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Glob Qual Nurs Res. 2019 Oct 22;6:2333393619881636. doi: 10.1177/2333393619881636. eCollection 2019 Jan-Dec.

Enabling At-Homeness for Older People With Life-Limiting Conditions: A Participant Observation Study From Nursing Homes.

Author information

1
University of Borås, Borås, Sweden.
2
Karolinska Institutet, Stockholm, Sweden.
3
Karolinska University Hospital, Sweden.
4
Ersta Sköndal Bräcke University College, Stockholm, Sweden.
5
University of Gothenburg, Gothenburg, Sweden.

Abstract

At-homeness, as an aspect of well-being, can be experienced despite living with life-limiting conditions and needs for a palliative approach to care. In nursing homes, older residents with life-limiting conditions face losses and changes which could influence their experience of at-homeness. The aim of this study was to explore how nursing staff enable at-homeness for residents with life-limiting conditions. Interpretive description was employed as the design using data from participant observations and formal and informal interviews related to nursing care situations. The strategies found to be used to enable at-homeness comprising nursing staff presenting themselves as reliable, respecting the resident's integrity, being responsive to the resident's needs, collaborating with the resident in decision-making, and through nurturing comforting relationships. The result on how to enable at-homeness could be used as strategies for a person-centered palliative approach in the care for residents in nursing homes.

KEYWORDS:

at-homeness; care relationships; nursing home; nursing staff; older people; palliative care; participant observation; person-centeredness

Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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