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  • 1.
    Håkansson Eklund, Jakob
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kumlin, Tomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kaminsky, Elenor
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Skoglund, Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Höglander, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelie J.
    Univ Boras, Fac Caring Sci Work Life & Social Welf, SE-50190 Boras, Sweden..
    Conden, Emelie
    Uppsala Univ, Vastmanland Hosp, Clin Res Ctr, Uppsala, Sweden..
    Summer Meranius, Martina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    "Same same or different?" A review of reviews of person-centered and patient-centered care2019In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 102, no 1, p. 3-11Article, review/survey (Refereed)
    Abstract [en]

    Objective: To provide a synthesis of already synthesized literature on person-centered care and patient-centered care in order to identify similarities and differences between the two concepts. Methods: A synthesis of reviews was conducted to locate synthesized literature published between January 2000 and March 2017. A total of 21 articles deemed relevant to this overview were synthesized using a thematic analysis. Results: The analysis resulted in nine themes present in person-centered as well as in patient-centered care: (1) empathy, (2), respect (3), engagement, (4), relationship, (5) communication, (6) shared decision-making, (7) holistic focus, (8), individualized focus, and (9) coordinated care. The analysis also revealed that the goal of person-centered care is a meaningful life while the goal of patient-centered care is a functional life. Conclusions: While there are a number of similarities between the two concepts, the goals for person-centered and patient-centered care differ. The similarities are at the surface and there are important differences when the concepts are regarded in light of their different goals. Practice implications: Clarification of the concepts may assist practitioners to develop the relevant aspects of care. Person-centered care broadens and extends the perspective of patient-centered care by considering the whole life of the patient.

  • 2.
    Håkansson Eklund, Jakob
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala universitet.
    Kumlin, Tomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kaminsky, Elenor
    Uppsala universitet, Sweden.
    Skoglund, Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Höglander, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelie J
    Högskolan Borås, Sweden.
    Condén, Emelie
    Region Västmanland, Sweden.
    Summer Meranius, Martina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    "Same same or different?" A review of reviews of person-centered and patient-centred care2019In: Royal college of Nursing, Sheffield, UK, 2019Conference paper (Refereed)
  • 3.
    Håkansson Eklund, Jakob
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala universitet.
    Kumlin, Tomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kaminsky, Elenor
    Uppsala universitet.
    Skoglund, Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Höglander, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelie J
    Condén, Emelie
    Region Västmanland, Sweden.
    Summer Meranius, Martina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    "Same same or different?" A review of reviews of person-centred and patinet-centred care2018In: International Conference on Communication in Healthcare, Porto, Portugal, 2018Conference paper (Refereed)
  • 4.
    Höglander, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Home care communication - Moving beyond the surface2019Conference paper (Refereed)
  • 5.
    Höglander, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Home care communication: moving beyond the surface2019Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Communication is an essential part of care and human interaction. While communication within care entails both task-focused and socio-emotional elements, nurses are sometimes perceived as too task-focused. When in need of care, older persons want to be perceived and treated as individuals – to feel involved. However, nurses might lack the prerequisites for establishing individualised home care, which is often based on daily tasks rather than on older persons’ needs and wishes. Despite the importance of communication in nurse-patient interactions, knowledge about daily communication within home care is scarce. Therefore, the overall aim of this thesis was to explore the naturally occurring communication between nursing staff and older persons during home care visits, with a focus on emotional distress and from a person-centred perspective.

    This thesis is an observational, cross-sectional study of the communication in 188 audio-recorded home care visits, and is part of the international COMHOME project. In Study I, older persons’ expressions of emotional distress were coded and analysed using the Verona Coding Definitions of Emotional Sequences [VR-CoDES]. The results showed that older persons often express emotional distress in the form of hints at emotional concerns, which were defined as cues. Explicit expressions of emotional distress, which were defined as concerns, were uncommon. The responses of nursing staff to older persons’ cues and concerns were coded and analysed in Study II using VR-CoDES. Nursing staff often responded by providing space rather than reducing it for further disclosure of older persons’ emotional distress. In Study III, the communication of emotional distress and participants’ characteristics were analysed using generalised linear mixed model [GLMM]. The results revealed that most cues and concerns were expressed by older females and to female nursing staff. Furthermore, elicitations of expressions of emotional distress were influenced by native language and profession, and responses that provided space were more often given to older females and to older persons aged 65-84 years. Home care communication between registered nurses and older persons was coded and analysed in Study IV using the Roter Interaction Analysis System [RIAS]. The results revealed a high degree of person-centred communication, especially during visits lasting 8-9 minutes, and that socio-emotional communication was more frequent than task-oriented communication.

    Home care communication contains important aspects of person-centred communication, with nursing staff providing space for the older person’s narrative; however, there are also challenges in the form of vague and implicit expressions of emotional distress.

