Clinical prioritizations and contextual constraints in nursing homes – a qualitative study.
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| Title: | Clinical prioritizations and contextual constraints in nursing homes – a qualitative study. |
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| Authors: | Slettebø, Åshild (AUTHOR), Kirkevold, Marit (AUTHOR), Andersen, Berit (AUTHOR), Pedersen, Reidar (AUTHOR), Halvorsen, Kristin (AUTHOR), Nordhaug, Marita (AUTHOR), Nortvedt, Per (AUTHOR) |
| Source: | Scandinavian Journal of Caring Sciences. Sep2010, Vol. 24 Issue 3, p533-540. 8p. 1 Chart. |
| Subjects: | Age distribution, Elder care, Content analysis, Health care rationing, Health services accessibility, Interviewing, Research methodology, Medical personnel, Medical protocols, Medical referrals, Nurses' attitudes, Nursing home residents, Nursing care facilities, Nursing home employees, Personnel management, Physicians, Research funding, Sound recordings, Time, Decision making in clinical medicine, Patients' rights, Qualitative research, Patients' families, Ethics |
| Geographic Terms: | Norway |
| Abstract: | Scand J Caring Sci; 2010; 24; 533–540 Clinical prioritizations and contextual constraints in nursing homes - a qualitative study Aim: The aim of the study was to describe nurses’ and physicians’ experiences of prioritization factors in nursing homes. Background: What are the experiences of health care personnel when prioritizing treatment and care for elderly residents in nursing homes? Little research has been done in this area, yet with the growing elderly population and limited health care budgets there can be little doubt about its relevance. Method: The study was conducted through semi-structured interviews with 13 physicians and nurses in six nursing homes. The interviews were analysed by manifest content analysis based on first- and second-level categories describing relevant factors. The categories were developed after preliminary readings of the texts. Results: This study revealed that there was a complex set of contextual constraints which influenced the care provided. There were three main findings: (i) some overall challenges related to providing good care to nursing home residents; these in turn influenced (ii) prioritizing dilemmas and (iii) factors influencing prioritization decisions. Discussion: Contextual constraints and higher level prioritizations seem to play a key role in clinical prioritizations in nursing homes. The combination of implicit rationing and the factors described as most predominant in the clinical prioritizations in nursing homes may result in inadequate and unjust health care services for some of the nursing home residents. In particular, those patients who do not speak up or do have comprehensive needs are at risk of being neglected. [ABSTRACT FROM AUTHOR] |
| Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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