Empowerment in Home Care
Blindeman, Eline (2019)
Blindeman, Eline
2019
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-201905088175
https://urn.fi/URN:NBN:fi:amk-201905088175
Tiivistelmä
Health care will have a more client-centred approach in which empowered clients will reduce costs in the long run. The purpose of this study was to explore the perceptions and experiences of empowerment in a public home care setting in Kouvola, South Eastern part of Finland, from the perception of clients and their care givers. This study aimed to evaluate how empowerment was implemented and how the experiences of the participants were related to each other.
The methods of quantitative researches were used to investigate clients and care givers’ perceptions of empowerment with validated and tested questionnaires. To look into the clients’ perceptions of empowerment the ‘Patient Perceptions of Patient-Empowering Nurse Behaviours Scale’ was used. The ‘Nurse Perceptions of Patient-Empowering Nurse Behaviours Scale’ was provided to the care givers. The answers were scored on an 11-point Likert scale. Care givers had to be employed as a nurse at a home-care setting in Kouvola and be able to understand Finnish. The clients that were included were aged 75 or older, living at home and receiving home care services at least twice a week for a period of 4 weeks with the emphasis of service for activities of daily life. 76 care givers and 47 clients were included in this study.
A web-based questionnaire on a Finnish electronic questionnaire platform was used as a data collection instrument for the care givers and the clients could fill in the questionnaires on paper. SPSS software was used to analyse all data.
The results showed that for every question the care givers had valued their score higher than the clients. Among clients, the oldest age group (85+) scored lower than the group of 75-84 years old.
The results lead to the conclusion that there is a need for more focus on participation, helping clients realize they have the right to make own health decisions. Clients have to feel more equal in the client-care giver relationship where, in a barrier free environment, opportunities should be created and where there is time to learn skills and communicate about the clients’ needs and goals.
The methods of quantitative researches were used to investigate clients and care givers’ perceptions of empowerment with validated and tested questionnaires. To look into the clients’ perceptions of empowerment the ‘Patient Perceptions of Patient-Empowering Nurse Behaviours Scale’ was used. The ‘Nurse Perceptions of Patient-Empowering Nurse Behaviours Scale’ was provided to the care givers. The answers were scored on an 11-point Likert scale. Care givers had to be employed as a nurse at a home-care setting in Kouvola and be able to understand Finnish. The clients that were included were aged 75 or older, living at home and receiving home care services at least twice a week for a period of 4 weeks with the emphasis of service for activities of daily life. 76 care givers and 47 clients were included in this study.
A web-based questionnaire on a Finnish electronic questionnaire platform was used as a data collection instrument for the care givers and the clients could fill in the questionnaires on paper. SPSS software was used to analyse all data.
The results showed that for every question the care givers had valued their score higher than the clients. Among clients, the oldest age group (85+) scored lower than the group of 75-84 years old.
The results lead to the conclusion that there is a need for more focus on participation, helping clients realize they have the right to make own health decisions. Clients have to feel more equal in the client-care giver relationship where, in a barrier free environment, opportunities should be created and where there is time to learn skills and communicate about the clients’ needs and goals.