Experiences of delivering reablement to home-dwelling older persons: an interview study of community-based nursing assistants

为居家老年人提供康复服务的经验:一项针对社区护理助理的访谈研究

阅读:1

Abstract

BACKGROUND: The proportion of people aged over 65 years continues to grow globally and new initiatives are needed to support older persons’ independence. Reablement is a relatively new approach for older persons with reduced ability to perform activities of daily living (ADL). Reablement aims to increase or maintain an individual’s independence in meaningful ADL. In many Western countries nursing assistants are members of interdisciplinary teams delivering reablement in community settings. Nursing assistants’ role in reablement is new and knowledge about their experiences is needed. This study aimed to explore community-based nursing assistants’ experiences of delivering reablement to home-dwelling older persons in a Danish setting. METHODS: This is a study of nursing assistants’ experiences of delivering reablement in a Danish municipality based on an inductive approach. Individual interviewing was conducted based on a semi-structured interview guide. Data were analysed using systematic text analysis. RESULTS: Ten interviews lasting 30 to 55 min were conducted from April to December 2022. Four categories emerged from the interviews: (1) The importance of small changes in functional ability, (2) Motivational skills and identification of reablement potential, (3) Systematic recording of activities in the medical record, and (4) Interdisciplinary meetings. CONCLUSIONS: Nursing assistants’ participation in interdisciplinary meetings and systematic recording of activities in the medical record support cooperation and alignment of strategies in the nursing assistants’ delivery of reablement activities to home-dwelling older persons. The nursing assistants’ motivational skills and attention to small changes in functional ability seams to lead to perceived improvements in home-dwelling older persons’ independence. The older persons’ expectations of home care influence the nursing assistant’s possibilities for succeeding with reablement. TRIAL REGISTRATION: The study is not registered in a trial registry. The North Denmark Ethics Committee has stated that their approval was not needed (registration number: 2021 − 000438). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-026-07326-9.

特别声明

1、本页面内容包含部分的内容是基于公开信息的合理引用;引用内容仅为补充信息,不代表本站立场。

2、若认为本页面引用内容涉及侵权,请及时与本站联系,我们将第一时间处理。

3、其他媒体/个人如需使用本页面原创内容,需注明“来源:[生知库]”并获得授权;使用引用内容的,需自行联系原作者获得许可。

4、投稿及合作请联系:info@biocloudy.com。