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Social care for older people – a blind spot in the Norwegian care system
- Authors:
- SCHONFELDER Walter, EGGEBO Helga, MUNKEJORD Mai Camilla
- Journal article citation:
- Social Work in Health Care, 59(9-10), 2020, pp.631-649.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A growing number of older people in Norway receive care services at home. Public policy aims at promoting social safety, preventing social problems and providing recipients of care with the means to live an active and meaningful everyday life together with others. However, health-related services have long been prioritized at the expense of other care services. Our aims are to investigate how professional caregivers in Norwegian home care for older people relate their professional mandate to social care to assess what different professional positions regarding social care imply for realizing the ideal of integrated and person-centered care. Interviews with 16 professional caregivers are analyzed within the framework of positioning theory. A variety of discursive positions relating the own professional mandate to social care are identified. Findings suggest that the absence of common standards leaves it up to the individual caregiver if social care needs are met or not. Common standards for social care delivery and a more suitable skill mix among health and social care professionals are proposed. (Edited publisher abstract)
Psychological distress and its correlates in older care-dependent persons living at home
- Author:
- THYGESEN Elin
- Journal article citation:
- Aging and Mental Health, 13(3), May 2009, pp.319-327.
- Publisher:
- Taylor and Francis
This study examined psychological distress in older people receiving home nursing care. The influence of risk factors and personal resources on their perceived psychological distress was also examined. Method: A linear regression analysis was applied in a cross-sectional sample of 214 patients aged 75 years and older. Psychological distress was measured using the General Health Questionnaire (GHQ). The independent variables were sex, education, age, living arrangement, household composition, reported illnesses, Barthel ADL Index, self-rated health, Subjective Health Complaints, Clinical Dementia Rating Scale, Sense of Coherence and Revised Social Provision Scale. Of the 214 participants, 23 (10.7%) reported experiencing psychological distress using a cut-off point of 4 or more on a GHQ case score. Sense of coherence, education and subjective health complaints were the only factors that were significantly related to psychological distress in the multivariate analysis. The general level of psychological distress was low. Low psychological distress was related to an inner strength conceptualized as sense of coherence. Commonly reported risk factors such as sex, household composition and perceived social support, and objective measures of somatic and mental health and bodily dysfunctions were not related to psychological distress. Suggested reasons for this are greater acceptance of bodily and functional shortcomings and of changes related to goal achievement in old age, according to the model of selective optimization with compensation.
Cultural diversity between hospital and community nurses: implications for continuity of care
- Authors:
- HELLESO Ragnhild, FAGERMOEN Solveig
- Journal article citation:
- International Journal of Integrated Care, 10(1), 2010, Online only
- Publisher:
- International Foundation for Integrated Care
Nurses have a pivotal role in discharge planning for frail patients as increasing number of people need post-hospital nursing care in their homes. Despite considerable effort and focus on how to undertake hospital discharge successfully, the problem of ensuring continuity of care remains. The authors highlight and discuss three challenges that seem to be insufficiently articulated when hospital and community nurses interact during discharge planning: how local practices circumvent formal structures, how nurses' different perspectives influence their assessment of patients' need for post-hospital care, and how nurses have different understanding of what it means to be ‘ready to be discharged’. They propose that nurses need to discuss these challenges and their implications for nursing care so as to be ready to face changing demands for health care in future.