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Family functioning, health and social support assessed by aged home care clients and their family members

Author

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  • Katja Hautsalo
  • Anja Rantanen
  • Päivi Astedt‐Kurki

Abstract

Aims and objectives The aim of this study was to describe aged home care clients' and their family members' experiences of their family functioning, family health and social support received. An additional purpose was to determine which factors are connected with social support. Background Increasing life expectancy and ageing of the population require consideration of the adequacy of home care services and the role of family members as care providers. The older population is a very heterogeneous group because of their variable needs and several disabilities. To ensure the quality of home care, experimental information is needed from clients and their family members. Design A survey design with convenience sampling. Methods The home care client and a family member of his/her answered a questionnaire together, including background questions, the Family Functioning, Health and Social Support instrument and an open question about support received from home care. Statistical methods were used to describe quantitative data, and content analysis was used in analysing the replies to the open question. Results Family health was noted as good, and family functioning and overall social support fairly good. An older person's higher basic education, higher age of the family member, better family health and male gender were connected with better social support received. The relationship of the older person and the family member as well as the duration of home care service use had an effect on social support received. The content analysis raised expectations related to time, planning of service, organisational factors and caring practise. Conclusions Home care clients' and families' needs for support vary, and therefore, the assessment of needs, care planning and updating are important. Relevance to clinical practice The variable support needs of older people and their family members require flexible and adaptable home services. Cooperation between all participants involved in care would promote the well‐being of the older person and the entire family.

Suggested Citation

  • Katja Hautsalo & Anja Rantanen & Päivi Astedt‐Kurki, 2013. "Family functioning, health and social support assessed by aged home care clients and their family members," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(19-20), pages 2953-2963, October.
    • Handle: RePEc:wly:jocnur:v:22:y:2013:i:19-20:p:2953-2963
    DOI: 10.1111/j.1365-2702.2012.04335.x
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    Cited by:

    1. Yingzi Zhang, 2018. "Family functioning in the context of an adult family member with illness: A concept analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(15-16), pages 3205-3224, August.
    2. Mahdi Shamali & Hanne Konradsen & Lara Stas & Birte Østergaard, 2019. "Dyadic effects of perceived social support on family health and family functioning in patients with heart failure and their nearest relatives: Using the Actor–Partner Interdependence Mediation Model," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-13, June.
    3. Kara Misto, 2019. "Family Perceptions of Family Nursing in a Magnet Institution During Acute Hospitalizations of Older Adult Patients," Clinical Nursing Research, , vol. 28(5), pages 548-566, June.
    4. Camilla Anker‐Hansen & Kirsti Skovdahl & Brendan McCormack & Siri Tønnessen, 2018. "The third person in the room: The needs of care partners of older people in home care services—A systematic review from a person‐centred perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1309-1326, April.

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