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Promoting the empowerment and emancipation of community-dwelling older adults with chronic multimorbidity through a home visiting programme: a hermeneutical study.
- Source :
- BMC Nursing; 6/28/2024, Vol. 23 Issue 1, p1-13, 13p
- Publication Year :
- 2024
-
Abstract
- Introduction: Nurse-led preventive home visiting programmes can improve health-related outcomes in community-dwelling older adults, but they have not proven to be cost-effective. Home visiting programmes led by nursing students could be a viable alternative. However, we do not know how community-dwelling older adults with chronic multimorbidity experience home visiting programmes in which nursing students carry out health promotion activities. The aim of the study is to understand how community-dwelling older adults with chronic multimorbidity experience a home visiting programme led by nursing students. Methods: A qualitative study based on Gadamer's hermeneutics. Thirty-one community-dwelling older adults with chronic multimorbidity were interviewed in-depth. Fleming's method for conducting hermeneutic, Gadamerian-based studies was followed and ATLAS.ti software was used for data analysis. Results: Two main themes were generated: (1) 'The empowering experience of a personalised health-promoting intervention', and (2) 'The emancipatory effect of going beyond standardised self-care education'. Conclusions: The home visiting programme contributed to the community-dwelling older adults feeling more empowered to engage in health-promoting self-care behaviours. It also improved the older adults' sense of autonomy and self-efficacy, while reducing their loneliness and addressing some perceived shortcomings of the healthcare system. Clinical relevance: Older adults participating in a home visiting programme led by nursing students feel empowered to implement self-care behaviours, which has a positive impact on their perceived health status. Nurse leaders and nursing regulatory bodies could collaborate with nursing faculties to integrate preventive home visiting programmes led by nursing students into the services offered to community-dwelling older adults with chronic multimorbidity. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC disease treatment
HOME care services
HEALTH self-care
INDEPENDENT living
SELF-efficacy
QUALITATIVE research
RESEARCH funding
DATA analysis
EVALUATION of human services programs
INTERVIEWING
EXECUTIVE function
MEDICAL care
DESCRIPTIVE statistics
BEHAVIOR
SOUND recordings
THEMATIC analysis
PATIENT-centered care
HEALTH promotion
PHENOMENOLOGY
PUBLIC health
COMORBIDITY
NURSING students
Subjects
Details
- Language :
- English
- ISSN :
- 14726955
- Volume :
- 23
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 178149920
- Full Text :
- https://doi.org/10.1186/s12912-024-02117-2