Primary Healthcare Nurses' Views on Digital Healthcare Communication and Continuity of Care: A Deductive and Inductive Content Analysis.

Primary healthcare in the Western world faces significant functional challenges, resulting in the implementation of digital communication tools. Nurses are key professionals in primary care and focusing on the impact of digital communication and continuity of care in primary care organisations is important. This qualitative descriptive study explores digital communication and continuity of care from primary healthcare nurses' perspective. Data from individual semi-structured interviews with 12 nurses were collected; deductive and inductive content analyses were performed. Three descriptive categories emerged from the deductive (digital communication as interpersonal, information, and management continuities) and inductive ('digital care does not suit everyone', 'new technology is contextually intertwined with daily work', and 'patient-positive aspects of digital information') phases. Additionally, a structural risk of obscuration of patients' needs by the contextual conditions emerged. To ensure digital communication-aligned continuity of care, compatible information technology systems should be developed. Allowing nurses to provide high-quality care based on their own values would enhance person-centred patient care.

Experiences of long term ongoing structured support in early stage of dementia - a case study.

BACKGROUND: The prevalence of dementia diseases is increasing worldwide with advancing age and growing populations. In Sweden alone, which currently has a population of approximately 9 million people, there are about 25 000 persons diagnosed each year with a dementia. Consequently, after such a diagnosis, there is a need for support. The recipients of that support include next of kin who seek a variety of information, including potential lifestyle changes and ways of dealing with personality changes in their loved one who has a dementia. AIMS AND OBJECTIVES: The aim was to explore four couples experiences in long-term ongoing structured support groups. DESIGN: A single-case study using semi-structured interviews supported by 'diary notes' maintained by each participating couple were used. METHOD: Semi-structured interviews were analysed using content analysis. RESULT: Three categories represent the findings across the four cases: Knowledge about the disease, Sense of comfort and support, and, Kinship through shared experiences. One category, Longing for kinship was created exclusively for one of the couples. Viewing the emerging categories from a healthy ageing perspective, both comfort and support and kinship through shared experiences can be considered as components of larger themes of support and social interaction. CONCLUSIONS: Findings suggest that structured support groups are a good way to encourage discussions, allow persons with dementia to express themselves and support healthy ageing among partners.

What it means to be an adult child of a person with dementia.

The prevalence of dementia as a disease has increased worldwide with advancing age and growing population numbers, affecting whole families. However, most previous research does not separate the spouses or cohabitants from the adult children, but instead regards all next of kin involved in the everyday care of the person suffering from dementia as caregivers. This has made it difficult to find previous research regarding what it means to be an adult child of a person with dementia, and as such, the aim of this study is to explore that topic. The method used was narrative interviews analysed using phenomenological hermeneutics. Our comprehensive understanding showed that to be an adult child of a person with dementia means being burdened with the responsibility to act on behalf of the diseased parent despite a deep sense of grief and loss, which leads to frustration and despondence. The adult children's existence and reality are threatened not only by the loss of the parent but also by the possibility that one day they too may inherit the disease. This could be compared to a psychic crisis, which is defined as a situation that leads to radical changes in the afflicted person's relationship to life and reality, or, simply, "an upset in a steady state." The findings suggest that adult children of people with dementia are in need of support for a substantial period of time in order to adapt to the fact that they have lost a parent who is still alive. They also need information about the disease and the process of diagnosis and treatment to feel more a part of the process, as well as understand the behavior and needs of their parent.