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Client-centered home care: balancing between competing responsibilities.

Tineke Schoot1, Ireen Proot, Marja Legius

  • 1Zuyd University, Heerlen, the Netherlands.

Clinical Nursing Research
|October 24, 2006
PubMed
Summary
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Nurses providing home care for chronically ill clients face competing professional demands. Balancing these roles requires awareness, responsibility, and strategies like dialogue and direction for effective client-centered care.

Area of Science:

  • Nursing
  • Home Care
  • Grounded Theory

Background:

  • Client-centered care is paramount in home healthcare for chronically ill individuals.
  • Nurses often experience conflicting professional roles and responsibilities.
  • Understanding these perceptions is crucial for improving care quality.

Purpose of the Study:

  • To explore and describe nurses' perceptions of everyday client-centered care.
  • To identify the competing roles and responsibilities perceived by nurses.
  • To understand the strategies nurses employ to balance these competing demands.

Main Methods:

  • Grounded theory approach.
  • 10 Dutch nurses and auxiliary nurses participated.
  • Data collected through participatory observations and semistructured interviews.

Related Experiment Videos

Main Results:

  • Nurses perceived competing roles: critical professional, client competency developer, individual, and employee.
  • Identified balancing strategies included pleasing, dialoguing, directing, and detaching.
  • Effective balancing involved dialogue and directing (as a second choice), contingent on awareness and responsibility-taking.

Conclusions:

  • Nurses' ability to provide client-centered care is influenced by competing role perceptions.
  • Strategies like dialogue and direction are key to balancing responsibilities.
  • Recommendations include fostering professional autonomy, self-assertiveness, and organizational support for nurses.