Department of Health Sciences, Mid Sweden University, Östersund, Sweden.
Int J Older People Nurs. 2014 Mar;9(1):25-33. doi: 10.1111/opn.12013. Epub 2012 Dec 7.
There is a move towards the provision of rehabilitation for older people in their homes. It is essential to ensure that rehabilitation services promote independence of older people.
The aim of the study was to explore multidisciplinary teams' experiences of home rehabilitation for older people.
Five focus groups were conducted with multidisciplinary teams based in a municipality in Sweden, covering seven different professions. In total, 28 participants volunteered to participate in these interviews. Interviews were transcribed verbatim and analysed according to content analysis.
Two main categories, as well as four subcategories, emerged. The first main category, having a rehabilitative approach in everyday life, consisted of the subcategories: 'giving 'hands-off' support' and 'being in a home environment'. The second main category, working across professional boundaries, consisted of the subcategories: 'coordinating resources' and 'learning from each other'.
Common goals, communication skills and role understanding contributed to facilitating the teams' performances of rehabilitation. A potential benefit of home rehabilitation, because the older person is in a familiar environment, is to work a rehabilitative approach into each individual's activity in their everyday life in order to meet their specific needs. At an organisational level, there is a need for developing services to further support older people's psychosocial needs during rehabilitation.
Team performance towards an individual's rehabilitation should come from an emerged whole and not only from the performance of a specific professional approach depending on the traditional role of each profession. A rehabilitative approach is based on 'hands-off' support in order to incorporate an individual's everyday activities as a part of their rehabilitation.
为老年人提供居家康复服务的趋势正在兴起。确保康复服务促进老年人的独立性至关重要。
本研究旨在探讨多学科团队为老年人提供居家康复服务的经验。
在瑞典一个市的基础上，共进行了 5 个焦点小组，涵盖了 7 个不同的专业。共有 28 名参与者自愿参加了这些访谈。访谈内容逐字记录，并根据内容分析进行了分析。
出现了两个主要类别，以及四个子类别。第一个主要类别是“在日常生活中采取康复方法”，包括“给予‘放手’支持”和“处于家庭环境中”两个子类别。第二个主要类别是“跨专业边界工作”，包括“协调资源”和“相互学习”两个子类别。
共同目标、沟通技巧和角色理解有助于促进团队的康复表现。居家康复的一个潜在好处是，由于老年人处于熟悉的环境中，可以将康复方法融入到他们日常生活中的每个活动中，以满足他们的特定需求。在组织层面，需要开发服务来进一步满足老年人在康复期间的心理社会需求。
团队在个人康复方面的表现应该来自整体，而不仅仅是基于每个专业的传统角色的特定专业方法的表现。康复方法基于“放手”支持，以便将个人的日常活动纳入其康复的一部分。
