Loading…
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....
Saved in:
| Published in: | Clinical nursing research 2006-11, Vol.15 (4), p.231-254 |
|---|---|
| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | |
|---|---|
| cites | cdi_FETCH-LOGICAL-c292t-e7ee788004d8e48c216b4731a83ecd9990c30a776f717a4ce5b825a68f538c583 |
| container_end_page | 254 |
| container_issue | 4 |
| container_start_page | 231 |
| container_title | Clinical nursing research |
| container_volume | 15 |
| creator | Schoot, Tineke Proot, Ireen Legius, Marja ter Meulen, Ruud de Witte, Luc |
| description | 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. |
| doi_str_mv | 10.1177/1054773806291845 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68975164</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1054773806291845</sage_id><sourcerecordid>57084047</sourcerecordid><originalsourceid>FETCH-LOGICAL-c292t-e7ee788004d8e48c216b4731a83ecd9990c30a776f717a4ce5b825a68f538c583</originalsourceid><addsrcrecordid>eNqNkU1LAzEQQIMotlbvepHiwdtqZjfJTI6y-AUFL3pe0uystGy7Neke_PemtKAURC9JYN68mckIcQ7yBgDxFqRWiAVJk1sgpQ_EELTOswKtPUzvFM428YE4iXEupVS5hGMxAJTaoKGhuCjbGS_XWZkODlyPn7oFj0sX-FQcNa6NfLa7R-Lt4f61fMomL4_P5d0k87nN1xkjMxIldU2syOdgpgoLcFSwr6210hfSIZoGAZ3yrKeUa2eo0QV5TcVIXG-9q9B99BzX1WIWPbetW3LXx8qQRQ1G_QlqlFYp0v8BScnU5Ehc7YHzrg_LNG0FFoHQmI1NbiEfuhgDN9UqzBYufFYgq80Wqv0tpJTLnbefLrj-Tth9ewKyLRDdO_8o-pvwC6q3ikw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>197187665</pqid></control><display><type>article</type><title>Client-Centered Home Care: Balancing Between Competing Responsibilities</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Sage Journals Online</source><creator>Schoot, Tineke ; Proot, Ireen ; Legius, Marja ; ter Meulen, Ruud ; de Witte, Luc</creator><creatorcontrib>Schoot, Tineke ; Proot, Ireen ; Legius, Marja ; ter Meulen, Ruud ; de Witte, Luc</creatorcontrib><description>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.</description><identifier>ISSN: 1054-7738</identifier><identifier>EISSN: 1552-3799</identifier><identifier>DOI: 10.1177/1054773806291845</identifier><identifier>PMID: 17056768</identifier><identifier>CODEN: CNREFD</identifier><language>eng</language><publisher>Thousand Oaks, CA: Sage Publications</publisher><subject>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</subject><ispartof>Clinical nursing research, 2006-11, Vol.15 (4), p.231-254</ispartof><rights>Copyright SAGE PUBLICATIONS, INC. Nov 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-e7ee788004d8e48c216b4731a83ecd9990c30a776f717a4ce5b825a68f538c583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924,30998,30999,79135</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17056768$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schoot, Tineke</creatorcontrib><creatorcontrib>Proot, Ireen</creatorcontrib><creatorcontrib>Legius, Marja</creatorcontrib><creatorcontrib>ter Meulen, Ruud</creatorcontrib><creatorcontrib>de Witte, Luc</creatorcontrib><title>Client-Centered Home Care: Balancing Between Competing Responsibilities</title><title>Clinical nursing research</title><addtitle>Clin Nurs Res</addtitle><description>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.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Assertiveness</subject><subject>Attitude of Health Personnel</subject><subject>Awareness</subject><subject>Chronic Disease</subject><subject>Client centred practice</subject><subject>Community Health Nursing - education</subject><subject>Community Health Nursing - organization & administration</subject><subject>Conflict (Psychology)</subject><subject>Dialogue</subject><subject>Ethical aspects</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Home care</subject><subject>Home Care Services - organization & administration</subject><subject>Home health care</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Models, Nursing</subject><subject>Negotiating - methods</subject><subject>Negotiating - psychology</subject><subject>Netherlands</subject><subject>Nurse's Role - psychology</subject><subject>Nurses</subject><subject>Nurses' Aides - education</subject><subject>Nurses' Aides - organization & administration</subject><subject>Nurses' Aides - psychology</subject><subject>Nursing</subject><subject>Nursing Methodology Research</subject><subject>Nursing Staff - education</subject><subject>Nursing Staff - organization & administration</subject><subject>Nursing Staff - psychology</subject><subject>Organizational Culture</subject><subject>Patient Advocacy</subject><subject>Patient-Centered Care - organization & administration</subject><subject>Patients</subject><subject>Perceived responsibility</subject><subject>Professional Autonomy</subject><subject>Qualitative Research</subject><subject>Social