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Höglander, Jessica
Publications (2 of 2) Show all publications
Sundler, A. J., Höglander, J., Håkansson Eklund, J., Eide, H. & Holmström, I. K. (2017). Older persons' expressions of emotional cues and concerns during home care visits. Application of the Verona coding definitions of emotional sequences (VR-CoDES) in home care. Patient Education and Counseling, 100(2), 276-282
Open this publication in new window or tab >>Older persons' expressions of emotional cues and concerns during home care visits. Application of the Verona coding definitions of emotional sequences (VR-CoDES) in home care
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2017 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 100, no 2, p. 276-282Article in journal (Refereed) Published
Abstract [en]

Objective: This study aims to a) explore to what extent older persons express emotional cues and concerns during home care visits; b) describe what cues and concerns these older persons expressed, and c) explore who initiated these cues and concerns. Methods: A descriptive and cross-sectional study was conducted. Data consisted of 188 audio recorded home care visits with older persons and registered nurses or nurse assistants, coded with the Verona coding definitions on emotional sequences (VR-CoDES). Results: Emotional expressions of cues and concerns occurred in 95 (51%) of the 188 recorded home care visits. Most frequent were implicit expressions of cues (n = 292) rather than explicit concerns (n = 24). Utterances with hints to hidden concerns (63,9%, n = 202) were most prevalent, followed by vague or unspecific expressions of emotional worries (15,8%, n = 50). Most of these were elicited by the nursing staff (63%, n = 200). Conclusion: Emotional needs expressed by the older persons receiving home care were mainly communicated implicitly. To be attentive to such vaguely expressed emotions may demand nursing staff to be sensitive and open. Practice implications: The VR-CoDES can be applied on audio recorded home care visits to analyse verbal and emotional communication, and may allow comparative research. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD, 2017
Keywords
Patient-provider communication, Concern, Cue, Home care, Nursing
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-35123 (URN)10.1016/j.pec.2016.09.009 (DOI)000396886000013 ()27692492 (PubMedID)2-s2.0-84999029525 (Scopus ID)
Available from: 2017-04-06 Created: 2017-04-06 Last updated: 2018-12-05Bibliographically approved
Höglander, J., Håkansson Eklund, J., Eide, H., Holmström, I. K. & Sundler, A. J. (2017). Registered Nurses' and nurse assistants' responses to older persons' expressions of emotional needs in home care. Journal of Advanced Nursing, 73(12), 2923-2932
Open this publication in new window or tab >>Registered Nurses' and nurse assistants' responses to older persons' expressions of emotional needs in home care
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2017 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 12, p. 2923-2932Article in journal (Refereed) Published
Abstract [en]

Aim: This study aims to explore nurse assistants' and Registered Nurses' responses to older persons' expressions of emotional needs during home care visits. Background: Communication is a central aspect of care. Older persons might express different emotions and needs during home care visits and such expressions can be challenging to respond to. Little is known about communication in home care or nursing staff responses to older persons' expressed emotional needs. Design: Descriptive, cross-sectional design on nursing staff responses to older persons' negative emotions in home care. Methods: Collected data consisted of audio recordings of home care visits between older persons and nursing staff. Data were collected between August 2014-November 2015. The nursing staff responses to older persons' negative emotions in the communication were analysed with the Verona Coding Definitions of Emotional Sequences (VR-CoDES). Results: The nursing staff most often give non-explicit responses, providing space for further disclosure of older persons' expressed negative emotions. Such responses were more frequent if the nursing staff had elicited the older persons' expressions of a negative emotion than if such expressions were elicited by the older persons themselves. Most frequent types of responses were backchannel, active invitation or information advice. Conclusion: The nursing staff responses were mainly non-explicit responses providing space for older persons to tell more about their experiences. Such responses can be discussed in terms of person-centred communication and is important for the comfort of emotional concerns.

Place, publisher, year, edition, pages
WILEY, 2017
Keywords
communication, emotions, home care, nursing, nursing staff, older persons, person-centred, responses, VR-CoDES
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-37619 (URN)10.1111/jan.13356 (DOI)000418365200014 ()28586520 (PubMedID)2-s2.0-85021736037 (Scopus ID)
Available from: 2018-01-05 Created: 2018-01-05 Last updated: 2018-01-23Bibliographically approved
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