Patient autonomy in home care: nurses’ relational practices of responsibility.

Published on Sep 1, 2019in Nursing Ethics1.957
· DOI :10.1177/0969733018772070
Gabriele Belschak-Jacobs14
Estimated H-index: 14
(Fontys University of Applied Sciences)
Background:Over the last decade, new healthcare policies are transforming healthcare practices towards independent living and self-care of older people and people with a chronic disease or disability within the community. For professional caregivers in home care, such as nurses, this requires a shift from a caring attitude towards the promotion of patient autonomy.Aim:To explore how nurses in home care deal with the transformation towards fostering patient autonomy and self-care.Research design and context:A case study was conducted in a professional development course (‘learning circle’) for home care nurses, including participant observations and focus groups. The theoretical notion of ‘relational agency’ and the moral concept of ‘practices of responsibility’ were used to conduct a narrative analysis on the nurses’ stories about autonomy.Participants:Eight nurses, two coaches and two university lecturers who participated in the learning circle.Ethical considerations:Informed consent was sought at the st...
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