Advanced

Caring for demented people in their homes or in sheltered accommodation as reflected on by home care staff during clinical supervision sessions.

Olsson, A and Rahm Hallberg, Ingalill LU (1998) In Journal of Advanced Nursing 2(27). p.241-252
Abstract
This study aimed to illuminate both the content of and the care given to demented people and the reflections of home care staff about it as revealed in two clinical group supervision sessions (n=36). Verbatim transcriptions were analysed using a phenomenological hermeneutic approach and the following were found to be reflected on: the pensioners' personal situation- disease-related behaviour, ADL-functions, social network and self-esteem; the pensioners' environment - their relationships to significant others, adequate level of housing/care, access to activities, and satisfactory personal space; pensioner/staff interaction - their relations to each other, the staffs' relation to the pensioners' family, and the balance between... (More)
This study aimed to illuminate both the content of and the care given to demented people and the reflections of home care staff about it as revealed in two clinical group supervision sessions (n=36). Verbatim transcriptions were analysed using a phenomenological hermeneutic approach and the following were found to be reflected on: the pensioners' personal situation- disease-related behaviour, ADL-functions, social network and self-esteem; the pensioners' environment - their relationships to significant others, adequate level of housing/care, access to activities, and satisfactory personal space; pensioner/staff interaction - their relations to each other, the staffs' relation to the pensioners' family, and the balance between reality-orientation vs. validation; the staff's situation- co-operation with other professionals, in primary health care, hospital, and within the social services; job satisfaction, lack of knowledge and sharing of knowledge, and lack of resources, especially time. The reasoning of the participants under supervision was found to be based on medical, historical, psychological, and environmental explanations, or personal beliefs. Feelings explored during supervision were directed towards the pensioners or the pensioners' families, towards themselves or towards the management. The findings were interpreted within a nursing model based on the four central concepts of nursing; person, environment, nursing intervention and health. The reasoning about nursing care revealed in the supervision sessions reflected a holistic approach and the relationship between the staff and the demented person stood out as central for care quality. Thus focusing on what promotes or, respectively, obstructs this relationship is likely to be one important focus in clinical supervision not only to achieve improvement and high quality in home care but also to develop and enhance the quality of the working life of the staff. Since the results could be understood within a theoretical nursing care model, it may well be that if the supervisor functions within some theoretical model the participants may reach a more conscious approach and the risk of losing important aspects of caring will decrease. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
community care, dementia, home helpers, learning, strain, supervision
in
Journal of Advanced Nursing
volume
2
issue
27
pages
241 - 252
publisher
Wiley-Blackwell
external identifiers
  • scopus:0031989195
ISSN
0309-2402
DOI
10.1046/j.1365-2648.1998.00515.x
language
English
LU publication?
yes
id
0bf3f667-2da6-4ad0-b7d3-94c521afb815 (old id 1113578)
date added to LUP
2008-07-15 12:46:31
date last changed
2017-07-30 03:33:41
@article{0bf3f667-2da6-4ad0-b7d3-94c521afb815,
  abstract     = {This study aimed to illuminate both the content of and the care given to demented people and the reflections of home care staff about it as revealed in two clinical group supervision sessions (n=36). Verbatim transcriptions were analysed using a phenomenological hermeneutic approach and the following were found to be reflected on: the pensioners' personal situation- disease-related behaviour, ADL-functions, social network and self-esteem; the pensioners' environment - their relationships to significant others, adequate level of housing/care, access to activities, and satisfactory personal space; pensioner/staff interaction - their relations to each other, the staffs' relation to the pensioners' family, and the balance between reality-orientation vs. validation; the staff's situation- co-operation with other professionals, in primary health care, hospital, and within the social services; job satisfaction, lack of knowledge and sharing of knowledge, and lack of resources, especially time. The reasoning of the participants under supervision was found to be based on medical, historical, psychological, and environmental explanations, or personal beliefs. Feelings explored during supervision were directed towards the pensioners or the pensioners' families, towards themselves or towards the management. The findings were interpreted within a nursing model based on the four central concepts of nursing; person, environment, nursing intervention and health. The reasoning about nursing care revealed in the supervision sessions reflected a holistic approach and the relationship between the staff and the demented person stood out as central for care quality. Thus focusing on what promotes or, respectively, obstructs this relationship is likely to be one important focus in clinical supervision not only to achieve improvement and high quality in home care but also to develop and enhance the quality of the working life of the staff. Since the results could be understood within a theoretical nursing care model, it may well be that if the supervisor functions within some theoretical model the participants may reach a more conscious approach and the risk of losing important aspects of caring will decrease.},
  author       = {Olsson, A and Rahm Hallberg, Ingalill},
  issn         = {0309-2402},
  keyword      = {community care,dementia,home helpers,learning,strain,supervision},
  language     = {eng},
  number       = {27},
  pages        = {241--252},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Advanced Nursing},
  title        = {Caring for demented people in their homes or in sheltered accommodation as reflected on by home care staff during clinical supervision sessions.},
  url          = {http://dx.doi.org/10.1046/j.1365-2648.1998.00515.x},
  volume       = {2},
  year         = {1998},
}