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Older persons' worries expressed during home care visits: exploring the content of cues and concerns identified by the Verona coding definitions of emotional sequences.

Hafskjold, L., Eide, T., Holmström, I.K., Sundling, V., Dulmen, S. van, Eide, H. Older persons' worries expressed during home care visits: exploring the content of cues and concerns identified by the Verona coding definitions of emotional sequences. Patient Education and Counseling: 2016, 99(12), 1955–1963
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Objective
Little is known about how older persons in home care express their concerns. Emotional cues and concerns can be identified by the Verona coding definitions of emotional sequences (VR-CoDES), but the method gives no insight into what causes the distress and the emotions involved.

Aim
The aims of this study are to explore:
(1) older persons’ worries;
(2) the content of these expressions.

Methods
An observational exploratory two-step approach was used to investigate audiotaped recordings from 38 Norwegian home care visits with older persons and nurse assistants. First, 206 cues and concerns were identified using VR-CoDES. Second, the content and context of these expressions were analysed inductively.

Results
Four main categories emerged: worries about relationships with others, worries about health care-related issues, worries about aging and bodily impairment, and life narratives and value issues, with several subcategories showing the causes of worry and emotions involved.

Conclusion
The two-step approach provides an in-depth knowledge of older persons’ worries, causes of worries, and their related emotions. (aut. ref.)