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Complexity and contradiction: home care in a multicultural area.
Carola Skott1, Solveig M Lundgren
1University of Gothenburg, SE-405 30 Göteborg, Sweden. carola.skott@gu.se
Nursing Inquiry
|August 20, 2009
Summary
Home-care nurses in multicultural Sweden navigate complex care spaces by acting as mediators. They create
Area of Science:
- Nursing
- Sociology
- Cultural Studies
Background:
- Multicultural areas present unique challenges for home-care nursing.
- Understanding nurses' lived experiences is crucial for improving care delivery.
Purpose of the Study:
- To explore the meaning of experience for home-care nurses in a multicultural Swedish setting.
- To identify how nurses perceive and manage complexities in their practice.
Main Methods:
- Qualitative study utilizing interviews and group discussions.
- Hermeneutical perspective for data interpretation.
- Involved a team of five home-care nurses.
Main Results:
- Nurses experience care within complex 'places' and 'spaces'.
- Diversity of perspectives in multicultural areas creates contradictions.
- Nurses act as mediators, creating a 'space of care' amidst organizational structures.
- An intermediary caring strategy is feasible when contradictions are acknowledged.
Conclusions:
- Home-care nurses in multicultural settings develop adaptive strategies to manage complex care environments.
- Acknowledging and mediating diverse perspectives is key to effective nursing practice.
- Organizational structures are often perceived as separate from direct care praxis.
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