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Conceptualising relevant social context indicators for people receiving home care: A multi-method approach in Flanders, Belgium
Health and Social Care in the Community ( IF 2.395 ) Pub Date : 2021-08-06 , DOI: 10.1111/hsc.13532
Shauni Van Doren 1 , Kirsten Hermans 1 , Anja Declercq 1, 2
Affiliation  

Despite an increasing awareness of the impact of the social context of a person on personalised care planning, there is currently no generally accepted classification of social context. As a result, home care professionals have a partial understanding of what social context is and how it affects and can even benefit their work. In this study, we define the main themes and concepts of the social context in the home care setting. The goal in this study is twofold. Initially, we want to offer a multidimensional and practical model of social context, founded on the perspectives of care users and professional caregivers in home care. This model of social context, in turn, will be the foundation for the development of a Social Supplement for the interRAI assessment instruments. We conducted nine focus groups in Flanders between September and November 2017. Fifty-four people participated. The focus groups followed a semi-structured format based on themes identified from the literature and three in-depth interviews with experts. Questions focused on defining the main themes of ‘social context’ and their subcategories. At the end of each discussion, participants were asked to consider which concept could be suitable and essential for a Social Supplement to the current interRAI instruments. Focus groups were recorded, transcribed and analysed using NVivo. We used investigator and theoretical triangulation to ensure the quality of our analysis, and identified five overarching themes of social context; (a) care and support, (b) physical environment, (c) life and care goals, (d) psychosocial well-being and (e) civic engagement. These main themes were mentioned throughout the nine focus group discussions, even though a diverse group of stakeholders participated. This model provides the basis for the development of a Social Supplement for the interRAI assessment instruments in Flanders, Belgium.

中文翻译:

为接受家庭护理的人构想相关的社会背景指标:比利时法兰德斯的一种多方法方法

尽管人们越来越意识到一个人的社会背景对个性化护理计划的影响,但目前还没有普遍接受的社会背景分类。因此,家庭护理专业人员对什么是社会背景以及它如何影响甚至可能使他们的工作受益有部分了解。在这项研究中,我们定义了家庭护理环境中社会背景的主要主题和概念。本研究的目标是双重的。最初,我们希望基于家庭护理中护理用户和专业护理人员的观点,提供一个多维且实用的社会背景模型。反过来,这种社会背景模型将成为为 interRAI 评估工具开发社会补充的基础。2017 年 9 月至 11 月,我们在法兰德斯开展了 9 个焦点小组。有 54 人参加。焦点小组采用半结构化形式,基于文献中确定的主题和对专家的三次深入访谈。问题侧重于定义“社会背景”的主题及其子类别。在每次讨论结束时,参与者被要求考虑哪个概念对于当前 interRAI 工具的社会补充是合适和必不可少的。使用 NVivo 记录、转录和分析焦点小组。我们使用调查员和理论三角测量来确保我们分析的质量,并确定了社会背景的五个总体主题;(a) 关怀和支持,(b) 物质环境,(c) 生活和关怀目标,(d) 社会心理健康和 (e) 公民参与。尽管有不同的利益相关者参与,但在九个焦点小组讨论中都提到了这些主题。该模型为比利时法兰德斯的 interRAI 评估工具的社会补充开发提供了基础。
更新日期:2021-08-06
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