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From risky to safer home care: health care assistants striving to overcome a lack of training, supervision, and support

Overview of attention for article published in International Journal of Qualitative Studies on Health & Well-Being, May 2013
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  • Good Attention Score compared to outputs of the same age and source (70th percentile)

Mentioned by

policy
1 policy source

Citations

dimensions_citation
32 Dimensions

Readers on

mendeley
75 Mendeley
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Title
From risky to safer home care: health care assistants striving to overcome a lack of training, supervision, and support
Published in
International Journal of Qualitative Studies on Health & Well-Being, May 2013
DOI 10.3402/qhw.v8i0.20758
Pubmed ID
Authors

LENA SWEDBERG, EVA HAMMAR CHIRIAC, LENA TÖRNKVIST, INGRID HYLANDER

Abstract

Patients receiving home care are becoming increasingly dependent upon competent caregivers' 24-h availability due to their substantial care needs, often with advanced care and home care technology included. In Sweden, care is often carried out by municipality-employed paraprofessionals such as health care assistants (HC assistants) with limited or no health care training, performing advanced care without formal training or support. The aim of this study was to investigate the work experience of the HC assistants and to explore how they manage when delivering 24-h home care to patients with substantial care needs. Grounded theory methodology involving multiple data sources comprising interviews with HC assistants (n=19) and field observations in patients' homes was used to collect data and constant comparative analysis was used for analysis. The initial analysis revealed a number of barriers, competence gap; trapped in the home setting; poor supervision and unconnected to the patient care system, describing the risks associated with the situations of HC assistants working in home care, thus affecting their working conditions as well as the patient care. The core process identified was the HC assistants' strivings to combine safe home care with good working conditions by using compensatory processes. The four identified compensatory processes were: day-by-day learning; balancing relations with the patient; self-managing; and navigating the patient care system. By actively employing the compensatory processes, the HC assistants could be said to adopt an inclusive approach, by compensating for their own barriers as well as those of their colleagues' and taking overall responsibility for their workplace. In conclusion, the importance of supporting HC assistants in relation to their needs for training, supervision,and support from health care professionals must be addressed when organising 24-h home care to patients with substantial care needs in the future.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 75 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Sweden 1 1%
Unknown 74 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 16%
Researcher 11 15%
Student > Ph. D. Student 9 12%
Student > Bachelor 5 7%
Professor > Associate Professor 5 7%
Other 15 20%
Unknown 18 24%
Readers by discipline Count As %
Nursing and Health Professions 17 23%
Social Sciences 9 12%
Medicine and Dentistry 8 11%
Psychology 8 11%
Computer Science 5 7%
Other 8 11%
Unknown 20 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 January 2023.
All research outputs
#8,272,870
of 24,761,242 outputs
Outputs from International Journal of Qualitative Studies on Health & Well-Being
#245
of 762 outputs
Outputs of similar age
#68,201
of 199,784 outputs
Outputs of similar age from International Journal of Qualitative Studies on Health & Well-Being
#4
of 10 outputs
Altmetric has tracked 24,761,242 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 762 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.2. This one has gotten more attention than average, scoring higher than 65% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 199,784 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 49th percentile – i.e., 49% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 10 others from the same source and published within six weeks on either side of this one. This one has scored higher than 6 of them.