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Are comprehensive and individually designed care and service plans for older people’s home care a vision or a reality in Finland

Bibliographic Data

ID12287346
AuthorsJonna Puustinen (0000-0001-8922-7137, Karelia University of Applied SciencesSocial Services and Health Care Joensuu Finland, corresponding author), Mari Kangasniemi (0000-0003-0690-1865, Department of Nursing Science Faculty of Medicine University ResearcherUniversity of Turku Turku Finland), Riitta Turjamaa (0000-0003-2053-3237, Savonia University of Applied Sciences School of Health Care Kuopio Finland)
Year2020
Volume29
Issue5
Pagese144-e152
Publication date2020-12-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.13255
PMID33326161
OpenAlexW3111926951
LanguageEN
Citations received1
References cited25

The global population is ageing and many older people want to continue to live in their own homes, supported by home-care services. The basis for comprehensive care is real-time care and service plans, but more knowledge is needed about these plans to ensure that older people benefit from individual and comprehensive home care. Our aim was to describe the contents of older home-care clients' care and service plans by using the Finnish Care Classification (FinCC), version 3.0, which includes the Finnish classification of nursing diagnoses (FiCND) and the Finnish classification of nursing interventions (FiCNI). The data were collected during spring 2018 from 71 anonymised care and service plans provided by 47 registered and practical nurses who worked for one government-funded home-care organisation in an urban region of Finland. We analysed the data using descriptive statistical methods. The documentation focused on daily activities, but was based on a narrow view of individual needs and comprehensive care planning. In addition, we found a statistically significant association between documented clients' needs (FiCND) and nursing interventions (FiCNI) in secretions, fluid balance, respiration and skin integrity. The client's age, gender, how long they had been receiving home care and the number of home visits they received each week were all associated with certain documented needs and interventions. Our findings provide new knowledge about inconsistent documentation related to clients' needs and nursing interventions. Collaboration between technical and home-care professionals is needed to develop and test specific content in the FinCC related to home care. The contents should also take into account the views of older people on how they want their care and services needs to be planned and delivered so that they can lead independent and fulfilling lives

Business · Documentation · Environmental health · Government (linguistics · Population · Population ageing · Psychological intervention · Service (business · Chronic Disease Management Strategies · Geriatric Care and Nursing Homes · Medicine · Nursing · Nursing Diagnosis and Documentation

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  • Understanding eldercare users' views on quality of care and strategies for dealing with problems in Swedish home help services

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Unique citing works1
Citations per year0.25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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