facilities. Two contrasting results were observed—namely, that the higher the staff's perception of the likelihood of being able to provide individualised care and of a more person-centred ward atmosphere, the higher their stress levels experienced at work. In addition, older ages and long durations of work experience significantly negatively affected the staff's assessment of their ability to create an atmosphere of everydayness and to adopt a person-centred approach in care. Conclusions: The findings show that sustainability of a person-centred ward atmosphere is possible in the care of older people, despite staffing problems and other organisational challenges, according to the staff's assessment, after implementation of a person-centred programme. The more experienced staff members assessed their likelihood of being able to provide a person-centred care as lower after the implementation phase, indicating that despite the ambition of supporting person-centredness and quality of care, staffing and management difficulties that are present at the outset of the programme's implementation can later lead to stress and frustration relating to roles and routines.
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Backman, Annica, and Anders Sköldunger. "PERSON-CENTERED CARE RELATED TO RESOURCE USE, RESIDENT QUALITY OF LIFE, AND STAFF JOB STRAIN IN SWEDISH NURSING HOMES." Innovation in Aging 3, Supplement_1 (2019): S36. http://dx.doi.org/10.1093/geroni/igz038.141.
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Abstract A critical challenge facing aged care systems throughout the world is to meet the complex care needs of a growing population of older persons. Although person-centred care has been advocated as the “gold standard” and a key component of high quality of care, the significance of care utilization in person-centred units as well as the impact of person-centred care on resident quality of life and staff job strain in nursing home care is yet to be explored. Thus, the aim was to explore person-centred care and its association to resource use, resident quality of life and staff job strain. The study is based on a cross-sectional national survey and data on 4831 residents and 3605 staff were collected by staff in 2014, deriving from nursing homes in 35 Swedish municipalities. In this study, descriptive statistics and regression modelling were used to explore this association. The preliminary results showed that person-centred care was positively associated to resource use (i.e care hours) and resident quality of life in Swedish nursing homes, when controlling for resident age, gender and cognitive status. Person-centred care was negatively associated to staff perception of job strain. This indicates that person-centred care provision seem to increase resource use (i.e. slightly more care hours utilized) but also beneficially impact resident quality of life as well as alleviate care burden in terms job strain among staff.
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Wigley, L., and G. Bailey. "Making Person Centred Care A Reality." BMJ Supportive & Palliative Care 1, no. 1 (2011): 77. http://dx.doi.org/10.1136/bmjspcare-2011-000053.40.
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Stonehouse, David. "The importance of person-centred care and how to achieve it." British Journal of Healthcare Assistants 15, no. 7 (2021): 334–39. http://dx.doi.org/10.12968/bjha.2021.15.7.334.
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This article discusses the important concept of person-centred care and how this can be achieved. Following an introduction defining what is meant by this term and contrasting it with the term patient-centred care, the relevant and pertinent parts of the Nursing and Midwifery Council code will then be identified and discussed. The four principles of person-centred care will then be presented. The role of the support worker and nursing associate will be made clear in how the wishes and needs of patients can be gained. Self-awareness, emotional intelligence and communication will be discussed in relation to this. Finally, two potential barriers to the successful achievement of person-centred care will be identified.
Dissertations / Theses on the topic "Person-centred nursing care"
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Larsson, Ingrid. "Person-centred care in rheumatology nursing in patients undergoing biological therapy : An explorative and interventional study." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-20924.
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Aim: The overall aim was to explore and evaluate rheumatology nursing from a person-centred care perspective in patients undergoing biological therapy. Methods: This thesis focuses on patients with chronic inflammatory arthritis (CIA) who were undergoing biological therapy at a rheumatology clinic in Sweden. Papers I and II had an explorative descriptive design with a phenomenographic approach. The 40 participants were interviewed about their dependence on or independence of a nurse for the administration of their infusions or injections. Paper III had a randomized controlled design involving 107 patients in the trial. The objective of the intervention was to replace every second monitoring visit at a rheumatologist-led clinic by a visit to a nurse-led rheumatology clinic, based on person-centred care. Paper IV had an explorative descriptive design with a qualitative content analysis approach. Interviews were conducted with 20 participants who attended the nurse-led rheumatology clinic. Findings: Dependence on a rheumatology nurse for administration of intravenous infusions was described as invigorating due to the regular contact with the nurse, which provided security and involvement (paper I). Independence of a nurse for subcutaneous injections was understood by the patients in different ways and was achieved by struggling to cope with injecting themselves, learning about and participating in drug treatment (paper II). Patients with stable CIA receiving biological therapy were monitored by a nurse-led rheumatology clinic without any difference in outcome when compared to monitoring carried out at a rheumatologist-led clinic, as measured by the Disease Activity Score 28. Replacing one of the two annual rheumatologist outpatient follow-up visits by a visit to a nurse-led clinic for the monitoring of biological therapy was found to be safe and effective (paper III). A nurse-led rheumatology clinic, based on person-centred care, added value to the follow-up care of patients with stable CIA undergoing biological therapy by providing a sense of security, familiarity and participation (paper IV). Conclusions: This thesis contributes a valuable insight into person-centred care as the core of rheumatology nursing in the area of biological therapy. The rheumatology nurse adds value to patient care when she/he gives patients an opportunity to talk about themselves as a person and allow their illness narrative to constitute a starting point for building collaboration, which encourages and empowers patients to be an active part in their biological therapy and become autonomous. A nurse who provides person-centred care and keeps the patients’ resources and needs in focus serves as an important guide during their healthcare journey.
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Hill, Heather. "Talking the talk but not walking the walk : barriers to person centred care in dementia /." Access full text, 2004. http://www.lib.latrobe.edu.au/thesis/public/adt-LTU20041215.100826/index.html.
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Thesis (Ph.D.) -- La Trobe University, 2004.<br>"A thesis submitted in total fulfillment of the requirements for the degree of Doctor of Philosophy, School of Public Health, Faculty of Health Sciences, La Trobe University, Bundoora." Research. Includes bibliographical references (leaves 343-362). Also available via the World Wide Web.
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Hill, Heather, and heatherhill@hotkey net au. "TALKING THE TALK BUT NOT WALKING THE WALK: BARRIERS TO PERSON CENTRED CARE IN DEMENTIA." La Trobe University. School of Public Health, 2004. http://www.lib.latrobe.edu.au./thesis/public/adt-LTU20041215.100826.
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While the concept of person-centred care in dementia has been around for 15 years or more and has attracted much interest and enthusiasm, aged care facilities continue to have difficulty in actually implementing and maintaining person-centred practices. In this study I explore the experience of one aged care facility in order to identify the barriers to changing care practice. The research took place in an ethno-specific (Jewish) aged care facility, Star of David, which was in the process of setting up a program for its residents with dementia based on person-centred principles. The methodology used in the research study was ethnographic, involving participant observation and interview, with a particular focus on a limited number of participants: four residents and their families, four senior staff, four personal care attendants and the executive director. Interviews were also conducted with staff members from three other aged care facilities. The findings showed that Star of David was unable to bring about substantial change in its care practices, while the external interviews and the literature suggest that other facilities have similar difficulties. I identify three major types of barrier: procedural barriers within the institution itself; (government) policy; and barriers relating to hegemonic values and beliefs which underpin established health care practice. These three types of barrier interact with and reinforce one another. I conclude that if we are to change care practice in institutions, we must address all of these barriers at the same time. Finally, I suggest that person-centred care itself, which continues to place emphasis on professional service provision, may only be the beginning of necessary change. In order to be truly person-centred, we need to move towards a more community based or public health approach which recognizes the need of all persons to be treated both as significant individuals and accepted as part of a community.
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Smythe, Analisa. "The Impact of Training in Person-Centred Dementia Care and Supervision on Burnout in Nursing Home Nurses: A Mixed Methods Study." Thesis, University of Bradford, 2018. http://hdl.handle.net/10454/18413.
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Background: There is significant concern about nurse burnout in nursing homes. There
has been little research to investigate whether training in person-centred care and
supervision can reduce nursing home nurses’ burnout.
Aims: To adapt training to be suitable for nursing home nurses and evaluate the impact
of training and supervision on burnout and related outcomes.
