Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Care providers’ experiences of guidelines in daily work at a municipal residential care facility for older people.
Umeå universitet.
Umeå universitet.
Ersta Sköndal University College, Palliative Research Centre, PRC. Umeå universitet.ORCID iD: 0000-0001-5994-4012
Umeå universitet.
2014 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 2, 355-363 p.Article in journal (Refereed) Published
Abstract [en]

Background: Guidelines are used as a way of promoting high-quality health care. Most research concerning guidelines has focused on physician behaviour and to improve one specific aspect of care. Care providers working within municipal residential care of older people have described that working with multiple guidelines sometimes exposed them to contradictory demands and trouble their conscience.

Aim: To describe care providers' narrated experiences of guidelines in daily work at a municipal residential care facility for older people.

Design: A qualitative descriptive design was adopted.

Methods: Interviews with eight care providers were carried out between February and March 2012 and analysed by qualitative content analysis.

Results: Care providers described experiences that guidelines are coming from above and are controlling and not sufficiently anchored at their workplace. Furthermore, they described guidelines as stealing time from residents, colliding with each other, lacking practical use and complicating care, and challenging care providers' judgment. The overall understanding is that care providers describe experiences of struggling to do their best, prioritising between arcane guidelines while keeping the residents' needs in the foreground.

Conclusion: In order to prevent fragmented use, guidelines have to be coordinated and adapted to the reality of daily practice before implementation. It seems essential to provide opportunities for discussions between care providers, registered nurses and management about how to make guidelines work within their daily practice. Sufficient support, knowledge and involvement are likely key issues that can help care providers to constructively work according to guidelines and thus, by extension, improve the quality of care.

Place, publisher, year, edition, pages
2014. Vol. 28, no 2, 355-363 p.
Keyword [en]
Guidelines, Municipal residential care, Older people, Care providers, Content analysis
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-3036DOI: 10.1111/scs.12065PubMedID: 23865824OAI: oai:DiVA.org:esh-3036DiVA: diva2:705467
Available from: 2014-03-17 Created: 2014-03-17 Last updated: 2016-12-05Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Norberg, Astrid
By organisation
Palliative Research Centre, PRC
In the same journal
Scandinavian Journal of Caring Sciences
Nursing

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 27 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf