scholarly journals Adaptations and inventions in the praxis of nurses in home care: implications of the reflective practice

2018 ◽  
Vol 22 (3) ◽  
Author(s):  
Angélica Mônica Andrade ◽  
Kênia Lara Silva
Keyword(s):  
Home Care ◽  
Critical Discourse Analysis ◽  
Participant Observation ◽  
Home Care Services ◽  
Theory And Practice ◽  
Care Services ◽  
Minas Gerais State ◽  
Dialectical Relationship ◽  
Relationship Of ◽  
At Home

Abstract Objective: To analyze the praxis of nurses at home, considering their power to invent new ways of producing care. Methods: This is a Unique Case Study, with a qualitative nature, anchored in the theoretical-methodological framework of dialectics. It was attended by 13 nurses working in home care services in Minas Gerais State. Data were obtained through participant observation and interview, and then submitted to Critical Discourse Analysis. Results: The praxis of the nurse at home is shaped by the relationship of interdependence between theory and practice and of a practice built through adaptations and inventions entailed by the specific context of Home Care, as well as by the space where care happens. Conclusions and implications for practice: Adaptations and inventions represent the sensible action of nurses expressed during practice, with a view to transforming a reality. Moreover, they have a dialectical relationship between lack of resource and accomplishment of care.

scholarly journals STANDARDS OF KNOWLEDGE THAT FOUND NURSING PERFORMANCE IN HOME CARE

2020 ◽  
Vol 29 ◽  
Author(s):  
Angélica Mônica Andrade ◽  
Patrícia Pinto Braga ◽  
Maria Ribeiro Lacerda ◽  
Elysangela Dittz Duarte ◽  
Laerte Honorato Borges Junior ◽  
...  
Keyword(s):  
Home Care ◽  
Critical Discourse Analysis ◽  
Participant Observation ◽  
Single Case ◽  
Home Care Services ◽  
Care Services ◽  
The Family ◽  
The Individual ◽  
Care Innovation

ABSTRACT Objective: to analyze the knowledge standards that found nursing practices in the home care setting. Method: qualitative study using a single case study strategy, supported by the dialectical methodological framework. Thirteen nurses who work in home care services from two municipalities in Minas Gerais, Brazil, participated. The data were obtained in 266.5 hours of participant observation and 8 hours and 58 minutes of interview and submitted to Critical Discourse Analysis. Results: empirical knowledge was revealed to be fundamental for clinical, managerial and educational care at home. The adaptations specific to this environment require aesthetic knowledge. The relational and educational actions, the decisions responsible for benefiting the individual and his family, the doubt and willingness to learn when dealing with unpredictable cases and the assessment of the socioeconomic conditions of the family, represent, respectively, personal, ethical, lack of knowledge and sociopolitical aspects present in the practice of nurses in home care. Conclusion: the particularities of home care trigger different patterns of knowledge to ensure creative, sensitive, human and responsible care. Innovation and availability to learn are part of nurses' performance in home care. The need for differentiated training is reinforced in order to respond to the increasing complexity in this field.

scholarly journals Relações de poder na atenção domiciliar: tensões e contradições entre profissionais, usuários e cuidadores

2018 ◽  
Vol 12 (4) ◽  
pp. 897 ◽  
Author(s):  
Yara Cardoso Silva ◽  
Kênia Lara Silva Lara Silva ◽  
Maria José Menezes Brito
Keyword(s):  
Discourse Analysis ◽  
Home Care ◽  
Social Control ◽  
Power Relations ◽  
Analytical Study ◽  
Home Care Services ◽  
Care Services ◽  
Care At Home ◽  
Relations Of Power ◽  
At Home

RESUMOObjetivo: analisar as relações de poder que se estabelecem nas práticas da Atenção Domiciliar. Método: estudo qualitativo, analítico, apoiado no referencial de poder foucaultiano, com dados obtidos por meio de 109 visitas às equipes de atenção domiciliar. Realizaram-se observações sobre a produção do cuidado; também, foram feitas entrevistas com cinco pacientes/cuidadores e dez profissionais. Os dados foram analisados na perspectiva da Análise de Discurso. Resultados indicam que as relações que atravessam a produção do cuidado no domicílio se caracterizam por envolvimento, empatia, vínculos e acolhimentos, mas, também, revelam a disciplinarização, o controle e a normatização que afetam o cuidado na atenção domiciliar. Conclusão: há momentos de produção e interdição do cuidado que compõem, simultaneamente, dois planos dos efeitos das relações de poder na atenção domiciliar. Descritores: Assistência Domiciliar; Serviços de Assistência Domiciliar; Poder (Psicologia).ABSTRACT Objective: to analyze the relations of power that are established in the practices of Home Care. Method: qualitative, analytical study, based on Foucauldian power referral, with data obtained through 109 visits to home care teams. Observations on the production of care were made; interviews were also conducted with Five patients / caregivers and ten professionals. The data was analyzed from the perspective of Discourse Analysis. Results indicate that the relationships that cross the production of care at home are characterized by involvement, empathy, bonds and welcoming, but also reveal the disciplinarization, control and standardization that affect care in the home. Conclusion: there are moments of production and interdiction of care that simultaneously compose two plans of the effects of power relations in home care. Descriptors: Home Care Services; Power (Psychology); Social Control; Informal. RESUMENObjetivo: analizar las relaciones de poder que se establecen en las prácticas de la Atención Domiciliaria. Método: estudio cualitativo, analítico, apoyado en el referencial de poder foucaultiano, con datos obtenidos por medio de 109 visitas a los equipos de atención domiciliaria. Realiz observaciones sobre la producción del cuidado; también, se realizaron entrevistas con cinco pacientes / cuidadores y diez profesionales. Los datos fueron analizados en la perspectiva del Análisis de Discurso. Resultados: indican que las relaciones que atraviesan la producción del cuidado en el domicilio se caracterizan por involucración, empatía, vínculos y acogidas, pero, también, revelan la disciplinarización, el control y la normatización que afectan el cuidado en la atención domiciliaria. Conclusión: hay momentos de producción e interdicción del cuidado que componen simultáneamente dos planes de los efectos de las relaciones de poder en la atención domiciliaria. Descriptores: Servicios de Atención Domiciliaria; Poder (Psicología); Controles Informales de la Sociedad.

