A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model
| Autor: | Lindsay Klea, Darly Dash, Connie Schumacher, Fabrice Mowbray, Andrew P. Costa |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
genetic structures
Psychological intervention Nursing Home care 03 medical and health sciences 0302 clinical medicine Medical advice Intervention (counseling) Self-management Medicine Humans 030212 general & internal medicine Qualitative Research Ontario British Columbia business.industry Research RC952-954.6 030208 emergency & critical care medicine Home Care Services 3. Good health Model of care Therapeutic relationship Telephone interview Caregivers Geriatrics Emergency avoidance Geriatrics and Gerontology Thematic analysis Self-care business Qualitative research |
| Zdroj: | BMC Geriatrics, Vol 21, Iss 1, Pp 1-11 (2021) BMC Geriatrics |
| ISSN: | 1471-2318 |
| Popis: | Background Home care clients are typically older and have some degree of medical, physical, cognitive or social conditions that require formal or informal support to promote healthy aging in the community. Home care clients contribute a significant proportion of health service use, including emergency department visits. The DIVERT-CARE trial introduced a cardio-respiratory management model to improve client motivation, symptoms and rates of unwarranted health service use. Our objective was to explore the perceptions and experiences of individuals who participated in the DIVERT-CARE self-management support and education intervention. Methods A qualitative study was nested within a pragmatic randomized control trial and conducted following a 15-week multi-component cardio-respiratory intervention. A phenomenological descriptive design was employed using thematic analysis. Post-intervention, clients and their caregivers were invited to participate in a semi-structured telephone interview. Interview questions were designed to elicit the experience with the intervention components. Results A total of 29 interviews were completed from June 2018 to March 2020 from participants in Ontario, Newfoundland, and British Columbia. Three themes were identified; self-care trajectory and burden of responsibility, learning and behaviour change, and feeling connected pre-emptively to care providers, the information and medical advice, and connection through the therapeutic relationship. Conclusions Home care clients experience unique challenges in managing cardio-respiratory related chronic disease. Home-based interventions fostered a therapeutic relationship of connectedness while equipping clients with necessary knowledge and skills. These results inform recommendations for community nursing, and home-based self-management supports for older community-residing individuals. |
| Databáze: | OpenAIRE |
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