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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
Univ Boras, Fac Caring Sci Work Life & Social Welf, SE-50190 Boras, Sweden..ORCID iD: 0000-0002-9194-3244
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0001-7839-7245
Univ Coll Southeast Norway, Fac Hlth Sci, Postbox 7053, N-3007 Drammen, Norway..
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2017 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 100, no 2, 276-282 p.Article 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. Vol. 100, no 2, 276-282 p.
Keyword [en]
Patient-provider communication, Concern, Cue, Home care, Nursing
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-35123DOI: 10.1016/j.pec.2016.09.009ISI: 000396886000013PubMedID: 27692492OAI: oai:DiVA.org:mdh-35123DiVA: diva2:1087287
Available from: 2017-04-06 Created: 2017-04-06 Last updated: 2017-04-06Bibliographically approved

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Sundler, Annelie JohanssonHoglander, JessicaHåkansson Eklund, JakobHolmström, Inger K.
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CiteExportLink to record
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Citation style
  • apa
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