Fluctuation between Powerlessness and Sense of Meaning - A Qualitative Study of Health Care Professionals’ Experiences of Providing Health Care to Older Adults with Long-Term Musculoskeletal Pain

BMC Geriatrics

Research Article

Kristina Nässén¹  Mia Berglund²  Catharina Gillsjö³ 

[1] Academy of Care, Working Life and Social Welfare, University of Borås, Borås, Sweden;School of Health and Education, Health and Learning Research Centre: Aging and Long-Term Health Problems, University of Skövde, Skövde, Sweden;School of Health and Education, Health and Learning Research Centre: Aging and Long-Term Health Problems, University of Skövde, Skövde, Sweden;College of Nursing, University of Rhode Island, Kingston, USA;

关键词: Health care providers;    Experiences;    Older adults;    Long-term musculoskeletal pain;    Home;   

DOI  :  10.1186/s12877-015-0088-y

 received in 2015-02-26, accepted in 2015-07-16,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThere is an increasing number of older adults living with long-term musculoskeletal pain and related disabilities. These problems are frequently unrecognized, underreported, and inadequately treated. Since many older adults desire to remain at home for as long as possible, it is important that individualized and holistically tailored care is provided in these settings. However, there is a complexity in providing care in this context. The aim of this study was to describe health care professionals’ experiences of providing health care to older adults living with long-term musculoskeletal pain at home.MethodsThe phenomenon, “To provide health care to older adults living with long-term musculoskeletal pain at home”, was studied using reflective lifeworld research (RLR) which is based on phenomenological epistemology. Ten health care providers (nurse, physiotherapists, and occupational therapists) were interviewed and data was analysed.ResultsThe health care professional’s emotions fluctuated between powerlessness and meaningfulness. Needs, opportunities, understanding and respect had to be balanced in the striving to do good in the provision of health care in differing situations. Caring for older adults with long-term pain required courage to remain in the encounter despite feelings of insecurity and uncertainty about the direction of the dialogue. The essence of caring for older adults with long-term pain consisted of the following constituents: Sense of powerlessness; striving to provide good health care; and understanding and respect.ConclusionsThe findings indicated that the health care professionals strived to do good and to provide health care that was holistic and sensitive to the older adults’ needs. A significant sense of powerlessness in the situation was experienced by the health care professionals. These findings address and support the need to develop methods that can be used to guide health care providers who support older adults in the context of their homes.

【 授权许可】

CC BY   
© Berglund et al. 2015