Client-Centered Home Care: Balancing Between Competing Responsibilities

This study explores and describes the perceptions of nurses with respect to everyday client-centered care. A grounded theory study was conducted with 10 Dutch nurses and auxiliary nurses giving home care to chronically ill clients. Participatory observations and semistructured interviews were held....

Full description

Saved in:
Bibliographic Details
Published in:Clinical nursing research 2006-11, Vol.15 (4), p.231-254
Main Authors: Schoot, Tineke, Proot, Ireen, Legius, Marja, ter Meulen, Ruud, de Witte, Luc
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
Assertiveness
Attitude of Health Personnel
Awareness
Chronic Disease
Client centred practice
Community Health Nursing - education
Community Health Nursing - organization & administration
Conflict (Psychology)
Dialogue
Ethical aspects
Health Knowledge, Attitudes, Practice
Home care
Home Care Services - organization & administration
Home health care
Humans
Middle Aged
Models, Nursing
Negotiating - methods
Negotiating - psychology
Netherlands
Nurse's Role - psychology
Nurses
Nurses' Aides - education
Nurses' Aides - organization & administration
Nurses' Aides - psychology
Nursing
Nursing Methodology Research
Nursing Staff - education
Nursing Staff - organization & administration
Nursing Staff - psychology
Organizational Culture
Patient Advocacy
Patient-Centered Care - organization & administration
Patients
Perceived responsibility
Professional Autonomy
Qualitative Research
Social Support
Studies
Surveys and Questionnaires
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This study explores and describes the perceptions of nurses with respect to everyday client-centered care. A grounded theory study was conducted with 10 Dutch nurses and auxiliary nurses giving home care to chronically ill clients. Participatory observations and semistructured interviews were held. Nurses perceived roles and responsibilities competing with the role as a responsive professional to the client demand: a critical professional, developer of client competencies, individual, and employee. Strategies in balancing between competing responsibilities were distinguished: pleasing, dialoguing, directing, and detaching. Directing (related to impaired client competencies) and detaching (related to organizational barriers) were also used as second choice strategies. Effectively balancing between competing responsibilities was seen in dialoguing and directing as second choice. Conditions identified related to these strategies are awareness of, and responsibility taking for competing responsibilities. Recommendations for practice concern a care relationship and a dialogue with the client, critical ethical reflection, professional autonomy, self-assertiveness and organizational support.
ISSN:1054-7738
1552-3799
DOI:10.1177/1054773806291845