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

被引：1

作者：

Forsgarde, Elin-Sofie ^{[1
,2
]}

Roost, Mattias ^{[4
,5
]}

Svensson, Anders ^{[1
,2
,3
]}

Fridlund, Bengt ^{[2
]}

Elmqvist, Carina ^{[1
,2
,4
]}

机构：

[1] Linnaeus Univ, Dept Hlth & Caring Sci, POB 451, S-35195 Vaxjo, Sweden

[2] Linnaeus Univ, Ctr Interprofess Collaborat Emergency Care CICE, S-35195 Vaxjo, Sweden

[3] Ambulance Serv, POB 1207, S-35254 Vaxjo, Region Kronober, Sweden

[4] Dept Res & Dev, POB 1223, S-35112 Vaxjo, Region Kronober, Sweden

[5] Lund Univ, Dept Clin Sci Malmo, Family Med, POB 50332, S-20213 Malmo, Sweden

来源：

BMC GERIATRICS | 2023年 / 23卷 / 01期

关键词：

Aged; Ambulance service; Community health nurse; General practitioners; Nursing homes; Patients; Primary health care; Reflective lifeworld research; Support; DECISION-MAKING; EMERGENCY-DEPARTMENT; HOME; CONTINUITY; SERVICES; ADULTS; PERSPECTIVES; RESIDENTS; SAFE;

D O I：

10.1186/s12877-023-04331-0

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

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.

引用

页数：11

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