Abstract
BackgroundTo understand what is needed to achieve a successful Danish home-based reablement service from the perspective of reablement professionals.MethodsSemi-structured interviews and observations were conducted with nine professionals within a municipal visitation unit in the Northern Denmark Region. Thematic analysis was used to analyze the interviews.ResultsFour major themes emerged during this study: “Heterogeneity of clients and mixed attitudes towards the reablement intervention”, “Shared understanding and acknowledging the need for help as the first step in reablement”, “Commitment and motivation are essential for successful reablement”, and “Homecare helpers as most important team players”. The findings indicate that the clients had both mixed characteristics and attitudes about participating in the reablement intervention. Essential factors for successful reablement included a shared understanding of the reablement intervention, commitment, and motivation in terms of client involvement and staff group collaboration.ConclusionsShared understanding of the reablement intervention, commitment, and motivation was found to be essential factors and the driving forces in relation to successful reablement.
Highlights
To understand what is needed to achieve a successful Danish home-based reablement service from the perspective of reablement professionals
While answering Research question 1 (RQ1) and Research question 2 (RQ2), the following themes emerged: “Heterogeneity of clients and mixed attitudes towards the reablement intervention”, “Shared understanding and acknowledging the need for help as the first step in reablement”, Commitment and motivation are essential for successful reablement, and “Homecare helpers as most important team players”
Heterogeneity of clients and mixed attitudes towards the reablement intervention All informants agreed that there, in general, were no clear definition of clients who were referred to reablement and that client characteristics may vary even for clients with similar anticipated rehabilitation potential
Summary
To understand what is needed to achieve a successful Danish home-based reablement service from the perspective of reablement professionals. The population is aging worldwide, resulting in a growing proportion of dependent elderly people [1]. These demographic trends increases the incidence of older people experiencing decline in health and function, leading to more hospitalizations, higher healthcare service utilization, and increased health and social costs [1]. These trends have been met by greater use of homecare, where caregivers visit clients’ homes to provide personal care and perform activities of daily living (ADL) tasks over a long-term period. Many older people prefer to remain in their homes, creating an increased need for services that can support older people staying at home for as long as possible [5, 6]
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