     

    Keywords: communication; home care services; nursing staff; older persons; person-centred care; RIAS; VR-CoDES

  • 6.
    Höglander, Jessica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Håkansson Eklund, Jakob
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eide, Hilde
    Univ Coll Southeast Norway, Drammen, Norway..
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelie J.
    Univ Borås, Borås, Sweden..
    Registered Nurses' and nurse assistants' responses to older persons' expressions of emotional needs in home care2017In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 12, p. 2923-2932Article in journal (Refereed)
    Abstract [en]

    Aim: This study aims to explore nurse assistants' and Registered Nurses' responses to older persons' expressions of emotional needs during home care visits. Background: Communication is a central aspect of care. Older persons might express different emotions and needs during home care visits and such expressions can be challenging to respond to. Little is known about communication in home care or nursing staff responses to older persons' expressed emotional needs. Design: Descriptive, cross-sectional design on nursing staff responses to older persons' negative emotions in home care. Methods: Collected data consisted of audio recordings of home care visits between older persons and nursing staff. Data were collected between August 2014-November 2015. The nursing staff responses to older persons' negative emotions in the communication were analysed with the Verona Coding Definitions of Emotional Sequences (VR-CoDES). Results: The nursing staff most often give non-explicit responses, providing space for further disclosure of older persons' expressed negative emotions. Such responses were more frequent if the nursing staff had elicited the older persons' expressions of a negative emotion than if such expressions were elicited by the older persons themselves. Most frequent types of responses were backchannel, active invitation or information advice. Conclusion: The nursing staff responses were mainly non-explicit responses providing space for older persons to tell more about their experiences. Such responses can be discussed in terms of person-centred communication and is important for the comfort of emotional concerns.

  • 7.
    Höglander, Jessica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Håkansson Eklund, Jakob
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Spreeuwenberg, Peter
    NIVEL (Netherlands institute for health services research), Utrecht, The Netherlands.
    Eide, Hilde
    Johansson Sundler, Annelie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Roter, Debra
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A positive tone and socio-emotional talk: Exploring person-centered aspects of home care communicationManuscript (preprint) (Other academic)
  • 8.
    Höglander, Jessica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelie Johansson
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Spreeuwenberg, Peter
    NIVEL (Netherlands institute for health services research), Utrecht, The Netherlands.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eide, Hilde
    Science Centre Health and Technology, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway.
    van Dulmen, Sandra
    NIVEL (Netherlands institute for health services research), Utrecht, the Netherlands; • Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; • Science Centre Health and Technology, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway .
    Håkansson Eklund, Jakob
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Emotional communication with older people: A cross-sectional study of home care2019In: Nursing and Health Sciences, ISSN 1442-2018, no 3, p. 382-389, article id NHS12611Article in journal (Refereed)
  • 9.
    Höglander, Jessica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler Johansson, Annelie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Högskolan Borås, Sweden.
    Spreeuwenberg, Peter
    NIVEL, Nederländerna.
    Holmström, Inger
    Uppsala universitet, Sweden.
    Eide, Hilde
    Universitetet i Sørøst-Norge, Norge.
    van Dulmen, Sandra
    NIVEL, Nederländerna.
    Håkansson Eklund, Jakob
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Female gender explains emotional communication in home care2018In: International Conference on Communication in Healthcare, Porto, Portugal, 2018Conference paper (Refereed)
  • 10.
    Sundler, Annelie Johansson
    et al.
    Univ Boras, Fac Caring Sci Work Life & Social Welf, SE-50190 Boras, Sweden..
    Höglander, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Håkansson Eklund, Jakob
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eide, Hilde
    Univ Coll Southeast Norway, Fac Hlth Sci, Postbox 7053, N-3007 Drammen, Norway..
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Older persons' expressions of emotional cues and concerns during home care visits. Application of the Verona coding definitions of emotional sequences (VR-CoDES) in home care2017In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 100, no 2, p. 276-282Article in journal (Refereed)
    Abstract [en]

    Objective: This study aims to a) explore to what extent older persons express emotional cues and concerns during home care visits; b) describe what cues and concerns these older persons expressed, and c) explore who initiated these cues and concerns. Methods: A descriptive and cross-sectional study was conducted. Data consisted of 188 audio recorded home care visits with older persons and registered nurses or nurse assistants, coded with the Verona coding definitions on emotional sequences (VR-CoDES). Results: Emotional expressions of cues and concerns occurred in 95 (51%) of the 188 recorded home care visits. Most frequent were implicit expressions of cues (n = 292) rather than explicit concerns (n = 24). Utterances with hints to hidden concerns (63,9%, n = 202) were most prevalent, followed by vague or unspecific expressions of emotional worries (15,8%, n = 50). Most of these were elicited by the nursing staff (63%, n = 200). Conclusion: Emotional needs expressed by the older persons receiving home care were mainly communicated implicitly. To be attentive to such vaguely expressed emotions may demand nursing staff to be sensitive and open. Practice implications: The VR-CoDES can be applied on audio recorded home care visits to analyse verbal and emotional communication, and may allow comparative research. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

  • 11.
    Sundling, Vibeke
    et al.
    Universitetet i Sørøst-Norge, Norway.
    Hafskjold, Linda
    Universitetet i Sørøst-Norge, Norway.
    Holmström, Inger
    Uppsala universitet, Sweden.
    Höglander, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelei J
    Högskolan Borås, Sweden.
    Eide, Hilde
    Universitetet i Sørøst-Norge, Norway.
    Supportive communication in Home car: a cross-national comparative study2018In: International Conference on Communication in Healthcare, Porto, Portugal, 2018Conference paper (Refereed)
1 - 11 of 11
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