Study Design: Focus groups with nursing home nurses were used to inform adaptation
of the training. Mixed methods were used to evaluate the impact of training and
supervision employing a convergent parallel design, including a Randomised
Controlled Trial with quantitative measures (primary outcome measure: the Maslach
Burnout Inventory) to assess effectiveness and exploration of subjective experience
using qualitative interviews. The findings of the RCT and qualitative interviews were
then compared to determine the convergences and divergences.
Findings: The training was adapted to include content on leadership and stress
management. Hypotheses that the interventions would reduce burnout and impact on
other quantitative outcomes were not supported. Qualitative interviews with nursing
home nurses about training indicated that the nurses reported reduced burnout,
enhanced self-efficacy, reduced isolation, better team working, more informed person centred dementia care and enhanced leadership. Nurses’ views on the impact of
supervision included a range of benefits. There was convergence between quantitative
measurement and subjective experience indicting significant levels of burnout, but
divergence in terms of the impact of training in person-centred care and supervision.
Conclusions: My study demonstrates that burnout is a significant issue for nursing
home nurses in the UK. There was divergence in my findings in terms of the impact of
training in person-centred care and supervision. The hypotheses about training and
supervision having positive impact on burn-out were rejected. However, the qualitative findings suggest that nursing home nurses experienced positive benefits from the
person-centred training and supervision, in particular on their sense of burnout, their
approach to care and leadership skills. Recommendations are made regarding
research, training and policy to address burnout in nursing home nurses.<br>Burdett Charitable Trust of Nursing
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Karpegård, Ellinor, and Jennifer Svalstedt. "Registered nurses’ experiences of preventing pressure ulcers at a person receiving care at a hospital in Peru : a qualitative study." Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3421.
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Background Globally pressures ulcers are commonly seen as hospital acquired injuries with negative consequences for the persons such as pain, suffering and also incurring high costs for society. Preventing the occurrence of pressure ulcers is an important part of nursing care and a professional responsibility for registered nurses. Person-centered care is one of the core competencies for registered nurses. Involving the person in their care and increasingthe person’s knowledge about preventive strategies, person-centered care is of great value in the prevention of pressure ulcer. Aim The aim of this study was to describe registered nurses’ experiences of preventing theoccurrence of pressure ulcers in persons receiving care in a hospital setting in Peru. Method A qualitative method was used with semi-structured interviews which were conducted at a hospital in Peru. Seven registered nurses participated in this study. The data was analyzed with a qualitative content analysis. Findings The findings of this study are presented under three categories formed during the data analysis: Incorporating pressure ulcer prevention into general nursing care, recognition of the need to develop knowledge about pressure ulcers and awareness of professional responsibilities in nursing care. Conclusion Providing nursing care, following closely hospital guidelines, provides a systematic way to prevent the occurrence of pressure ulcers in persons receiving hospital care. It is important that the nurse includes the person in the care process. The registered nurses underlined the importance of education in prevention strategies.
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Svanberg, Marcus, and Isac Svantesson. "Att vara tillräcklig i en otillräcklig vård : En litteraturstudie om personcentrerad vård och sjuksköterskans prioriteringar." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-35913.
