Olsen Marie, Udo Camilla, Dahlberg Lena, Boström Anne-Marie
School of Health and Welfare, Dalarna University, Falun, Sweden.
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
J Multidiscip Healthc. 2022 May 2;15:967-977. doi: 10.2147/JMDH.S347886. eCollection 2022.
Knowledge of older person's experiences of important values in home care service can facilitate the development and delivery of high-quality services supporting their well-being, dignity and participation in the care provided. To date, few studies have explored older person's values and experiences of home care services.
This study aimed to explore values that older person holds regarding home care services and their experiences of how these values manifest in home care service delivery.
The study has a qualitative exploratory design. Semi-structured interviews were conducted with 16 older persons aged 74-90 who received home care service. Data were analysed using qualitative content analysis.
Two themes (each with sub-themes) of values relating to the experience of home care service from the perspective of the 16 older persons were identified: to be supported as an autonomous person and to be supported as a relational being. The participants experience that these two values were only partly manifested in the home care services they received. They also noted that their well-being was negatively affected when staff failed to implement these values. The fundamental values identified in study related to the older person feeling safe, being autonomous, maintaining control and independence, and having relationships. The values constitute help to guide practice from the perspective of older persons who receive home care services.
The identified values are primarily interpersonal-level values. However, such values are also of importance for home care service organisations when promoting delivery of person-centred care. Taking such a position implies adopting a relation-oriented rather than a task-oriented approach in providing home care services for older persons.
了解老年人在居家护理服务中对重要价值观的体验，有助于开发和提供高质量的服务，以支持他们的幸福、尊严以及参与所接受的护理。迄今为止，很少有研究探讨老年人对居家护理服务的价值观和体验。
本研究旨在探讨老年人对居家护理服务所持的价值观，以及他们对这些价值观在居家护理服务提供过程中如何体现的体验。
本研究采用定性探索性设计。对16名年龄在74至90岁之间接受居家护理服务的老年人进行了半结构化访谈。使用定性内容分析法对数据进行分析。
从16名老年人的角度确定了与居家护理服务体验相关的两个价值观主题（每个主题都有子主题）：作为自主个体得到支持和作为有社会关系的个体得到支持。参与者体验到这两个价值观在他们所接受的居家护理服务中仅部分得到体现。他们还指出，当工作人员未能践行这些价值观时，他们的幸福感会受到负面影响。研究中确定的基本价值观与老年人感到安全、自主、保持掌控和独立以及拥有人际关系有关。这些价值观有助于从接受居家护理服务的老年人的角度指导实践。
所确定的价值观主要是人际层面的价值观。然而，在促进以人为主的护理服务提供时，这些价值观对居家护理服务组织也很重要。采取这样的立场意味着在为老年人提供居家护理服务时采用以关系为导向而非以任务为导向的方法。
