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Client-Centered Home Care

Author

Listed:
  • Tineke Schoot

    (Zuyd University, Heerlen, the Netherlands)

  • Ireen Proot

    (Maastricht University, Maastricht, the Netherlands)

  • Marja Legius

    (Fontys University of Professional Education, Eindhoven, the Netherlands)

  • Ruud ter Meulen

    (University of Bristol, Bristol, United Kingdom)

  • Luc de Witte

    (Zuyd University, Heerlen, the Netherlands)

Abstract

This study explores and describes the perceptions of nurses with respect to everyday client-centered care. A grounded theory study was conducted with 10 Dutch nurses and auxiliary nurses giving home care to chronically ill clients. Participatory observations and semistructured interviews were held. Nurses perceived roles and responsibilities competing with the role as a responsive professional to the client demand: a critical professional, developer of client competencies, individual, and employee. Strategies in balancing between competing responsibilities were distinguished: pleasing, dialoguing, directing, and detaching. Directing (related to impaired client competencies) and detaching (related to organizational barriers) were also used as second choice strategies. Effectively balancing between competing responsibilities was seen in dialoguing and directing as second choice. Conditions identified related to these strategies are awareness of, and responsibility taking for competing responsibilities. Recommendations for practice concern a care relationship and a dialogue with the client, critical ethical reflection, professional autonomy, self-assertiveness and organizational support.

Suggested Citation

  • Tineke Schoot & Ireen Proot & Marja Legius & Ruud ter Meulen & Luc de Witte, 2006. "Client-Centered Home Care," Clinical Nursing Research, , vol. 15(4), pages 231-254, November.
    • Handle: RePEc:sae:clnure:v:15:y:2006:i:4:p:231-254
    DOI: 10.1177/1054773806291845
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    References listed on IDEAS

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    1. Hennie Boeije, 2002. "A Purposeful Approach to the Constant Comparative Method in the Analysis of Qualitative Interviews," Quality & Quantity: International Journal of Methodology, Springer, vol. 36(4), pages 391-409, November.
    2. Chewning, Betty & Sleath, Betsy, 1996. "Medication decision-making and management: A client-centered model," Social Science & Medicine, Elsevier, vol. 42(3), pages 389-398, February.
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