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Are comprehensive and individually designed care and service plans for older people's home care a vision or a reality in Finland?
- Source :
- Health & Social Care in the Community; Sep2021, Vol. 29 Issue 5, pe144-e152, 9p, 4 Charts
- Publication Year :
- 2021
-
Abstract
- 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]
- Subjects :
- MEDICAL quality control
HOME nursing
STATISTICS
HEALTH services accessibility
NURSING
PROFESSIONS
CONFIDENCE intervals
HOME care services
NURSING care plans
AGE distribution
PATIENT selection
CROSS-sectional method
RESEARCH methodology
ACTIVITIES of daily living
QUANTITATIVE research
RETROSPECTIVE studies
INTERVIEWING
FISHER exact test
SEX distribution
DOCUMENTATION
PATIENTS' attitudes
QUALITATIVE research
RESEARCH funding
DESCRIPTIVE statistics
ELIGIBILITY (Social aspects)
CHI-squared test
GERIATRIC nursing
METROPOLITAN areas
DATA analysis software
STATISTICAL correlation
DATA analysis
LOGISTIC regression analysis
ODDS ratio
ELDER care
NURSING diagnosis
NURSING interventions
MEDICAL needs assessment
PATIENT safety
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 29
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 152165275
- Full Text :
- https://doi.org/10.1111/hsc.13255