Sjuksköterskors akuta bedömningar av sköra äldre : En intervjustudie med sjuksköterskor i kommunal hemsjukvård

Sammanfattning: Background: The number of frail elderly people is increasing in society which places great demands on the health system. In municipal homecare nurses often work alone which can lead to uncertainty in emergency assessments. To make informed decisions about continuing care of the frail elderly is vital. From an economic aspect is the correct care at the right level also significant. Aim: The aim of this study is to highlight nurses' experiences of acute assessment of frail elderly persons with deteriorating health in municipal home care. Method: The method used was qualitative with an inductive approach where data was analyzed with a qualitative content analysis. There were 11 registered nurses/district nurses working in municipal home care interviewed. Results: From the analysis of the data emerged three categories; to make informed, long-term planning, collaboration on patient involves with seven subcategories. Conclusion: For nurses to experience good support in the acute assessment requires effective cooperation especially with doctors. The result shows that insecurity in the assessment often leads patients to be sent to the hospital. The medical care plans have proven to be a great help in the assessments and needs to be implemented on many frail elderly persons in municipal homecare.