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Sykepleiefaglige utfordringer i hjemmetjenesten - hvordan organiseres besök hos brukere som får to eller flere besök daglig?
Engelsk titel: Nursing challenges in home care services - how are visits to users who have two or more visits daily organized? Läs online Författare: Holm, Solrun G Språk: Nor Antal referenser: 44 Dokumenttyp: Artikel UI-nummer: 14113825

Tidskrift

Geriatrisk Sykepleie 2014;6(2)24-34 ISSN 1891-1889 E-ISSN 1893-563X KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Background: There is little research showing how the home care services plan and organize visits with recipients receiving two or more visits each day. Method: Descriptive, retrospective method, where data from decisions and weekly schedules from two municipalities were collected and recorded. Geographic information systems were used to analyze the nursing challenges related to time. It was performed a quantitative analysis of the weekly schedules and decisions. Geographic information systems were used to visualize and analyze data with a geographic reference. Result: In municipality A receives 33 % of the recipients two or more visits per day, in the municipality B 30%. Help for morning care, preparation of breakfast and distribution of morning medications occurred in the period at 8:30 to 11:30. Help for evening care, preparation of supper and distribution of evening medication occurred between 6:00 p.m. to 10:30 p.m. The organization of the day-schedules resulted in three recipients experienced night fasting. Several got their drugs at intervals shorter than and some at intervals longer than the usual dose interval. Conclusion: Organization of visits to this group resulted in circadian rhythm was displaced by the home care recipient. In planning the day's schedules, there is a geographical dimension that is not always taken into account. Implications for practice: Employees in home care services should be more aware of highlighting nursing challenges related to where home care recipients live in the municipality. Keywords: home care services, geographic information, day-schedules, decisions, night fasting