Client-Centered Home Care

Tineke Schoot, Ireen Proot, Marja Legius, Ruud ter Meulen and Luc de Witte
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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

Clinical Nursing Research, 2006, vol. 15, issue 4, 231-254

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.

Keywords: client-centered care; awareness; responsibility taking; dialogue; ethical reflection (search for similar items in EconPapers)
Date: 2006
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:15:y:2006:i:4:p:231-254

DOI: 10.1177/1054773806291845

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