Riitta Turjamaa1, Sirpa Hartikainen2, Mari Kangasniemi1, Anna-Maija Pietilä1,3. 1. Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland. 2. Faculty of Health Sciences, Research Centre of Geriatric Care, School of Pharmacy, University of Eastern Finland, Kuopio, Finland. 3. Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland and Health Care Services, Kuopio, Finland.
Abstract
BACKGROUND: Home-care services require access to high quality information. Apart from the provision of right-time organised planning of care and to document information about clients' needs, in home care, the care planning is intended to facilitate continuity and individual nursing through nursing documentation of the assessment of the client. AIMS: The aim was to describe the contents of older (+75 years) home-care clients' electronic care and service plans and to evaluate how the clients' resources have been taken into account. DESIGN AND METHODS: The data were collected from the care and service plans (n = 437) of home-care services during July 2010. The data were analysed by quantitative methods and by thematic content analysis. RESULTS: Based on the analysis, medication was the most reported component in all plans (92.7%); other commonly reported components were self-care (85.4%) and coping (78.0%). Components within respiratory, follow-up treatment, life cycle and health behaviour were forgotten. Most of the care and service plans were designed from the home-care professionals' point of view but the plans lacked the perspective of older clients. CONCLUSION: To be able to promote older home clients' ability to live at home, home-care planning needs to be individually designed and must take into account clients' needs and their perspectives regarding meaningful activities and social relationships. In addition, there is a need to develop a more comprehensive care planning system, based on the clients' individual needs and standards of care planning.
BACKGROUND: Home-care services require access to high quality information. Apart from the provision of right-time organised planning of care and to document information about clients' needs, in home care, the care planning is intended to facilitate continuity and individual nursing through nursing documentation of the assessment of the client. AIMS: The aim was to describe the contents of older (+75 years) home-care clients' electronic care and service plans and to evaluate how the clients' resources have been taken into account. DESIGN AND METHODS: The data were collected from the care and service plans (n = 437) of home-care services during July 2010. The data were analysed by quantitative methods and by thematic content analysis. RESULTS: Based on the analysis, medication was the most reported component in all plans (92.7%); other commonly reported components were self-care (85.4%) and coping (78.0%). Components within respiratory, follow-up treatment, life cycle and health behaviour were forgotten. Most of the care and service plans were designed from the home-care professionals' point of view but the plans lacked the perspective of older clients. CONCLUSION: To be able to promote older home clients' ability to live at home, home-care planning needs to be individually designed and must take into account clients' needs and their perspectives regarding meaningful activities and social relationships. In addition, there is a need to develop a more comprehensive care planning system, based on the clients' individual needs and standards of care planning.
Authors: Tanja Moilanen; Mari Sivonen; Kirsi Hipp; Hanna Kallio; Oili Papinaho; Minna Stolt; Riitta Turjamaa; Arja Häggman-Laitila; Mari Kangasniemi Journal: Glob Qual Nurs Res Date: 2022-07-07