Systematic Observation of Frail Older Patients in Homecare – Implementing a Competence Improvement Program
Background: The early recognition of deterioration in frail older patients is a vital competence of homecare professionals, yet there is a gap between competence demands and actual competence. The aim of this study is therefore to describe and analyse the implementation of a competence improvement p...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Norwegian |
| Published: |
Scandinavian University Press (Universitetsforlaget)
2020-01-01
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| Series: | Tidsskrift for Omsorgsforskning |
| Subjects: | |
| Online Access: | https://www.idunn.no/tidsskrift_for_omsorgsforskning/2020/02/systematic_observation_of_frail_older_patients_in_homecare_ |
| _version_ | 1819170110161551360 |
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| author | Torunn Strømme Ingrid Tjoflåt Karina Aase |
| author_facet | Torunn Strømme Ingrid Tjoflåt Karina Aase |
| author_sort | Torunn Strømme |
| collection | DOAJ |
| description | Background: The early recognition of deterioration in frail older patients is a vital competence of homecare professionals, yet there is a gap between competence demands and actual competence. The aim of this study is therefore to describe and analyse the implementation of a competence improvement program for the systematic observation of frail older patients, developed and implemented in two homecare settings in Norway.
Methodology: The study applied a descriptive qualitative design consisting of observation, focus group interviews, and individual interviews.
Results: Homecare professionals described the competence improvement program differently both within and across the two homecare districts. They gave diverse explanations for the purpose of the program, most of them involving positive expectations towards improving the current observational practice. The content of the competence improvement program was complex and consisted of multiple components, which the participating homecare professionals experienced as demanding. The process of implementing the competence improvement program was influenced by the difficult flow of information, limited available time, and challenges related to simulation.
Conclusion: The implementation of a complex competence improvement program for the systematic observation of frail older patients in homecare requires careful planning with regard to content, process, and context. |
| first_indexed | 2024-12-22T19:30:11Z |
| format | Article |
| id | doaj.art-3d5db24d15ac479d875af0ba0568170b |
| institution | Directory Open Access Journal |
| issn | 2387-5976 2387-5984 |
| language | Norwegian |
| last_indexed | 2024-12-22T19:30:11Z |
| publishDate | 2020-01-01 |
| publisher | Scandinavian University Press (Universitetsforlaget) |
| record_format | Article |
| series | Tidsskrift for Omsorgsforskning |
| spelling | doaj.art-3d5db24d15ac479d875af0ba0568170b2022-12-21T18:15:08ZnorScandinavian University Press (Universitetsforlaget)Tidsskrift for Omsorgsforskning2387-59762387-59842020-01-016233910.18261/issn.2387-5984-2020-02-0318948693Systematic Observation of Frail Older Patients in Homecare – Implementing a Competence Improvement ProgramTorunn StrømmeIngrid TjoflåtKarina AaseBackground: The early recognition of deterioration in frail older patients is a vital competence of homecare professionals, yet there is a gap between competence demands and actual competence. The aim of this study is therefore to describe and analyse the implementation of a competence improvement program for the systematic observation of frail older patients, developed and implemented in two homecare settings in Norway. Methodology: The study applied a descriptive qualitative design consisting of observation, focus group interviews, and individual interviews. Results: Homecare professionals described the competence improvement program differently both within and across the two homecare districts. They gave diverse explanations for the purpose of the program, most of them involving positive expectations towards improving the current observational practice. The content of the competence improvement program was complex and consisted of multiple components, which the participating homecare professionals experienced as demanding. The process of implementing the competence improvement program was influenced by the difficult flow of information, limited available time, and challenges related to simulation. Conclusion: The implementation of a complex competence improvement program for the systematic observation of frail older patients in homecare requires careful planning with regard to content, process, and context.https://www.idunn.no/tidsskrift_for_omsorgsforskning/2020/02/systematic_observation_of_frail_older_patients_in_homecare_Homecarecompetenceimprovementclinical observationclinicalobservation |
| spellingShingle | Torunn Strømme Ingrid Tjoflåt Karina Aase Systematic Observation of Frail Older Patients in Homecare – Implementing a Competence Improvement Program Tidsskrift for Omsorgsforskning Homecare competence improvement clinical observation clinicalobservation |
| title | Systematic Observation of Frail Older Patients in Homecare – Implementing a Competence Improvement Program |
| title_full | Systematic Observation of Frail Older Patients in Homecare – Implementing a Competence Improvement Program |
| title_fullStr | Systematic Observation of Frail Older Patients in Homecare – Implementing a Competence Improvement Program |
| title_full_unstemmed | Systematic Observation of Frail Older Patients in Homecare – Implementing a Competence Improvement Program |
| title_short | Systematic Observation of Frail Older Patients in Homecare – Implementing a Competence Improvement Program |
| title_sort | systematic observation of frail older patients in homecare implementing a competence improvement program |
| topic | Homecare competence improvement clinical observation clinicalobservation |
| url | https://www.idunn.no/tidsskrift_for_omsorgsforskning/2020/02/systematic_observation_of_frail_older_patients_in_homecare_ |
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