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Kraven på hälso- och sjukvård växer i takt med den globala populationen. Forskning visar att behovet av vård ökar men att kvalitén på den blir allt lägre, vilket leder till en problematisering huruvida personcentrerad vård går att uppnå eller om det är en idealbild för vården. Vårdpersonal inom hälso- och sjukvård tror sig arbeta utifrån personcentrerad vård där patienten ses som person och sätts i centrum av vårdandet. Av föregående utformades litteraturstudiens syfte, att undersöka hur sjuksköterskans prioriteringar i omvårdnadsarbetet överensstämmer med en personcentrerad vård. Studien genomfördes som en allmän litteraturstudie med stöd av innehållsanalys där en jämförelse tog grund i att finna likheter och skillnader mellan hur sjuksköterskan prioriterade utifrån definitionen av personcentrerad vård. I litteraturstudiens resultat framkommer att sjuksköterskor uttryckte önskan om att bedriva vård utöver den, för dem, nödvändiga vården och att vården snarare genomfördes enligt rutiner där främst de medicinska behoven tillgodosågs än att identifiera patienters samtliga behov. Att bedriva vård i samråd med patienten har visats ha goda och gynnsamma följder för vårdandet, vilket karaktäriseras av den personcentrerade vården. Det anses vara av vikt att mer forskning fastställer hur personcentrerad vård kan implementeras inom hälso- och sjukvård.<br>With a growing global population the demands on health care increases. Research shows that the need of care is getting bigger but quality is decreasing. A question rises, whether it is even possible to provide person-centred care or if it is an ideal picture of care. Healthcare professionals believe that they work based on person- centered care where the patient is seen as a person and at the heart of care. This led up to the aim of the study which was to show how registered nurses priorities in caring correspond with person-centered care. The study was conducted as a general literature study. Guided by content analysis similarities and differences, in registered nurses priorities related to person-centered care where found. The results show that registered nurses felt, unlike what they would want, that the care provided was not person-centered but rather what was necessary from a medical perspective. Instead of being person-centered and adapted to the individual at hand, care was based on routines. Providing care together with the patient is what characterizes person- centered care and it has beneficial consequences. It is of importance that future research explores how person-centered care could be implemented in health care.
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Chapman, Hazel Margaret. "The health consultation experience for people with learning disabilities : a constructivist grounded theory study based on symbolic interactionism." Thesis, University of Chester, 2014. http://hdl.handle.net/10034/620698.
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Aims. The aim of this study was to explore the effects of the health consultation experience for people with learning disabilities, particularly in terms of their self-concept Background. Annual health checks have been introduced as a reasonable adjustment for health providers to make in meeting the needs of people with learning disabilities, who experience significantly poorer health outcomes than the general population. Evaluation of the health consultation from the service user perspective can inform this service provision. Design. A constructivist grounded theory approach, based on symbolic interactionism, was used to explore the meaning of the health consultation experience for the person with learning disabilities, and its effects on their sense of self. Methods. Purposive and snowballing sampling was used to recruit 25 participants with learning disabilities through a GP practice, self-advocacy groups and a health facilitator. Nine individual interviews, three interviews with two participants, three focus groups (n=7, n=5 and n=3), and an audio-recorded health check consultation were carried out (with two participants interviewed twice and four attending two focus groups), as well as a member check used to assess the resonance of the findings. Data collection was undertaken in different primary care trusts across the north west of England. Data were subjected to constant comparative analysis, using a symbolic interactionist approach, to explore all aspects of the health consultation experience and its effects on the self. Findings. Current expectations, attitudes and feelings about health consultations were strongly influenced by previous experience. Participants negotiated their own reality within the consultation, which affected their self-concept and engagement with their health care. Respectful and secure health professional – service user relationships, developed over time, were central to an effective consultation. Perspectives on the consultation, and engagement within it, were co-constructed with a companion, who could help to promote the personhood of the service user with support from the health professional. Anxiety, embarrassment and felt stigma were identified as significant barriers to communication and engagement within the consultation. Conclusions. People with learning disabilities have similar health consultation needs and expectations to other people, but may have more difficulties in engaging with the process and building trusting relationships with the health professional, due to previous negative experiences, anticipated stigma and loss of self within health settings leading to a fear of disclosure. This, combined with difficulties in communication and cognitive processing, results in less satisfactory outcomes persisting over time. The effects of triadic consultations are generally positive, particularly where relatives or health facilitators are involved. However, continuity of companion as well as health professional is needed, and more service user engagement should be supported. Fundamental attitude change by health professionals, supported by specific educational initiatives to enhance their understanding of the service user perspective, is needed to reduce health inequalities. Participatory research by people with learning disabilities should inform future health care practice.
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Bernling, Sigrid, and Nadire Kucukcelik. "Medias konstruktioner av flyktingar och hur dessa kan påverka distriktssköterskor i deras möte med flyktingar." Thesis, Högskolan Väst, Avdelningen för omvårdnad - avancerad nivå, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-11718.
