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Nurses striving to provide caregiver with excellent support and care at a distance: a qualitative study.
BMC Health Serv Res. 2019 Nov 27; 19(1):893.BH

Abstract

BACKGROUND

In Norway, changes in life expectancy have led to increased attention to older people who are ageing at home, by means of home care services, adapted technology and informal caregivers. The caring situation has become difficult for many caregivers. The use of telecare has now offered them the possibility to receive support at home. The purpose of this study was to explore how nurses provide support and care at a distance, using a web camera and a web forum in a closed telecare network for caregivers to persons suffering from stroke and dementia.

METHODS

The study had an explorative design with a qualitative approach. The data sources consisted of interviews with nurses and excerpts from posts in a closed telecare network. Content analysis was used to analyse the text from the interviews and the text from the web forum.

RESULTS

The main theme, "Balancing asymmetric and symmetric relationships" described nurses' relationship with caregiver. Two categories, "Balancing personal and professional qualities" and "Balancing caregivers' dependence versus independence" were identified. The first describing the tension in their dialogue, the second describing how nurses provided the caregivers with a sense of security as well as strengthening them to master their daily lives.

CONCLUSIONS

The nurses provided long distance support and care for the caregivers, by using computer-meditated communication. This communication was characterized by closeness as well as empathy. To strengthen the caregivers' competence and independence, the nurses were easy accessible and provided virtual supervision and support. This study increases the knowledge about online dialogues and relationship between nurses and caregivers. It contributes to knowledge about balancing in the relationship, as well as knowledge about bridging the gap between technologies and nursing care as potential conflicting dimensions. Maintenance of ethical principles are therefore critical to be aware of.

Authors+Show Affiliations

Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Porsgrunn, Norway. hilde.solli@usn.no. , Kongsberg, Norway. hilde.solli@usn.no.Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Porsgrunn, Norway. , Kongsberg, Norway.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31771566

Citation

Solli, Hilde, and Sigrun Hvalvik. "Nurses Striving to Provide Caregiver With Excellent Support and Care at a Distance: a Qualitative Study." BMC Health Services Research, vol. 19, no. 1, 2019, p. 893.
Solli H, Hvalvik S. Nurses striving to provide caregiver with excellent support and care at a distance: a qualitative study. BMC Health Serv Res. 2019;19(1):893.
Solli, H., & Hvalvik, S. (2019). Nurses striving to provide caregiver with excellent support and care at a distance: a qualitative study. BMC Health Services Research, 19(1), 893. https://doi.org/10.1186/s12913-019-4740-7
Solli H, Hvalvik S. Nurses Striving to Provide Caregiver With Excellent Support and Care at a Distance: a Qualitative Study. BMC Health Serv Res. 2019 Nov 27;19(1):893. PubMed PMID: 31771566.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nurses striving to provide caregiver with excellent support and care at a distance: a qualitative study. AU - Solli,Hilde, AU - Hvalvik,Sigrun, Y1 - 2019/11/27/ PY - 2018/12/07/received PY - 2019/11/13/accepted PY - 2019/11/28/entrez PY - 2019/11/28/pubmed PY - 2020/2/25/medline KW - CMC KW - Caregiver KW - Home care services KW - Nurse KW - Telecare KW - Web camera KW - Web forum SP - 893 EP - 893 JF - BMC health services research JO - BMC Health Serv Res VL - 19 IS - 1 N2 - BACKGROUND: In Norway, changes in life expectancy have led to increased attention to older people who are ageing at home, by means of home care services, adapted technology and informal caregivers. The caring situation has become difficult for many caregivers. The use of telecare has now offered them the possibility to receive support at home. The purpose of this study was to explore how nurses provide support and care at a distance, using a web camera and a web forum in a closed telecare network for caregivers to persons suffering from stroke and dementia. METHODS: The study had an explorative design with a qualitative approach. The data sources consisted of interviews with nurses and excerpts from posts in a closed telecare network. Content analysis was used to analyse the text from the interviews and the text from the web forum. RESULTS: The main theme, "Balancing asymmetric and symmetric relationships" described nurses' relationship with caregiver. Two categories, "Balancing personal and professional qualities" and "Balancing caregivers' dependence versus independence" were identified. The first describing the tension in their dialogue, the second describing how nurses provided the caregivers with a sense of security as well as strengthening them to master their daily lives. CONCLUSIONS: The nurses provided long distance support and care for the caregivers, by using computer-meditated communication. This communication was characterized by closeness as well as empathy. To strengthen the caregivers' competence and independence, the nurses were easy accessible and provided virtual supervision and support. This study increases the knowledge about online dialogues and relationship between nurses and caregivers. It contributes to knowledge about balancing in the relationship, as well as knowledge about bridging the gap between technologies and nursing care as potential conflicting dimensions. Maintenance of ethical principles are therefore critical to be aware of. SN - 1472-6963 UR - https://www.unboundmedicine.com/medline/citation/31771566/Nurses_striving_to_provide_caregiver_with_excellent_support_and_care_at_a_distance:_a_qualitative_study_ L2 - https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4740-7 DB - PRIME DP - Unbound Medicine ER -