Support in acute situations when a community health nurse is called: experiences of older patients, their significant others, and involved healthcare professionals- a qualitative interview study

BMC Geriatrics

Research

Bengt Fridlund¹  Mattias Rööst²  Elin-Sofie Forsgärde³  Anders Svensson⁴  Carina Elmqvist⁵ 

[1] Center of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, 351 95, Växjö, Sweden;Department for Research and Development, Region Kronoberg, PO Box 1223, 351 12, Växjö, Sweden;Department of Clinical Sciences in Malmö, Family Medicine, Lund University, PO Box 50332, 202 13, Malmö, Sweden;Department of Health and Caring Sciences, Linnaeus University, PO Box 451, 351 95, Växjö, Sweden;Center of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, 351 95, Växjö, Sweden;Department of Health and Caring Sciences, Linnaeus University, PO Box 451, 351 95, Växjö, Sweden;Center of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, 351 95, Växjö, Sweden;Ambulance Service, Region Kronoberg, PO Box 1207, 352 54, Växjö, Sweden;Department of Health and Caring Sciences, Linnaeus University, PO Box 451, 351 95, Växjö, Sweden;Center of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, 351 95, Växjö, Sweden;Department for Research and Development, Region Kronoberg, PO Box 1223, 351 12, Växjö, Sweden;

关键词: Aged;    Ambulance service;    Community health nurse;    General practitioners;    Nursing homes;    Patients;    Primary health care;    Reflective lifeworld research;    Support;   

DOI  :  10.1186/s12877-023-04331-0

 received in 2023-06-30, accepted in 2023-09-19,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundCare decisions for older patients in acute situations are challenging to make, and there is limited knowledge of support in home healthcare settings, where older patients receive ongoing health care from, for example, community health nurses. Therefore, this study aimed to describe the support for all involved in acute situations when a community health nurse was called, as experienced by older patients, their significant others and healthcare professionals involved.MethodsThe study was conducted using a phenomenological reflective lifeworld research approach, in which meanings of the study phenomenon were analyzed. The included participants were those who had been involved in acute situations. Twelve participants from four acute situations were interviewed. The participant included three older patients, one significant other, four community health nurses, one registered nurse student, one specialist in general practice, and two ambulance personnel, with one being a registered nurse and the other a specialist ambulance nurse.ResultsSupport in decision-making was received from the knowledge of temporality, which provided a comprehensive understanding based on past and present knowledge of the older patient. The knowledge of temporality allowed for the early detection of new symptoms and facilitated care decisions tailored to the older patient. There was a dependency on pre-existing mutual interpersonal support, and confidence developed through relational, caring, and medical competence.ConclusionsThe advantages of temporality, confidence and mutual interpersonal support in acute situations highlight the importance of enhancing relational continuity in home healthcare settings and establishing a structural collaboration among community health nurses, specialists in general practice, and ambulance personnel. This collaboration aims to provide support for making decisions regarding tailored care.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023