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I den uppsatsen analyseras medias konstruktioner av flyktingar genom diskursanalys. År 2015 kom ett ökat antal flyktingar till Sverige vilket skrevs om i media. Syftet med studien var att undersöka mediers konstruktioner och diskurser av flyktingar då dessa diskurser kan komma att påverka distriktssköterskor i möten med flyktingar. Det är av vikt att diskutera hur det kan ta sig uttryck och om det hindrar ett välfungerande möte mellan distriktssköterskor och flyktingar. Att möta flyktingar bör ske utifrån ett personcentrerat synsätt där hänsyn tas till patientens subjektiva upplevelser, det vill säga patientens berättelse om sin upplevelse. Personcentrerad vård värdesätter patientens berättelse och sätter hens upplevelse av denna i centrum. En personcentrerad vård bygger på en medveten etik kring vårdhandlingar, en god relation och ett gott förhållningssätt till patienteter. Det är nödvändigt att öka kunskap och förståelse hos vårdpersonal som möter flyktingar i sitt arbete som distriktssköterskor gör. Utgångspunkten för personcentrerad vård är att människor ska bemötas som fria och värdiga personer. Kärnan i personcentrerad vård är partnerskap mellan vårdpersonal och patienten och dess anhöriga. Partnerskap innebär gemensamt beslut om hälsoplan. Hälso- och sjukvårdslagen (1982:763) grundas utifrån en humanistisk människosyn. Detta innebär att människan har rätt att medverka och bestämma över sig. Distriktssköterskan bör ha en medvetenhet kring sin egen människosyn då de kan komma att styra ens handlingar. Data för studien hämtades från tre olika dagstidningar; Dagens Nyheter, Sydsvenskan och Svenska Dagbladet och deras publiceringar under september, oktober och november, 2015. Artiklarna söktes fram via Mediearkivet. Totalt analyserades 4022 artiklar som innehöll begreppet flykting. I analysarbetet användes AntcConc som är ett datorprogram som gör det möjligt att sortera större mängd text. Det framkom att flyktingar i media konstrueras som en homogen grupp vilket vi anser kan leda till en negativ påverkan på läsaren och därmed på distriktssköterskor i mötet med flyktingar. Att arbeta utifrån ett personcentrerat förhållningssätt i mötet med dessa patienter innebär att aktivt försöka se bakom den konstruerade flyktingen och istället se människan i sin helhet. Fyra diskurser utifrån 13 konstruktioner identifierades. De fyra diskurserna var: krisdiskurs, hjälplöshetsdiskurs, politisk diskurs och ekonomisk diskurs. Vården och mötet kan utifrån vad som framkommit av innehållet i diskurserna bli begränsande och negativ för patienten. Det i sin tur kan skapa enskilt lidande för patienterna i fråga men också på sikt ge en ökad belastning för vården. Det är därför viktigt att belysa ämnet så att en god och jämlik vård kan ges.<br>In 2015, the increased number of refugees arriving in Sweden was covered in media. Public health nurses may in their encounter with immigrants be influenced by discourses arising from medial constructions of refugees. The aim of this study was to examine mass medial constructions of and discourses about refugees, since preconceptions can influence district nurses in encounters with these persons. It is a matter of importance to discuss how this can manifest itself, in order to make public health nurses encounters with refugees as well-functioning as possible. Person-centred care has been uses as a theoretical frame of reference in this study. A qualitative approach was chosen. The methods used were corpus analysis and discourse analysis. Data was collected from three daily newspapers: Dagens Nyheter, Sydsvenskan and Svenska Dagbladet, published in September, October and November 2015. During this time the concept refugee occurred in 4022 articles. The result shows that refugees in media are contoured as a homogenous group. Four discourses based on thirteen constructions were identified. The four discourses were a crisis discourse, a helplessness discourse, a political discourse, and an economical discourse. From the discourses, it is assumed that public health nurses reading of medial texts about refugees influences their view, and therefore their care, of refugees. Hence, it is important to illuminate the constructions of refugees in media
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Holmberg, Bodil. "Undersköterskors erfarenheter av att ge omvårdnad till äldre personer under livets sista tid på särskilt boende : En intervjustudie." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2262.
