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Trust and easy access to home care staff are associated with older adults' sense of security: a Swedish longitudinal study
Dalarna University, School of Information and Engineering, Statistics.ORCID iD: 0000-0002-3183-3756
Dalarna University, School of Health and Welfare, Caring Science/Nursing. Mälardalen University.ORCID iD: 0000-0003-2511-9502
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2024 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, p. 36830-, article id 14034948241236830Article in journal (Refereed) Epub ahead of print
Abstract [en]

AIM: Older adults are increasingly encouraged to continue living in their own homes with support from home care services. However, few studies have focused on older adults' safety in home care. This study explored associations between the sense of security and factors related to demographic characteristics and home care services.

METHODS: The mixed longitudinal design was based on a retrospective national survey. The study population consisted of individuals in Sweden (aged 65+ years) granted home care services at any time between 2016 and 2020 (n=82,834-94,714). Multiple ordinal logistic regression models were fitted using the generalised estimation equation method to assess the strength of relationship between the dependent (sense of security) and independent (demographics, health and care-related factors) variables.

RESULTS: The sense of security tended to increase between 2016 and 2020, and was significantly associated with being a woman, living outside big cities, being granted more home care services hours or being diagnosed/treated for depression (cumulative odds ratio 2-9% higher). Anxiety, poor health and living alone were most strongly associated with insecurity (cumulative odds ratio 17-64% lower). Aside from overall satisfaction with home care services, accessibility and confidence in staff influenced the sense of security most.

CONCLUSIONS: We stress the need to promote older adults' sense of security for safe ageing in place, as mandated by Swedish law. Home care services profoundly influence older adults' sense of security. Therefore, it is vital to prioritise continuity in care, establish trust and build relationships with older adults. Given the increasing shortage of staff, integrating complementary measures, such as welfare technologies, is crucial to promoting this sense of security.

Place, publisher, year, edition, pages
2024. p. 36830-, article id 14034948241236830
Keywords [en]
Home care service, national survey, older adults, register study, safety, security
National Category
Nursing Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:du-48299DOI: 10.1177/14034948241236830PubMedID: 38517103Scopus ID: 2-s2.0-85188292536OAI: oai:DiVA.org:du-48299DiVA, id: diva2:1847069
Available from: 2024-03-26 Created: 2024-03-26 Last updated: 2024-04-02Bibliographically approved

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Alam, MoududMarmstål Hammar, Lena

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
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More styles
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