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Background: Reablement services aim at improving participation in everyday activities at home and in the local community for older adults, focusing on the older adults' resources and goal for participation. Reablement services have been implemented in a number of municipalities in Scandinavia. To our knowledge, there are a few studies focusing on home care service providers experience working within the frame of reablement., Aim: To provide knowledge regarding how home care service providers working with reablement in the home care setting describe their experiences., Methods: The study had a qualitative design and included five focus group discussions with 25 healthcare professionals working in community health care in two municipalities. The data were analysed using a grounded theory approach., Result: The analysis illustrated how the participants experienced both engagement and challenges working with reablement. This was identified by the two categories: creating sustainable change and negotiating the line between helping and enabling. The first described how increased focus on enabling participation among the service recipients created sustainable changes for the older adults and was considered a positive change for both the recipients and the health professionals. The latter showed how the participants found working with reablement as a process of negotiation. This was what the health professionals found most challenging with reablement., Conclusion: Working within the frame of reablement offered the service providers, a framework for being more flexible in meeting the fluctuating needs of the older adults. This was done by increasingly utilise ones' clinical skills and changing from providing passive care to working on increasing the older persons' participation in everyday activities. Working with reablement also created challenges. This was related to the health professionals perceived expectations of what some of the older adults expected home care to be and caused ambivalence., Implications for Practice: Nurses and healthcare workers should focus on older adults' resources and goals in order to give services that enhance participation in daily activities., (© 2019 The Authors. International Journal of Older People Nursing published by John Wiley & Sons Ltd.)

Background: The increasing number of older adults will put pressure on health care services in the community. It is thus critical to ensure that services promote healthy ageing and participation.The aim of the study was to explore service providers' perception and understanding of the conditions for participation among older adults who receive home-based care., Methods: The study design was a grounded theory, with six focus groups representing different parts of home-based care in two different municipalities. The data were analysed by a constant comparative method following the guidelines from grounded theory., Results: The findings showed how four different conditions influenced the opportunity for participation or could give a push towards passivity. Firstly, the timing of applications for services. Secondly, the older adults and their family's expectations about participation. Thirdly, external factors such as adequate housing and assistive devices. Finally, the service delivery per se could constitute a barrier for participation, because the services often focused on passive help and 'standard packages'., Conclusion: The findings show how factors at the system level, the execution of services and characteristics among older adults and their family may contribute to the individual service recipient being on the verge of being passive., (© 2012 Blackwell Publishing Ltd.)

Purpose: The purpose of this study was to provide knowledge about professional carers' subjective descriptions and understanding of older adults' participation in everyday life, when living in place and depending on home-based service delivery., Method: Thirty professionals from different organisational levels were selected, allowing for differences in ages, gender, length of working experience, and profession or education. Six focus group discussions were held. A grounded theory approach was used to analyse the data., Results: The core category was identified as 'participation in one's own life'. Two categories included the care providers' descriptions and understanding of participation in the life of older adults; 'carrying out tasks in everyday-life' and 'interaction during service delivery'. Participation as carrying out tasks was related to the contexts inside and outside the house. The professional carers' understandings of older adults' participation in interaction during service delivery included three categories; 'Being included and taking part in decision-making', 'socialising during service delivery' and 'collaboration in keeping up or regaining functions'., Conclusions: To promote participation for older adults living in place and in the context of service delivery, the findings suggest that the professional carers must extend their focus on participation as socialising and its significance for older adults. At a system level there is a need to focus on how the professional role in home-based service delivery can be adjusted and developed to promote collaboration about participation in older adults., (© 2011 Informa UK, Ltd.)