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Creating conditions for a sense of security during evenings and nights among older persons receiving home health care in ordinary housing: a participatory appreciative action and reflection study
School of Health Sciences, Department of Nursing Sciences, Örebro University, Örebro, Sweden.ORCID iD: 0000-0003-4362-2902
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).ORCID iD: 0000-0002-1174-2523
School of Health Sciences, Department of Nursing Sciences, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-2873-4247
2019 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 19, no 1, article id 351Article in journal (Refereed) Published
Abstract [en]

Background: Today many older persons in ordinary housing receive home health care. It is stipulated that the care is to provide security; however, deficiencies in home health care are reported in many countries. It may be difficult to implement a sense of security among older persons receiving home health care in ordinary housing, especially during the evenings and nights, due to a lack of knowledge.

Methods: This study is part of a larger project with a participatory appreciative action and reflection (PAAR) approach. We invited older persons, relatives, nurse assistants, registered nurses, and their managers to co-create knowledge with us on how conditions for a sense of security can be created during evenings and nights among older persons receiving home health care in ordinary housing. We performed thematic analysis of the data.

Results: Five subthemes were developed that gave structure to two main themes. The first main theme, To confirm the self-image, has the following subthemes: To see the home as a reflection of the person’s identity and To maintain self-determination. The second main theme, To create interaction in a sheltered place, has these subthemes: To undress the power, To create control and lifelines, and To create a good sleeping environment. The two themes interact and are each other’s conditions. The person’s self-image must be confirmed in order to create interaction in a sheltered place and through the interaction, the self-image is confirmed.

Conclusion: Conditions necessary for older persons to have a sense of security are living in a familiar environment, having habits and routines maintained, and having self-determination. Other conditions are equality, the prevention of falls, and an individualized sleeping environment. Older people’s self-determination should be honored, and they should not being excluded from decision-making. We need to ask them if the conditions are sufficient and their sense of security is great enough to allow them to continue living in their ordinary housing. © The Author(s). 2019

Place, publisher, year, edition, pages
London, UK: BioMed Central, 2019. Vol. 19, no 1, article id 351
Keywords [en]
Evenings and nights, Home health care, Older persons, Ordinary housing, Participatory appreciative action and reflection, Sense of security
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hh:diva-41298DOI: 10.1186/s12877-019-1372-zPubMedID: 31842776Scopus ID: 2-s2.0-85076684734OAI: oai:DiVA.org:hh-41298DiVA, id: diva2:1381567
Note

Open access funding provided by Örebro University.

Available from: 2019-12-23 Created: 2019-12-23 Last updated: 2020-01-10Bibliographically approved

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Norell Pejner, MargarethaKihlgren, Annica

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