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Risks as dilemmas for home care staff caring for persons with dementia
Linda Sandberg1, Lena Borell1, Lena Rosenberg1
1Department of Neurobiology, Care Sciences and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.
Home care staff face dilemmas when identifying and managing risks for persons with dementia, balancing safety with autonomy. Effective risk management requires skilled staff and supportive organizational conditions.
Area of Science:
- Gerontology
- Nursing
- Healthcare Management
Background:
- Many individuals with dementia receive home care services.
- Limited research exists on how home care staff perceive and manage daily life risks for dementia patients.
Purpose of the Study:
- To explore how home care staff identify risks in the daily lives of persons with dementia.
- To understand home care staff's reasoning regarding their actions in response to identified risks.
Main Methods:
- Qualitative approach utilizing individual interviews and focus groups.
- Involved 23 home care staff members.
- Data analyzed using a constant comparative method.
Main Results:
- Home care staff encountered dilemmas in identifying, reasoning about, and acting on risks.
- Dilemmas included risk tracking strategies, deciding when to intervene, and actions taken.
- Staff balanced risk and safety concerns against the autonomy of persons with dementia.
Conclusions:
- The study highlights the complex dilemmas faced by home care staff in managing risks for dementia patients.
- Emphasizes the need for competent home care staff and supportive organizational structures.
- Findings underscore the importance of balancing safety with the autonomy of individuals with dementia.
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