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The essentials of orientation : a literature review for Kerava home care
This Bachelor’s level thesis is a literature review commissioned by Kerava home care. The purpose of the thesis was to determine the essential factors of orientation within the context of home care with the aim of providing Kerava home care with the evidence-based structure for orientation.
Data collection was accomplished during spring 2018 and the data was obtained mainly from four databases: CINAHL (EBSCOhost), Medic, Cochrane and PubMed. In addition, a manual search was used to find relating articles. The review is based on 12 academic articles with various study designs. Data search provided no results regarding orientation in the context of home care. Therefore, the results are based on data obtained in other fields of nursing.
An inductive content analysis was used to analyze the data. Seven key categories were identified as essential factors of orientation: specially developed orientation process, support and guidance, individualized approach, evaluation and development, innovative approach, comprehensiveness and resources. The categories are universal by nature and therefore can be considered either fully or partly applicable to home care environment as well.
Further research regarding orientation is needed from the perspective of home care -after all, it is an ever-growing field of nursing due to the ageing of the population, national policies and the patients’ will to live in their own homes for as long as possible. Currently, home care organizations are facing high turnover rates and limited resources and strive to provide more ill patients with safe and effective care. In this combat, good quality orientation can be seen as an asset but also as a necessity.