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Background: Home‐living older people with multiple medications are a key target group for medication robots. However, our understanding of how robots for medicines management work in older people's daily lives is limited. Aim: The aim of this study was to describe older home care clients' experiences of the implementation and use of a robot for medicines management at home. Design: A qualitative interview study. Methods: Data were collected during spring and autumn 2021 using semi‐structured individual interviews with older home care clients (n = 38). The data were analysed using inductive content analysis. Results: The older home care clients had positive experiences with the use of technology for the medication process, but they also faced challenges in their daily life activities. Implementation and use of the robot required open‐mindedness, satisfaction with the implementation, and the opportunity to practice the use of the robot with a nurse. However, the current design and size of the robot for medicines management in home care still need development, given that our research participants did not feel included in the robot development process. Conclusion: The use of digital solutions will increase older people's home care. Therefore, there is a need to deepen our understanding of the implementation and use of digital solutions to prevent digital challenges and to provide a more comprehensive picture of this phenomenon. In addition, research focusing on whether the use of the robot affects medication administration incidents and medication adherence should be conducted to improve the safety of medicines management. [ABSTRACT FROM AUTHOR]

Background and Rationale: Comprehensive care and service planning in home care is tailored to older people's individual needs and resources in order to support them living at home. However, little is known about how these individual resources and home‐care‐specific tasks are recognised in older people's care and service plans. Aims: To describe the content of care and service plans in older people's home care with special attention to their individual resources and home‐care‐specific tasks. Design: This was a document‐based cross‐sectional study with mixed‐methods analysis, carried out in Eastern Finland during Spring 2018. Methods: A document analysis using the deductive Finnish Care Classification (FinCC), and an inductively developed framework of older people's care and service plans (n = 71). The data were analysed with descriptive statistical methods. Results: Altogether, 1718 notes were relevant to the FinCC main categories: 707 (41%) focused on older people's needs and 1011 (59%) on nursing interventions. We identified 1104 notes based on the 26 inductively developed main categories: the majority (n = 628, 57%) focused on individual resources and the remainder (n = 476, 43%) on home‐care‐specific tasks. Increasing age resulted in fewer notes on safety and sensory functions. There were fewer notes on resources related to sleeping and wakefulness after longer care and service periods. An increased number of home visits resulted in more documentation on tasks related to pharmaceutical issues, including repeat prescriptions. Discussion Individual resources for older people were documented, to some extent, in their care and service plans. It is necessary to review these alongside home‐care‐specific tasks that support older people's independence and safety at home. Conclusion: Individual resources need to be recognised in order to enable home‐care professionals to provide tailored, high‐quality home care services. Home‐care‐specific tasks should be supported by documentation with updated, sensitive home care classifications. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to describe family caregivers of older people's experiences of participatory art interventions, including music, dance and visual arts. Design: A descriptive qualitative study. Methods: Thematic interviews were conducted with 12 family caregivers. Qualitative data were analysed with thematic analysis. Results: The results illustrated the meaning of art groups, which included a shared feeling of togetherness, empowering and activating peer support and a sense of communality. Art groups also represented a hobby, enhancing caregivers' social and mental well‐being. The art groups could be described as an art‐driven, participatory shared experience. Participatory arts are noteworthy contributors to the well‐being of family caregivers and care recipients, especially from peer support and communality. Further research is needed to find out about participants' preferred art‐based activities and their impact on their well‐being. No patient or public contribution because of inflexibility in the timing of engagement. [ABSTRACT FROM AUTHOR]

Aim: To describe home care professionals' individual experiences of the implementation, use and competence needs of a robot for medication management in older people's home care. Design: A qualitative focus group interview study. Methods: Data were collected during spring and autumn 2021 by semi‐structured focus group interviews and analysed using inductive content analysis. The participants were 62 home care professionals working in older people's home care. Results: The successful implementation and use of the robot for medication management consisted of a timely and adequate introduction before the implementation of the robot, the fluent usability of the robot in daily work, and confidence in work competence. There is a need for the reorganization of home care professionals' use of digital solutions to make workflow fluent, prevent burnout and turnover among home care professionals. Professionals' competence should also be developed to ensure that it corresponds to digitalized healthcare. Patient and Public Contributions: No patient or public contribution. [ABSTRACT FROM AUTHOR]

Home‐care professionals need competences to ensure that they evaluate their older peoples' health conditions, especially in acute care situations. This study aims to investigate the effectiveness of combined web‐based and simulation‐based continuing education on home‐care professionals' competence regarding evaluating older people's needs for acute care. A quasi‐experimental pre‐test–post‐test study was conducted with home‐care professionals who were working in older people's care in Finland. Home‐care professionals (N = 254) had participated in combined web‐based and simulation‐based continuing education in 2017–2019. Data were collected using a questionnaire developed for this study before (n = 171) and after (n = 83) the education. The data were analysed statistically. The mean competence score was 3.22 ± 0.51 before the education and 3.92 ± 0.57 after the education. Improvements were detected in overall competence and in all eight subscales. Improvements were highest in health assessment and consultation and the lowest in type 2 diabetes, but this was already the highest level of self‐assessed competence in the pre‐test assessment. The combined web‐based and simulation‐based continuing education was effective in increasing the home‐care professionals' competence in evaluating older people's needs for acute care. Evaluating older people's needs for acute care should be embedded in curricula and continuing education programmes. [ABSTRACT FROM AUTHOR]

The global population is ageing and many older people want to continue to live in their own homes, supported by home‐care services. The basis for comprehensive care is real‐time care and service plans, but more knowledge is needed about these plans to ensure that older people benefit from individual and comprehensive home care. Our aim was to describe the contents of older home‐care clients' care and service plans by using the Finnish Care Classification (FinCC), version 3.0, which includes the Finnish classification of nursing diagnoses (FiCND) and the Finnish classification of nursing interventions (FiCNI). The data were collected during spring 2018 from 71 anonymised care and service plans provided by 47 registered and practical nurses who worked for one government‐funded home‐care organisation in an urban region of Finland. We analysed the data using descriptive statistical methods. The documentation focused on daily activities, but was based on a narrow view of individual needs and comprehensive care planning. In addition, we found a statistically significant association between documented clients' needs (FiCND) and nursing interventions (FiCNI) in secretions, fluid balance, respiration and skin integrity. The client's age, gender, how long they had been receiving home care and the number of home visits they received each week were all associated with certain documented needs and interventions. Our findings provide new knowledge about inconsistent documentation related to clients' needs and nursing interventions. Collaboration between technical and home‐care professionals is needed to develop and test specific content in the FinCC related to home care. The contents should also take into account the views of older people on how they want their care and services needs to be planned and delivered so that they can lead independent and fulfilling lives. [ABSTRACT FROM AUTHOR]