Evidence map›Paper›PMID 35120512›Full record

ArticleBMC health services research2022

A qualitative study on promoting reablement among older people living at home in Norway: opportunities and constraints.

Eliva Atieno Ambugo, Imran Dar, Mariya S Bikova, Oddvar Førland, Trond Tjerbo

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Publication Trends in Reablement - A Scoping Review.Journal of multidisciplinary healthcare · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Eliva Atieno AmbugoDepartment of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, University of South-Eastern Norway in Vestfold, Postboks 235, 3603, Kongsberg, Norway. eliva.ambugo@usn.no.
Imran DarNorthern Norway Regional Health Authority (Helse Nord RHF), Postboks 1445, 8038, Bodø, Norway.
Mariya S BikovaCentre for Care Research Western Norway, Western Norway University of Applied Sciences in Bergen, Årstadveien 17, 5009, Bergen, Norway.
Oddvar FørlandCentre for Care Research Western Norway, Western Norway University of Applied Sciences in Bergen, Årstadveien 17, 5009, Bergen, Norway.
Trond TjerboDepartment of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Postboks 1089 Blindern, 0317, Oslo, Norway.
University of Oslo · NOWestern Norway University of Applied Sciences · NONorthern Norway Regional Health Authority · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare services that traditionally have been provided in long-term care institutions in Norway are increasingly being delivered at home to a growing population of older people with chronic conditions and functional limitations. Fostering reablement among older people is therefore important if they are to live safety at home for as long as possible. This study examines how healthcare professionals and managers (staff) in Norwegian municipalities promote reablement among community-dwelling older people.

methodsFace-to-face, semi-structured interviews lasting between 21 and 89 min were conducted between November 2018 and March 2019 with healthcare managers (N = 8) and professionals (N = 8 focus groups with 2-5 participants) in six municipalities in Norway. All interviews were audio-recorded, transcribed, and thematically coded inductively and analyzed with the aid of NVivo 12 software.

resultsOverall, healthcare staff in this study used several strategies to promote reablement, including: carrying out assessments to evaluate older people's functional status and needs (including for safe home environments), and to identify older people's wishes and priorities with regard to reablement training. Staff designed care plans informed by the needs assessments, and worked with older people on reablement training at a suitable pace. They promoted among older people and staff (within and across care-units) the principle of 'showing/doing with' versus 'doing for' the older person so as to not enable disablement. Additionally, they supported older people in the safe and responsible use of welfare technology and equipment. Even so, staff also reported constraints to their efforts to foster reablement, such as: heavy workload, high turnover, insufficient training in reablement care, and poor collaboration across care-units.

conclusionOlder people may be supported to live safely at home by meeting them as individuals with agency, identifying and tailoring services to their needs and wishes, and encouraging their functional abilities by 'showing/doing with' versus 'doing for them' when possible. The healthcare professionals and managers in this study were positive towards reablement care. However, meeting the resource demands of reablement care is a key challenge.

Indexed as

Home Care ServicesActivities of Daily LivingAgedFocus GroupsHumansIndependent LivingNorwayQualitative ResearchActivities of daily livingFunctional limitationsHomecare servicesOlder peoplePerson-centerednessReablement care

Identifiers

PMID35120512
PMCPMC8815167
OpenAlexW4210654919

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.