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Då livslängden i samhället ökar och alltfler lever länge med många diagnoser har vi ett växande behov av en välfungerande äldreomsorg. Efter ädelreformen dör alltfler äldre personer på särskilt boende, vilket föranleder ett intresse av att studera den omvårdnad som ges där. Syftet med föreliggande studie var därför att beskriva undersköterskors erfarenheter av att ge omvårdnad till äldre personer under livets sista tid på särskilt boende. Studien baseras på intervjuer med sju undersköterskor som har minst tre års erfarenhet av att arbeta på särskilt boende. Analysen av intervjumaterialet gjordes med hjälp av kvalitativ innehållsanalys. I resultatet framkom tre teman; en naturlig väg mot döden, den äldre personen som utgångspunkt i omvårdnaden samt ömsesidighet och samarbete med begränsande förutsättningar. Undersköterskorna ser döende vid hög ålder som en naturlig process de inte vill försöka motverka och inte heller talar med varandra om. Deras strävan är att vara följsamma i processen och tillgodose de äldre personernas önskemål för att skapa dem största möjliga välbefinnande under deras sista tid i livet. Otillräcklig bemanning utgör i viss mån hinder för denna strävan, men kringgås med hjälp av samarbete med närstående. Sammanfattningsvis finns en underliggande, delvis explicit vilja att ge en personcentrerad omvårdnad, vars innehåll till delar är i överensstämmelse med en modell för personcentrerad palliativ vård, De 6 S:n. Resultaten av denna studie är viktiga för sjuksköterskor, vilka är ytterst ansvariga för den omvårdnad som utförs av undersköterskor. Samtidigt synliggör resultaten att undersköterskor är viktiga i omvårdnadsarbetet på särskilt boende. Fortsättningsvis skulle det vara av intresse att studera äldre personers erfarenheter av omvårdnad under livets sista tid på särskilt boende.<br>Since increasing life expectance causes more persons to live longer with multiple diagnoses, we have a growing need of a well-functioning elderly-care. After the ”ÄDEL-reform” in Sweden, in 1992, when the responsibility for long-term medical care for elderly people was transferred from the county councils to the local authorities, an increasing number of older people die in nursing homes. This leads to an interest of studying the nursing care being given there. The aim of the study was therefore to describe assistant nurses experiences of providing nursing care to older people during the last time of life in a nursing home. The study has been conducted by a content analysis based upon Seven interviews with assistant nurses having at least three years’ experience of working in a nursing home. In the results of this study three themes appeared; a natural pathway towards death, the older person as a starting point for the nursing care and reciprocity and collaboration in spite of limiting conditions. The assistant nurses consider dying at old age as a natural process, which they do not wish to hinder. They do not even talk to each other about it. Instead they strive to be pliable to the process and responsive to the desires of the older people in order to provide them the best possible level of wellbeing during their last time of life. Inadequate staffing is partly hindering to this, but the problem is being avoided due to collaboration with the significant others of the older person. Summarised, the nurse assistants nourish an underlying, at times explicit ambition to provide a person centred nursing care, which partly corresponds to a model of person centered palliative care, The 6 S:s. The results of this study are useful to nurses, since they are responsible of the nursing care given by assistant nurses. The results also elucidate the importance of the nursing care given by assistant nurses in a nursing home. Furthermore it would be of interest to study older persons experiences of receiving nursing care during their last time of life in a nursing home.<br>Livets sista tid på kommunalt särskilt boende. En studie av undersköterskors erfarenheter
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Omerbasic, Sanita, and Stina Hultberg. ""Min amningsberättelse" som stöd vid samtal om amning inom barnhälsovården : - Sjuksköterskors erfarenheter." Thesis, Hälsohögskolan, Jönköping University, HHJ, Avd. för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-48676.
Full textBooks on the topic "Person-centred nursing care"
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Tanya, McCance, ed. Person-centred nursing: Theory and practice. Blackwell Pub., 2010.
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Chapman, Alan. Person centred approach to care: A 20 hour study workbook for staff working with people who have dementia. University of Stirling, Dementia Services Development Centre, 1995.
