Experiences and challenges of the use Subacute and Acute Dysfunction in the Elderly‐SAFE Work team coordinators experiences and challenges in the introduction and use of SAFE in home‐based nursing: A qualitative study from the Norwegian context

Abstract Old age is the leading cause of impaired bodily function, which gradually increases healthcare service needs. To offer the best possible care in the home and to be able to detect health‐related functional impairment at an early stage, it is necessary to carry out systematic and structured o...

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Main Authors: Abdallah Abudayya, Annabel Hamre, Zada Pajalic, Hanne Knudsen Cervino, Nima Wesseltoft‐Rao
Format: Article
Language:English
Published: Wiley 2023-07-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1732
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author Abdallah Abudayya
Annabel Hamre
Zada Pajalic
Hanne Knudsen Cervino
Nima Wesseltoft‐Rao
author_facet Abdallah Abudayya
Annabel Hamre
Zada Pajalic
Hanne Knudsen Cervino
Nima Wesseltoft‐Rao
author_sort Abdallah Abudayya
collection DOAJ
description Abstract Old age is the leading cause of impaired bodily function, which gradually increases healthcare service needs. To offer the best possible care in the home and to be able to detect health‐related functional impairment at an early stage, it is necessary to carry out systematic and structured observations. The assessment tool Subacute and Acute Dysfunction in the Elderly (SAFE) has been developed explicitly for these structured observations. This study aims to explore the experiences and challenges of home‐based care work team coordinators (WTCs) regarding the introduction and use of SAFE. Method The present qualitative study was performed following Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. The data were collected through individual interviews (n = 3) and focus group (FG) interviews (n = 7). The interview transcripts were analysed using the Gioia method. Results Five aggregated dimensions were identified: Varying acceptance of SAFE, Structuring and quality‐assurance of home‐based nursing practice, Obstacles for the integration of SAFE in daily practice, Acceptance and use of SAFE require continuous supervision and SAFE contributes to increased quality of nursing care. Conclusion The introduction of SAFE contributes to a structured follow‐up of functional status in patients receiving home care. In order to incorporate the tool into home care practice, it is essential to set aside time to introduce the tool and to support nurses' use of it by offering continuous supervision.
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spelling doaj.art-a5f1adb9eed2438a9ddfec4216d112f62023-08-28T06:26:26ZengWileyNursing Open2054-10582023-07-011074806481610.1002/nop2.1732Experiences and challenges of the use Subacute and Acute Dysfunction in the Elderly‐SAFE Work team coordinators experiences and challenges in the introduction and use of SAFE in home‐based nursing: A qualitative study from the Norwegian contextAbdallah Abudayya0Annabel Hamre1Zada Pajalic2Hanne Knudsen Cervino3Nima Wesseltoft‐Rao4Institute for Nursing, Faculty of Health Studies VID Specialized University Oslo NorwayInstitute for Nursing, Faculty of Health Studies VID Specialized University Oslo NorwayInstitute for Nursing, Faculty of Health Studies VID Specialized University Oslo NorwayFaculty of Health Sciences, Sustainable Healthcare and Welfare Technology (SHWT) Research Group VID Specialized University Oslo NorwayInstitute for Nursing, Faculty of Health Studies VID Specialized University Oslo NorwayAbstract Old age is the leading cause of impaired bodily function, which gradually increases healthcare service needs. To offer the best possible care in the home and to be able to detect health‐related functional impairment at an early stage, it is necessary to carry out systematic and structured observations. The assessment tool Subacute and Acute Dysfunction in the Elderly (SAFE) has been developed explicitly for these structured observations. This study aims to explore the experiences and challenges of home‐based care work team coordinators (WTCs) regarding the introduction and use of SAFE. Method The present qualitative study was performed following Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. The data were collected through individual interviews (n = 3) and focus group (FG) interviews (n = 7). The interview transcripts were analysed using the Gioia method. Results Five aggregated dimensions were identified: Varying acceptance of SAFE, Structuring and quality‐assurance of home‐based nursing practice, Obstacles for the integration of SAFE in daily practice, Acceptance and use of SAFE require continuous supervision and SAFE contributes to increased quality of nursing care. Conclusion The introduction of SAFE contributes to a structured follow‐up of functional status in patients receiving home care. In order to incorporate the tool into home care practice, it is essential to set aside time to introduce the tool and to support nurses' use of it by offering continuous supervision.https://doi.org/10.1002/nop2.1732nursing assessmentnursing home carenursing observationsolder people
spellingShingle Abdallah Abudayya
Annabel Hamre
Zada Pajalic
Hanne Knudsen Cervino
Nima Wesseltoft‐Rao
Experiences and challenges of the use Subacute and Acute Dysfunction in the Elderly‐SAFE Work team coordinators experiences and challenges in the introduction and use of SAFE in home‐based nursing: A qualitative study from the Norwegian context
Nursing Open
nursing assessment
nursing home care
nursing observations
older people
title Experiences and challenges of the use Subacute and Acute Dysfunction in the Elderly‐SAFE Work team coordinators experiences and challenges in the introduction and use of SAFE in home‐based nursing: A qualitative study from the Norwegian context
title_full Experiences and challenges of the use Subacute and Acute Dysfunction in the Elderly‐SAFE Work team coordinators experiences and challenges in the introduction and use of SAFE in home‐based nursing: A qualitative study from the Norwegian context
title_fullStr Experiences and challenges of the use Subacute and Acute Dysfunction in the Elderly‐SAFE Work team coordinators experiences and challenges in the introduction and use of SAFE in home‐based nursing: A qualitative study from the Norwegian context
title_full_unstemmed Experiences and challenges of the use Subacute and Acute Dysfunction in the Elderly‐SAFE Work team coordinators experiences and challenges in the introduction and use of SAFE in home‐based nursing: A qualitative study from the Norwegian context
title_short Experiences and challenges of the use Subacute and Acute Dysfunction in the Elderly‐SAFE Work team coordinators experiences and challenges in the introduction and use of SAFE in home‐based nursing: A qualitative study from the Norwegian context
title_sort experiences and challenges of the use subacute and acute dysfunction in the elderly safe work team coordinators experiences and challenges in the introduction and use of safe in home based nursing a qualitative study from the norwegian context
topic nursing assessment
nursing home care
nursing observations
older people
url https://doi.org/10.1002/nop2.1732
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