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The establishment of a shared care plan as it is experienced by elderly people and their next of kin : A qualitative study

Kristensson, Jimmie LU ; Andersson, Magdalena LU and Condelius, Anna LU (2018) In Archives of Gerontology and Geriatrics 79. p.131-136
Abstract

One strategy to achieve coordination of care for older people with complex care needs is the establishment of shared care plans. The aim of this study was to explore the process of establishing a shared care plan from the perspective of elderly people and their next of kin. Data were collected via 12 semi-structured interviews with 12 older persons targeted in joint care planning and 11 next of kin, either alone or together. The analysis was conducted using content analysis. The results reflect the process of establishing a shared care plan in the three categories; Preparation, Content and Results with belonging sub-categories. Preparation showed that the possibility to influence the preparation of the joint care plan meeting was... (More)

One strategy to achieve coordination of care for older people with complex care needs is the establishment of shared care plans. The aim of this study was to explore the process of establishing a shared care plan from the perspective of elderly people and their next of kin. Data were collected via 12 semi-structured interviews with 12 older persons targeted in joint care planning and 11 next of kin, either alone or together. The analysis was conducted using content analysis. The results reflect the process of establishing a shared care plan in the three categories; Preparation, Content and Results with belonging sub-categories. Preparation showed that the possibility to influence the preparation of the joint care plan meeting was sometimes limited and the purpose was not always clear. The Content category showed that the meeting was sometimes experienced as an unstructured, general conversation or focused on practical matters. And Results of the process were shown to be successful in terms of having positive effects or fulfilling needs, but also sometimes as being pointless. Thus, the results show that the process of establishing a shared care plan is somewhat unclear to the older person and their next of kin and that they are rarely involved in the decisions regarding when and if a shared care plan is needed. If joint care planning is expected to serve as a tool to accomplish a more person-centred care, then the person must be regarded as an equal partner all throughout the decision-making and planning process.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Aged, Care planning, Inter-professional relations, Next of kin, Qualitative research
in
Archives of Gerontology and Geriatrics
volume
79
pages
6 pages
publisher
Elsevier
external identifiers
  • scopus:85053064359
  • pmid:30212660
ISSN
0167-4943
DOI
10.1016/j.archger.2018.08.013
language
English
LU publication?
yes
id
0d5cfa53-d67a-4bfc-a237-5a7ff5713d11
date added to LUP
2018-10-09 08:03:39
date last changed
2024-06-10 19:07:50
@article{0d5cfa53-d67a-4bfc-a237-5a7ff5713d11,
  abstract     = {{<p>One strategy to achieve coordination of care for older people with complex care needs is the establishment of shared care plans. The aim of this study was to explore the process of establishing a shared care plan from the perspective of elderly people and their next of kin. Data were collected via 12 semi-structured interviews with 12 older persons targeted in joint care planning and 11 next of kin, either alone or together. The analysis was conducted using content analysis. The results reflect the process of establishing a shared care plan in the three categories; Preparation, Content and Results with belonging sub-categories. Preparation showed that the possibility to influence the preparation of the joint care plan meeting was sometimes limited and the purpose was not always clear. The Content category showed that the meeting was sometimes experienced as an unstructured, general conversation or focused on practical matters. And Results of the process were shown to be successful in terms of having positive effects or fulfilling needs, but also sometimes as being pointless. Thus, the results show that the process of establishing a shared care plan is somewhat unclear to the older person and their next of kin and that they are rarely involved in the decisions regarding when and if a shared care plan is needed. If joint care planning is expected to serve as a tool to accomplish a more person-centred care, then the person must be regarded as an equal partner all throughout the decision-making and planning process.</p>}},
  author       = {{Kristensson, Jimmie and Andersson, Magdalena and Condelius, Anna}},
  issn         = {{0167-4943}},
  keywords     = {{Aged; Care planning; Inter-professional relations; Next of kin; Qualitative research}},
  language     = {{eng}},
  pages        = {{131--136}},
  publisher    = {{Elsevier}},
  series       = {{Archives of Gerontology and Geriatrics}},
  title        = {{The establishment of a shared care plan as it is experienced by elderly people and their next of kin : A qualitative study}},
  url          = {{http://dx.doi.org/10.1016/j.archger.2018.08.013}},
  doi          = {{10.1016/j.archger.2018.08.013}},
  volume       = {{79}},
  year         = {{2018}},
}