Current status of hospice cancer deaths both in-unit and at home (1995–2000), and prospects of home care services in Japan

2002 ◽  
Vol 16 (3) ◽  
pp. 179-184 ◽  
Author(s):  
E Ida ◽  
M Miyachi ◽  
M Uemura ◽  
M Osakama ◽  
T Tajitsu
Keyword(s):  
Home Care ◽  
Home Care Services ◽  
Current Status ◽  
Care Services ◽  
At Home

scholarly journals Thriving among older people living at home with home care services—A cross‐sectional study

2020 ◽  
Vol 76 (4) ◽  
pp. 999-1008 ◽  
Author(s):  
Kristina Lämås ◽  
Karin Bölenius ◽  
Per‐Olof Sandman ◽  
Ådel Bergland ◽  
Marie Lindkvist ◽  
...  
Keyword(s):  
Home Care ◽  
Older People ◽  
Home Care Services ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
At Home

Preplanned participation of paramedics in end-of-life care at home: A retrospective cohort study

2020 ◽  
pp. 026921632098171
Author(s):  
Leena K Surakka ◽  
Minna M Peake ◽  
Minna M Kiljunen ◽  
Pekka Mäntyselkä ◽  
Juho T Lehto
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Home Care Services ◽  
Life Care ◽  
Care Services ◽  
Care At Home ◽  
Care Ward ◽  
At Home

Background: Paramedics commonly face acute crises of patients in palliative care, but their involvement in end-of-life care is not planned systematically. Aim: To evaluate a protocol for end-of-life care at home including pre-planned integration of paramedics and end-of-life care wards. Design: Paramedic visits to patients in end-of-life care protocol were retrospectively studied. Setting/Participants: All of the patients who had registered for the protocol between 1 March 2015 and 28 February 2017 in North Karelia, Finland, were included in this study. Results: A total of 256 patients were registered for the protocol and 306 visits by paramedic were needed. A need for symptom control (38%) and transportation (29%) were the most common reasons for a visit. Paramedics visited 43% and 70% of the patients in areas with and without 24/7 palliative home care services, respectively ( p < 0.001); while 58% of all the visits were done outside of office hours. Problems were resolved at home in 31% of the visits. The patient was transferred to a pre-planned end-of-life care ward and to an emergency department in 48% and 16% of the cases, respectively. More patients died in end-of-life care wards in areas without (54%) than with (33%) 24/7 home care services ( p = 0.001). Conclusions: Integration of paramedics into end-of-life care at home is reasonable especially in rural areas without 24/7 palliative care services and outside of office hours. The majority of patients can be managed at home or with the help of an end-of-life care ward without an emergency visit.

scholarly journals ‘Doing with …’ rather than ‘doing for …’ older adults: rationale and content of the ‘Stay Active at Home’ programme

2017 ◽  
Vol 31 (11) ◽  
pp. 1419-1430 ◽  
Author(s):  
Silke F Metzelthin ◽  
Gertrud AR Zijlstra ◽  
Erik van Rossum ◽  
Janneke M de Man-van Ginkel ◽  
Barbara Resnick ◽  
...  
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Behavioural Change ◽  
Home Care Services ◽  
Training Programme ◽  
Community Dwelling ◽  
Care Services ◽  
Day Services ◽  
Domestic Support ◽  
At Home

Background: Owing to increasing age, accidents or periods of illness, home care services are provided to community-dwelling older adults. Traditionally, these services focus on doing things for older adults rather than with them; though from a rehabilitative perspective, it is important to assist older adults to attain and maintain their highest level of functioning. Consequently, a re-orientation of home care services is required away from treating disease and creating dependency towards focusing on capabilities and opportunities and maximising independence. To achieve this behavioural change in home care professionals, the ‘Stay Active at Home’ programme was developed. Aims and methods: The aim of this article is to give a detailed description of the rationale and content of the ‘Stay Active at Home’ programme by making use of the TIDieR (Template for Intervention Description and Replication) Checklist. Approach: ‘Stay Active at Home’ is a comprehensive training programme that aims to equip home care professionals (i.e. community nurses and domestic support workers) with the necessary knowledge, attitude, skills and social and organisational support to deliver day-to-day services at home from a more rehabilitative perspective. More specifically, home care professionals are expected to deliver goal-oriented, holistic and person-centred services focusing on supporting older adults to maintain, gain or restore their competences to engage in physical and daily activities so that they can manage their everyday life as independently as possible.

scholarly journals Geriatric Patients' Influenza and Pneumococcal Vaccination Status Registered at Home Care Services and the Effect of Physician's Advice

2018 ◽  
Author(s):  
Tuğba Yılmaz ◽  
Tarık Eren Yılmaz ◽  
Şükran Ceyhan ◽  
İsmail Kasım ◽  
Abdülkadir Kaya ◽  
...  
Keyword(s):  
Home Care ◽  
Geriatric Patients ◽  
Pneumococcal Vaccination ◽  
Home Care Services ◽  
Vaccination Status ◽  
Care Services ◽  
At Home
Sign in / Sign up

Export Citation Format

Share Document