Support</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><issn>1054-7738</issn><issn>1552-3799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkU1LAzEQQIMotlbvepHiwdtqZjfJTI6y-AUFL3pe0uystGy7Neke_PemtKAURC9JYN68mckIcQ7yBgDxFqRWiAVJk1sgpQ_EELTOswKtPUzvFM428YE4iXEupVS5hGMxAJTaoKGhuCjbGS_XWZkODlyPn7oFj0sX-FQcNa6NfLa7R-Lt4f61fMomL4_P5d0k87nN1xkjMxIldU2syOdgpgoLcFSwr6210hfSIZoGAZ3yrKeUa2eo0QV5TcVIXG-9q9B99BzX1WIWPbetW3LXx8qQRQ1G_QlqlFYp0v8BScnU5Ehc7YHzrg_LNG0FFoHQmI1NbiEfuhgDN9UqzBYufFYgq80Wqv0tpJTLnbefLrj-Tth9ewKyLRDdO_8o-pvwC6q3ikw</recordid><startdate>200611</startdate><enddate>200611</enddate><creator>Schoot, Tineke</creator><creator>Proot, Ireen</creator><creator>Legius, Marja</creator><creator>ter Meulen, Ruud</creator><creator>de Witte, Luc</creator><general>Sage Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200611</creationdate><title>Client-Centered Home Care</title><author>Schoot, Tineke ; Proot, Ireen ; Legius, Marja ; ter Meulen, Ruud ; de Witte, Luc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c292t-e7ee788004d8e48c216b4731a83ecd9990c30a776f717a4ce5b825a68f538c583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Assertiveness</topic><topic>Attitude of Health Personnel</topic><topic>Awareness</topic><topic>Chronic Disease</topic><topic>Client centred practice</topic><topic>Community Health Nursing - education</topic><topic>Community Health Nursing - organization & administration</topic><topic>Conflict (Psychology)</topic><topic>Dialogue</topic><topic>Ethical aspects</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Home care</topic><topic>Home Care Services - organization & administration</topic><topic>Home health care</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Models, Nursing</topic><topic>Negotiating - methods</topic><topic>Negotiating - psychology</topic><topic>Netherlands</topic><topic>Nurse's Role - psychology</topic><topic>Nurses</topic><topic>Nurses' Aides - education</topic><topic>Nurses' Aides - organization & administration</topic><topic>Nurses' Aides - psychology</topic><topic>Nursing</topic><topic>Nursing Methodology Research</topic><topic>Nursing Staff - education</topic><topic>Nursing Staff - organization & administration</topic><topic>Nursing Staff - psychology</topic><topic>Organizational Culture</topic><topic>Patient Advocacy</topic><topic>Patient-Centered Care - organization & administration</topic><topic>Patients</topic><topic>Perceived responsibility</topic><topic>Professional Autonomy</topic><topic>Qualitative Research</topic><topic>Social Support</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schoot, Tineke</creatorcontrib><creatorcontrib>Proot, Ireen</creatorcontrib><creatorcontrib>Legius, Marja</creatorcontrib><creatorcontrib>ter Meulen, Ruud</creatorcontrib><creatorcontrib>de Witte, Luc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nursing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schoot, Tineke</au><au>Proot, Ireen</au><au>Legius, Marja</au><au>ter Meulen, Ruud</au><au>de Witte, Luc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Client-Centered Home Care: Balancing Between Competing Responsibilities</atitle><jtitle>Clinical nursing research</jtitle><addtitle>Clin Nurs Res</addtitle><date>2006-11</date><risdate>2006</risdate><volume>15</volume><issue>4</issue><spage>231</spage><epage>254</epage><pages>231-254</pages><issn>1054-7738</issn><eissn>1552-3799</eissn><coden>CNREFD</coden><abstract>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.</abstract><cop>Thousand Oaks, CA</cop><pub>Sage Publications</pub><pmid>17056768</pmid><doi>10.1177/1054773806291845</doi><tpages>24</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1054-7738 |
| ispartof | Clinical nursing research, 2006-11, Vol.15 (4), p.231-254 |
| issn | 1054-7738 1552-3799 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68975164 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Sage Journals Online |
| 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 |
| title | Client-Centered Home Care: Balancing Between Competing Responsibilities |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T08%3A04%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Client-Centered%20Home%20Care:%20Balancing%20Between%20Competing%20Responsibilities&rft.jtitle=Clinical%20nursing%20research&rft.au=Schoot,%20Tineke&rft.date=2006-11&rft.volume=15&rft.issue=4&rft.spage=231&rft.epage=254&rft.pages=231-254&rft.issn=1054-7738&rft.eissn=1552-3799&rft.coden=CNREFD&rft_id=info:doi/10.1177/1054773806291845&rft_dat=%3Cproquest_cross%3E57084047%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c292t-e7ee788004d8e48c216b4731a83ecd9990c30a776f717a4ce5b825a68f538c583%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=197187665&rft_id=info:pmid/17056768&rft_sage_id=10.1177_1054773806291845&rfr_iscdi=true |