home care;
multiprofessional collaboration;
older people;
personal resources;
qualitative interview;
social and health care services;
D O I:
10.1111/j.1748-3743.2007.00105.x
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:
Home care can be decisive in supporting older people in the home environment. However, one professional in home care cannot take the whole responsibility for promotion alone; on the contrary multiprofessional collaboration is needed. The aim of the study is to describe the experiences of multiprofessional collaboration in promoting personal resources among older home care clients (75+ years) in Finland. The data were collected by unstructured interviews with 21 older home care clients. Their mean age was 83.5 years, ranging from 75 to 91, with 17 female and four male participants. Inductive content analysis was used to analyze the data. The interviewees described the work of professionals from four perspectives: expertise, communication, decision-making and responsibility. Multiprofessional collaboration promoted the personal resources of interviewees with physical, psychological and social support. This study showed that the professionals worked as being expert-oriented: in the multiprofessional collaboration, each expert took care of his/her own part of the client's situation. This included the risk,, that the client's overall situations remained uncharted. However, the client's overall situation is a very important aspect when professionals suppport older people living in their own homes as long as possible. This study revealed the need for developing collaboration skills between social and health care professionals so that the staffs serve the needs of aged clients better together.
机构:
Univ Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, FinlandUniv Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, Finland
Viljakainen, Sari
Nykanen, Irma
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机构:
Univ Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, Finland
Univ Eastern Finland, Kuopio Res Ctr Geriatr Care, FI-70211 Kuopio, FinlandUniv Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, Finland
Nykanen, Irma
Ahonen, Riitta
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机构:
Univ Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, FinlandUniv Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, Finland
Ahonen, Riitta
Komulainen, Kaija
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机构:
Univ Eastern Finland, Sch Med, Fac Hlth Sci, Inst Dent, FI-70211 Kuopio, FinlandUniv Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, Finland
Komulainen, Kaija
Suominen, Anna Liisa
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机构:
Univ Eastern Finland, Sch Med, Fac Hlth Sci, Inst Dent, FI-70211 Kuopio, Finland
Kuopio Univ Hosp, Dept Oral & Maxillofacial Surg, SF-70210 Kuopio, FinlandUniv Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, Finland
Suominen, Anna Liisa
Hartikainen, Sirpa
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机构:
Univ Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, Finland
Univ Eastern Finland, Kuopio Res Ctr Geriatr Care, FI-70211 Kuopio, Finland
Univ Eastern Finland, Res Ctr Comparat Effectiveness & Patient Safety R, FI-70211 Kuopio, FinlandUniv Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, Finland
Hartikainen, Sirpa
Tiihonen, Miia
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Univ Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, Finland
Univ Eastern Finland, Kuopio Res Ctr Geriatr Care, FI-70211 Kuopio, FinlandUniv Eastern Finland, Sch Pharm, Fac Hlth Sci, PO 1627, FI-70211 Kuopio, Finland
机构:
Univ Turku, Dept Nursing Sci, Turku 20014, Finland
Turku Univ Hosp, Dept Surg, FIN-20520 Turku, FinlandUniv Turku, Dept Nursing Sci, Turku 20014, Finland
Eloranta, Sini
Arve, Seija
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机构:
Univ Turku, Dept Nursing Sci, Turku 20014, Finland
Turku City Hosp, Turku, FinlandUniv Turku, Dept Nursing Sci, Turku 20014, Finland
Arve, Seija
Isoaho, Hannu
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机构:
Statcon Ltd, Salo, FinlandUniv Turku, Dept Nursing Sci, Turku 20014, Finland
Isoaho, Hannu
Welch, Anthony
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机构:
Queensland Univ Technol, Sch Nursing, Brisbane, Qld 4001, AustraliaUniv Turku, Dept Nursing Sci, Turku 20014, Finland
Welch, Anthony
Viitanen, Matti
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机构:
Univ Turku, Fac Med, Turku 20014, FinlandUniv Turku, Dept Nursing Sci, Turku 20014, Finland
Viitanen, Matti
Routasalo, Pirkko
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机构:
Univ Turku, Dept Nursing Sci, Turku 20014, FinlandUniv Turku, Dept Nursing Sci, Turku 20014, Finland
机构:
Univ Guelph, Dept Family Relat & Appl Human Nutr, Guelph, ON N1G 2W1, CanadaUniv Guelph, Dept Family Relat & Appl Human Nutr, Guelph, ON N1G 2W1, Canada
Bocock, Mary Ann
Keller, Heather H.
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机构:
Univ Guelph, Dept Family Relat & Appl Human Nutr, Guelph, ON N1G 2W1, CanadaUniv Guelph, Dept Family Relat & Appl Human Nutr, Guelph, ON N1G 2W1, Canada
Keller, Heather H.
Brauer, Paula M.
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机构:
Univ Guelph, Dept Family Relat & Appl Human Nutr, Guelph, ON N1G 2W1, CanadaUniv Guelph, Dept Family Relat & Appl Human Nutr, Guelph, ON N1G 2W1, Canada