Between principles and pragmatism - primary healthcare and social services professionals' experiences and perceptions of self-care for older adults with home care: a qualitative study
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Summary
This summary is machine-generated.Healthcare and social services professionals find using Certificate for Self-Care with Support (CSS) for older adults complex. Clarifying roles and improving communication are crucial for effective, person-centered preventive self-care.
Area Of Science
- Gerontology
- Healthcare Management
- Social Work
Background
- Preventive self-care initiatives for older adults are vital for maintaining independence.
- Home care services often involve collaboration between healthcare and social services.
- The Certificate for Self-Care with Support (CSS) is a tool aimed at facilitating preventive self-care.
Purpose Of The Study
- To explore healthcare and social services professionals' experiences with the CSS process.
- To understand professionals' perceptions of using CSS for preventive self-care in older adults receiving home care.
- To examine collaborations between primary healthcare and social services within the CSS framework.
Main Methods
- Inductive qualitative study design.
- Seven focus group interviews were conducted.
- Reflexive thematic analysis was employed for data analysis.
Main Results
- Five interconnected themes emerged: interpretable guidelines, practical challenges in supporting self-care, professional trust, responsibility transfer, and communication.
- An overarching theme of 'Principles or pragmatism for safe person-centered care' highlighted conflicting perspectives on adhering to guidelines versus pragmatic approaches.
- Professionals aim for safe, individualized care but face challenges in resource allocation and differing viewpoints on process adherence.
Conclusions
- Structures are needed to support safe self-care for frail older adults requiring home care.
- Clearer demarcation of responsibilities between organizations is essential for person-centered support.
- Comprehensible guidelines and effective communication channels are critical to ensure all perspectives, especially the patient's, are considered.
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