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Working with 'hands-off' support: a qualitative study of multidisciplinary teams' experiences of home rehabilitation for older people
Mittuniversitetet.
Mittuniversitetet.
Mittuniversitetet.
Mittuniversitetet.
2014 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 9, no 1, 25-33 p.Article in journal (Refereed) Published
Abstract [en]

Background: 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.

Aim: The aim of the study was to explore multidisciplinary teams' experiences of home rehabilitation for older people.

Methods: 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.

Results: 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’.

Conclusion: 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.

Implications for practice: 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.

Place, publisher, year, edition, pages
2014. Vol. 9, no 1, 25-33 p.
Keyword [en]
Focus group, Home rehabilitation, Multidisciplinary team, Municipality, Older people
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5507DOI: 10.1111/opn.12013PubMedID: 23216671Scopus ID: 2-s2.0-84894484062OAI: oai:DiVA.org:esh-5507DiVA: diva2:1065562
Available from: 2012-12-12 Created: 2016-11-30 Last updated: 2017-03-28Bibliographically approved

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