Dataset Information

Dependency and Care: Perspectives from the Point of View of Professionals Assessing Situations of Dependency in Spain.

ABSTRACT: OBJECTIVE:To describe how the assessors of dependency have perceived the process of implementation of the Dependency Act in Spain. METHODS:A qualitative method was used to analyse interview data (discourse analysis). Purposive sampling was applied. Sixteen occupational therapists were included, who served as dependency assessors in Extremadura, a region of southern Spain. Data were collected through semi-structured interviews between February and March 2019, focused on the characteristic of the Dependency Act. A discourse analysis of the narrative information was performed using processes of open, axial, and selective coding, as well as the constant comparative method. RESULTS:Three topics were identified: (1) Benefits of implementation, connected with the consideration as subjects of rights and the increase in resources. (2) Difficulties linked to the bureaucratization of the process, the lack of sensitivity of the scale of assessment, and the unequal access to benefits and services. (3) The impact of the 2012 budget cuts on financing and on dependent people and their families. CONCLUSIONS:The Dependency Act has established itself as a political tool that has generated important social and economic benefits. However, significant difficulties have emerged, which should be addressed to ensure better care for dependent persons.

SUBMITTER: Cantero-Garlito PA

PROVIDER: S-EPMC7068369 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Dependency and Care: Perspectives from the Point of View of Professionals Assessing Situations of Dependency in Spain.

Cantero-Garlito Pablo A PA Flores-Martos Juan Antonio JA Moruno-Miralles Pedro P

International journal of environmental research and public health 20200213 4

<h4>Objective</h4>To describe how the assessors of dependency have perceived the process of implementation of the Dependency Act in Spain.<h4>Methods</h4>A qualitative method was used to analyse interview data (discourse analysis). Purposive sampling was applied. Sixteen occupational therapists were included, who served as dependency assessors in Extremadura, a region of southern Spain. Data were collected through semi-structured interviews between February and March 2019, focused on the charact ...[more]

PMID: 32069782

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Project description:BackgroundWith the growth of digital nursing, several studies have focused on recording patients' views on remote care, or specialised nurse staffing aspects. This is the first international survey on telenursing focused exclusively on clinical nurses that analyses the dimensions of usefulness, acceptability, and appropriateness of telenursing from the staff point of view.MethodsA previously validated structured questionnaire including demographic variables, 18 responses with a Likert-5 scale, three dichotomous questions, and one overall percentual estimation of holistic nursing care susceptible to being undertaken by telenursing, was administered (from 1 September to 30 November 2022) to 225 clinical and community nurses from three selected EU countries. Data analysis: descriptive data, classical and Rasch testing.ResultsThe results show adequacy of the model for measurement of the domains of usefulness, acceptability, and appropriateness of telenursing (overall Cronbach's alpha 0.945, Kaiser-Meyer-Olkin 0.952 and Bartlett's p < 0.001). Answers in favour of telenursing ranked 4 out of 5 in Likert scale, both globally and by the three domains. Rasch: reliability coefficient 0.94, Warm's main weighted likelihood estimate reliability 0.95. In the ANOVA analysis, the results for Portugal were significantly higher than those for Spain and Poland, both overall and for each of the dimensions. Respondents with bachelor's, master's and doctoral degrees score significantly higher than those with certificates or diplomas. Multiple regression did not yield additional data of interest.ConclusionsThe tested model proved to be valid, but although the majority of nurses are in favour of telenursing, given the nature of the care, which is mainly face-to-face, according to the respondents, the chances of carrying out their activities by telenursing is only 35.3%. The survey provides useful information on what can be expected from the implementation of telenursing and the questionnaire proves to be a useful tool to be applied in other countries.

Dataset Information

Dependency and Care: Perspectives from the Point of View of Professionals Assessing Situations of Dependency in Spain.

Publications

Dependency and Care: Perspectives from the Point of View of Professionals Assessing Situations of Dependency in Spain.

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