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Chapman, Alan. Person centred approach to care: A 20 hour study workbook for staff working with people who have dementia : based onthe book "Person to person", by Tom Kitwood and Kathleen Bredin. Dementia Services Development Centre, University of Stirling, 1995.
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Essential Enrolled Nursing Skills for Person-Centred Care. Elsevier - Health Sciences Division, 2016.
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McCormack, Brendan, and Tanya McCance. Person-Centred Nursing: Theory and Practice. Wiley & Sons, Incorporated, John, 2011.
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McCormack, Brendan, and Tanya McCance. Person-Centred Nursing: Theory and Practice. Wiley & Sons, Incorporated, John, 2011.
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McCormack, Brendan, and Tanya McCance. Person-Centred Nursing: Theory and Practice. Wiley & Sons, Incorporated, John, 2010.
Find full textBook chapters on the topic "Person-centred nursing care"
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Burnett, E., and V. Ness. "Person-centred care." In Antimicrobial stewardship for nursing practice. CABI, 2020. http://dx.doi.org/10.1079/9781789242690.0075.
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Levett-Jones, Tracy. "Person-Centred Care (In Nursing)." In Health Practice Relationships. SensePublishers, 2014. http://dx.doi.org/10.1007/978-94-6209-788-9_13.
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Barker, Sue. "Person-Centred Approaches." In Psychology for Nursing and Healthcare Professionals: Developing Compassionate Care. SAGE Publications Ltd, 2016. http://dx.doi.org/10.4135/9781473984004.n6.
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Dickson, Caroline A. W. "Leading quality, person-centred care in the community." In A Textbook of Community Nursing. Routledge, 2017. http://dx.doi.org/10.1201/9781315157207-16.
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Dewing, Jan, Brendan McCormack, and Angie Titchen. "Developing a Shared Vision for Person-Centred Care." In Practice Development Workbook for Nursing, Health and Social Care Teams. John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781119180395.ch3.
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Desira, Liz, and Geoff Martin. "Person-centred Approach to the Care of Older People With Mental Health Problems." In Mental Health Nursing. Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-4039-9756-2_16.
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Dewing, Jan, Brendan McCormack, and Angie Titchen. "Knowing and Demonstrating Values and Beliefs about Person-Centred Care." In Practice Development Workbook for Nursing, Health and Social Care Teams. John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781119180395.ch2.
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"The Care Environment." In Person-Centred Nursing. Wiley-Blackwell, 2010. http://dx.doi.org/10.1002/9781444390506.ch5.
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"Person-centred and holistic nursing care." In Professional Values in Nursing. CRC Press, 2014. http://dx.doi.org/10.1201/b17237-8.
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"Planning with people and their families." In Oxford Handbook of Learning and Intellectual Disability Nursing, edited by Bob Gates and Owen Barr. Oxford University Press, 2009. http://dx.doi.org/10.1093/med/9780199533220.003.0008.
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Person-centred planning 250 Undertaking a nursing assessment 252 Writing nursing care plans 254 Advocacy 256 Patient advice and liaison service 258 Consent to treatment 260 Circles of support 262 Making best interests decisions 264 Vulnerability 266 Child protection 268 Adult protection 270 Care pathways 272...
Conference papers on the topic "Person-centred nursing care"
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Ettema, Roelof, Goran Gumze, Katja Heikkinen, and Kirsty Marshall. "European Integrated Care Horizon 2020: increase societal participation; reduce care demands and costs." In CARPE Conference 2019: Horizon Europe and beyond. Universitat Politècnica València, 2019. http://dx.doi.org/10.4995/carpe2019.2019.10175.
