Cargando…
Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden
Most of the care in nursing homes is palliative in nature, as it is the oldest and the frailest people who live in nursing homes. The aim of this study was to explore next of kin’s experiences of participating in the care of older persons at nursing homes. A qualitative design was used, based on sem...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023303/ https://www.ncbi.nlm.nih.gov/pubmed/29751660 http://dx.doi.org/10.3390/healthcare6020046 |
_version_ | 1783335841769193472 |
---|---|
author | Wallerstedt, Birgitta Behm, Lina Alftberg, Åsa Sandgren, Anna Benzein, Eva Nilsen, Per Ahlström, Gerd |
author_facet | Wallerstedt, Birgitta Behm, Lina Alftberg, Åsa Sandgren, Anna Benzein, Eva Nilsen, Per Ahlström, Gerd |
author_sort | Wallerstedt, Birgitta |
collection | PubMed |
description | Most of the care in nursing homes is palliative in nature, as it is the oldest and the frailest people who live in nursing homes. The aim of this study was to explore next of kin’s experiences of participating in the care of older persons at nursing homes. A qualitative design was used, based on semi-structured interviews with 40 next of kin, and analyzed using qualitative content analysis. An overarching theme emerged, a balancing act consisting of three categories: (1) visiting the nursing home; (2) building and maintaining relationships; and (3) gathering and conveying information. The next of kin have to balance their own responsibility for the older person’s wellbeing by taking part in their care and their need to leave the responsibility to the staff due to critical health conditions. The next of kin wanted to participate in care meetings and conversations, not only in practical issues. The findings indicate the need to improve the next of kin’s participation in the care as an equal partner. Increased knowledge about palliative care and decision-making of limiting life-prolonging treatment may lead to a higher quality of care. |
format | Online Article Text |
id | pubmed-6023303 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-60233032018-07-03 Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden Wallerstedt, Birgitta Behm, Lina Alftberg, Åsa Sandgren, Anna Benzein, Eva Nilsen, Per Ahlström, Gerd Healthcare (Basel) Article Most of the care in nursing homes is palliative in nature, as it is the oldest and the frailest people who live in nursing homes. The aim of this study was to explore next of kin’s experiences of participating in the care of older persons at nursing homes. A qualitative design was used, based on semi-structured interviews with 40 next of kin, and analyzed using qualitative content analysis. An overarching theme emerged, a balancing act consisting of three categories: (1) visiting the nursing home; (2) building and maintaining relationships; and (3) gathering and conveying information. The next of kin have to balance their own responsibility for the older person’s wellbeing by taking part in their care and their need to leave the responsibility to the staff due to critical health conditions. The next of kin wanted to participate in care meetings and conversations, not only in practical issues. The findings indicate the need to improve the next of kin’s participation in the care as an equal partner. Increased knowledge about palliative care and decision-making of limiting life-prolonging treatment may lead to a higher quality of care. MDPI 2018-05-11 /pmc/articles/PMC6023303/ /pubmed/29751660 http://dx.doi.org/10.3390/healthcare6020046 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Wallerstedt, Birgitta Behm, Lina Alftberg, Åsa Sandgren, Anna Benzein, Eva Nilsen, Per Ahlström, Gerd Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden |
title | Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden |
title_full | Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden |
title_fullStr | Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden |
title_full_unstemmed | Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden |
title_short | Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden |
title_sort | striking a balance: a qualitative study of next of kin participation in the care of older persons in nursing homes in sweden |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023303/ https://www.ncbi.nlm.nih.gov/pubmed/29751660 http://dx.doi.org/10.3390/healthcare6020046 |
work_keys_str_mv | AT wallerstedtbirgitta strikingabalanceaqualitativestudyofnextofkinparticipationinthecareofolderpersonsinnursinghomesinsweden AT behmlina strikingabalanceaqualitativestudyofnextofkinparticipationinthecareofolderpersonsinnursinghomesinsweden AT alftbergasa strikingabalanceaqualitativestudyofnextofkinparticipationinthecareofolderpersonsinnursinghomesinsweden AT sandgrenanna strikingabalanceaqualitativestudyofnextofkinparticipationinthecareofolderpersonsinnursinghomesinsweden AT benzeineva strikingabalanceaqualitativestudyofnextofkinparticipationinthecareofolderpersonsinnursinghomesinsweden AT nilsenper strikingabalanceaqualitativestudyofnextofkinparticipationinthecareofolderpersonsinnursinghomesinsweden AT ahlstromgerd strikingabalanceaqualitativestudyofnextofkinparticipationinthecareofolderpersonsinnursinghomesinsweden |