A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Standardised functional assessment in long-term care for older people : perspective of Finnish care workers (2021)

Lehto-Niskala, V., Jolanki, O., Valvanne, J., & Jylhä, M. (2021). Standardised functional assessment in long-term care for older people : perspective of Finnish care workers. Nordic Journal of Social Research, 12(1), 27-47. https://doi.org/10.7577/njsr.3734

JYU-tekijät tai -toimittajat

Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajat: Lehto-Niskala, Vilhelmiina; Jolanki,Outi; Valvanne, Jaakko; Jylhä, Marja

Lehti tai sarja: Nordic Journal of Social Research

eISSN: 1892-2783

Julkaisuvuosi: 2021

Ilmestymispäivä: 31.01.2021

Volyymi: 12

Lehden numero: 1

Artikkelin sivunumerot: 27-47

Kustantaja: OsloMet - Oslo Metropolitan University

Julkaisumaa: Norja

Julkaisun kieli: englanti

DOI: https://doi.org/10.7577/njsr.3734

Julkaisun avoin saatavuus: Avoimesti saatavilla

Julkaisukanavan avoin saatavuus: Kokonaan avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/74681

Tiivistelmä

Objective measures and documentation are increasingly used in the care for older people to promote efficiency and productivity. A standardised assessment of functional capacity is one such measure. In this study, we examined the meanings given to standardised functional assessment by care workers who provide long-term care for older people. Gathered from eight Finnish long-term care facilities, the data consisted of one-on-one interviews with practical and registered nurses (n = 24). In the data analysis, we employed the discursive approach. We identified three discourses in the care workers’ talks that differed in the meaning given to standardised functional assessment in the process of care: part of the bureaucracy, a missed opportunity and a threat to person-centred care. Care workers described these assessments as constituting a routine part of their job but expressed uncertainty about their role and the practical benefits in actual care work. They even called into question these assessments’ relevance to quality care delivery. To be a meaningful part of care practice, it is essential that there be a shared understanding of the rationale behind functional assessments in the care organisation and that care workers themselves can see the outcomes of these assessments in their daily work.

YSO-asiasanat: arviointi; hoitotyö; ikääntyneet; pitkäaikaishoito; hoitohenkilöstö; tuloksellisuus; laatu; itsearviointi

Liittyvät organisaatiot

OKM-raportointi: Kyllä

VIRTA-lähetysvuosi: 2021

JUFO-taso: 1