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BackgroundCare recipients in care and welfare are increasingly presenting themselves with complex needs (Huber et al., 2016). An answer to this is the integrated organization of care and welfare in a way that personalized care is the measure (Topol, 2016). The reality, however, is that care and welfare are still mainly offered in a standardized, specialized and fragmented way. This imbalance between the need for care and the supply of care not only leads to under-treatment and over-treatment and thus to less (experienced) quality, but also entails the risk of mis-treatment, which means that patient safety is at stake (Berwick, 2005). It also leads to a reduction in the functioning of citizens and unnecessary healthcare cost (Olsson et al, 2009).Integrated CareIntegrated care is the by fellow human beings experienced smooth process of effective help, care and service provided by various disciplines in the zero line, the first line, the second line and the third line in healthcare and welfare, as close as possible (Ettema et al, 2018; Goodwin et al, 2015). Integrated care starts with an extensive assessment with the care recipient. Then the required care and services in the zero line, the first line, the second line and / or the third line are coordinated between different care providers. The care is then delivered to the person (fellow human) at home or as close as possible (Bruce and Parry, 2015; Evers and Paulus, 2015; Lewis, 2015; Spicer, 2015; Cringles, 2002).AimSupport societal participation, quality of live and reduce care demand and costs in people with complex care demands, through integration of healthcare and welfare servicesMethods (overview)1. Create best healthcare and welfare practices in Slovenia, Poland, Austria, Norway, UK, Finland, The Netherlands: three integrated best care practices per involved country 2. Get insight in working mechanisms of favourable outcomes (by studying the contexts, mechanisms and outcomes) to enable personalised integrated care for meeting the complex care demand of people focussed on societal participation in all integrated care best practices.3. Disclose program design features and requirements regarding finance, governance, accountability and management for European policymakers, national policy makers, regional policymakers, national umbrella organisations for healthcare and welfare, funding organisations, and managers of healthcare and welfare organisations.4. Identify needs of healthcare and welfare deliverers for creating and supporting dynamic partnerships for integrating these care services for meeting complex care demands in a personalised way for the client.5. Studying desired behaviours of healthcare and welfare professionals, managers of healthcare and welfare organisations, members of involved funding organisations and national umbrella organisations for healthcare and welfare, regional policymakers, national policy makers and European policymakersInvolved partiesAlma Mater Europaea Maribor Slovenia, Jagiellonian University Krakow Poland, University Graz Austria, Kristiania University Oslo Norway, Salford University Manchester UK, University of Applied Sciences Turku Finland, University of Applied Sciences Utrecht The Netherlands (secretary), Rotterdam Stroke Service The Netherlands, Vilans National Centre of Expertise for Long-term Care The Netherlands, NIVEL Netherlands Institute for Health Services Research, International Foundation of Integrated Care IFIC.References1. Berwick DM. The John Eisenberg Lecture: Health Services Research as a Citizen in Improvement. Health Serv Res. 2005 Apr; 40(2): 317–336.2. Bruce D, Parry B. Integrated care: a Scottish perspective. London J Prim Care (Abingdon). 2015; 7(3): 44–48.3. Cringles MC. Developing an integrated care pathway to manage cancer pain across primary, secondary and tertiary care. International Journal of Palliative Nursing. 2002 May 8;247279.4. Ettema RGA, Eastwood JG, Schrijvers G. Towards Evidence Based Integrated Care. International journal of integrated care 2018;18(s2):293. DOI: 10.5334/ijic.s22935. Evers SM, Paulus AT. Health economics and integrated care: a growing and challenging relationship. Int J Integr Care. 2015 Jun 17;15:e024.6. Goodwin N, Dixon A, Anderson G, Wodchis W. Providing integrated care for older people with complex needs: lessons from seven international case studies. King’s Fund London; 2014.7. Huber M, van Vliet M, Giezenberg M, Winkens B, Heerkens Y, Dagnelie PC, Knottnerus JA. Towards a 'patient-centred' operationalisation of the new dynamic concept of health: a mixed methods study. BMJ Open. 2016 Jan 12;6(1):e010091. doi: 10.1136/bmjopen-2015-0100918. Lewis M. Integrated care in Wales: a summary position. London J Prim Care (Abingdon). 2015; 7(3): 49–54.9. Olsson EL, Hansson E, Ekman I, Karlsson J. A cost-effectiveness study of a patient-centred integrated care pathway. 2009 65;1626–1635.10. Spicer J. Integrated care in the UK: variations on a theme? London J Prim Care (Abingdon). 2015; 7(3): 41–43.11. Topol E. (2016) The Patient Will See You Now. The Future of Medicine Is in Your Hands. New York: Basic Books.