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Working with short-term goal-directed reablement with older adults: strengthened by a collaborative approach
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (CAREH)ORCID iD: 0000-0001-5670-6908
Mälardalen University, School of Health, Care and Social Welfare. (WELFARE & CAREH)ORCID iD: 0000-0002-5711-2391
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (PriLiv & BeMe)ORCID iD: 0000-0002-1587-2835
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (BEME)ORCID iD: 0000-0002-5098-8489
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2019 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 4, p. 178-185Article in journal (Refereed) Published
Abstract [en]

The increased number of older adults who experience longevity requires increased investment in healthcare services. Short-term goal-directed reablement is expected to strengthen the functional capacity and quality of life of older adults, while homecare hours, and thus municipal expenditures, decrease. Facilitation of successful interprofessional collaboration includes not only enhancing coordination structurally, but also establishing a commitment regarding culture that overcomes professionally differentiated attitudes. Nurses have an obvious role in these multi-professional teams and the study explores some aspects' of working in this type of collaboration. The aim was to illuminate the meaning of working with short-term goal-directed reablement of older adults as experienced by an interprofessional team. Data were collected after an intervention with goal-directed time-limited reablement of older people. Written narratives from an interprofessional team were analyzed using a phenomenological-hermeneutic approach. Findings identified four major thematic structures that characterized the meaning: 1) Reliable relationship; including the aspects ‘Confidence between the older adult and staff’, ‘A sense of security’ and ‘Continuity’, 2) Empowered participation, including the following aspects: ‘Listen to the older adult’s desires’ and ‘Put the person in control’, 3) Team with a negotiated approach, including the aspects: ‘Closeness’, ‘Same direction and overarching goal’, ‘Learning from interprofessional dialogue’, 4) Time for growth with the aspects ‘Creating harmony’ and ‘Building the older adult’s self-confidence’. The process of reablement seemed strengthened by the collaborative approach of different professions and their combined efforts. The present study argues that teamwork gives confidence both in terms of general knowledge of reablement but also specific confidence in one’s profession.

Place, publisher, year, edition, pages
2019. Vol. 39, no 4, p. 178-185
National Category
Medical and Health Sciences Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-45848DOI: 10.1177/2057158519850974OAI: oai:DiVA.org:mdh-45848DiVA, id: diva2:1365620
Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2019-12-09Bibliographically approved

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Gustafsson, Lena-KarinZander, ViktoriaElfström, Magnus L.Östlund, Gunnel

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Gustafsson, Lena-KarinAnbäcken, Els-MarieZander, ViktoriaElfström, Magnus L.Östlund, Gunnel
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Health and WelfareSchool of Health, Care and Social Welfare
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Nordic journal of nursing research
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