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Trying to cope with everyday life - Emotional support in municipal elderly care setting
School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-1174-2523
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
2012 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, 19613Article in journal (Refereed) Published
Abstract [en]

Emotional support is considered to be important to older patients because it is a contributing factor to experiencing goodhealth and it has been shown that it can prevent depression after a hip fracture. Opinions differ on whether emotionalsupport falls within the field of nursing, and studies also show that nurses in an elderly home care setting fail when it comesto giving emotional support. The aim of this study was to explore reasons for registered nurses to give emotional support toolder patients in a municipal home care setting. The study was conducted using Grounded Theory. Data collection wascarried out through interviews with 16 registered nurses. The inclusion criteria were emotional support given to patientsaged 80 years and above living in ordinary or sheltered housing and who were in need of help from both the home helpservice and registered nurses. The results show that the main concern of emotional support was ‘‘Trying to relieve thepatient from their emotions so they are able to cope with everyday life.’’ This core category illustrates how registered nursestried to support the patients’ own strength, so that they were able to move forward. Registered nurses consider that theycould support the patients because they give them access to, or could create access to, their emotions, but there were alsotimes when they felt helplessness and as a result, consciously opted out. The results also indicate that registered nurses werekeen to give emotional support. To develop patient-centered elderly care, more knowledge of emotional support and theelderly’s need for this support is required. © 2012 N. Dauman & S. I. Erlandsson.

Place, publisher, year, edition, pages
Järfälla: Co-Action Publishing , 2012. Vol. 7, 19613
Keyword [en]
support, maintain strength, municipal care, the elderly
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-21974DOI: 10.3402/qhw.v7i0.19613ISI: 000312581100001PubMedID: 23237630Scopus ID: 2-s2.0-84875190747OAI: oai:DiVA.org:hh-21974DiVA: diva2:619033
Available from: 2013-05-01 Created: 2013-05-01 Last updated: 2017-04-24Bibliographically 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
2014 (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, 2014. 70 p.
Series
Örebro Studies in Care Sciences 45, ISSN 1652-1153 ; 45
Keyword
Emotion, elderly home care, intervention, priorities, support, registered nurse, older patients, serenity
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:hh:diva-25804 (URN)978-91-7668-940-0 (ISBN)
Public defence
2013-06-14, Hörsal 2 Prismahuset, HSP2, Örebro universitet, Fakultetsgatan 1, Örebro, 14:10 (English)
Opponent
Available from: 2014-06-27 Created: 2014-06-23 Last updated: 2015-02-18Bibliographically approved

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