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Attributes of person-centred communication: A qualitative exploration of communication with older persons in home health care
University of Borås, Borås, Sweden.ORCID iD: 0000-0002-9194-3244
Marks municipality, Mark, Sweden.
Jönköping municipality, Jönköping, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0002-4302-5529
2020 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 15, no 1, article id e12284Article in journal (Refereed) Published
Abstract [en]

Background: Previous research points to challenges related to the home healthcare of older persons and to the complexity of communication. Although person-centred care has been advocated widely, there remains a need for in-depth knowledge on how to enable person-centred and supportive communication in the care of older persons. Aim: The aim of this study was to explore attributes of person-centred communication between nurses and older persons being cared for in their home. Methods: A descriptive study with a qualitative approach was conducted. A data set from the COMHOME-study consisting of 77 audio-recorded home healthcare visits between registered nurses and older persons was analysed with a method for qualitative thematic analysis. Results: The findings indicate that the attributes of person-centred communication comprise recognising, inviting and involving older persons. To facilitate this form of communication, attentiveness and responsiveness on the part of RNs seemed significant. Person-centred communication was facilitated when the RNs used verbal expressions to emphasise and acknowledge the older persons’ views and were attentive to their emotions and expressions. Conclusion: The nurses’ attentiveness and responsiveness seems important for person-centred communication with older persons. Communication skills are needed to recognise, invite and involve older persons in their care and to support their health and well-being. Implication for practice The importance of communication which facilitate a person-centred approach by nurses should be acknowledged when caring for older persons and included in education and training.

Place, publisher, year, edition, pages
Wiley-Blackwell , 2020. Vol. 15, no 1, article id e12284
Keywords [en]
communication, home healthcare, nursing, older persons, person-centred, qualitative, aged, article, attention, care behavior, communication skill, education, female, home care, human, human experiment, male, registered nurse, thematic analysis, verbal behavior, wellbeing
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-47105DOI: 10.1111/opn.12284ISI: 000494120600001PubMedID: 31642182Scopus ID: 2-s2.0-85074600808OAI: oai:DiVA.org:mdh-47105DiVA, id: diva2:1395264
Available from: 2020-02-21 Created: 2020-02-21 Last updated: 2020-10-29Bibliographically approved

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Sundler, Annelie JohanssonHolmström, Inger

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