Table 3 Barriers and facilitators for homecare workers´ ability to contribute to the prevention of ED visits among home-dwelling older individuals
Aspect | Category | Barriers | Facilitators |
|---|---|---|---|
1. Organisational | Accessibility to staff in primary care | Absence of healthcare professional for information transfer or consultation | Collaboration and exchange of competence between homecare services and primary care - Give nurse assistants in homecare more responsibility - In-house nurse - Medical advice during non-office hours - Increased preventive home healthcare |
| Â | Information transfer between emergency departments and homecare services | Homecare workers do not receive discharge information from emergency departments | Discharge from hospitals in collaboration with homecare and with prompt follow up from primary care |
2. Perceived attitudes | Healthcare professionals´ attitudes towards competence and professionalism among homecare workers | Primary care neither demands nor trusts the competence of homecare workers | Increased competence with training and support from primary care |
3. Client-related | Feelings of insecurity and anxiety among homecare clients | Emergency department visits not always initiated for medical reasons | Flexible working conditions to enable homecare workers ensure a safe home situation |