Working with ‘hands-off’ support: a qualitative study of multidisciplinary teams’ experiences of home rehabilitation for older people
Article first published online: 7 DEC 2012
© 2012 Blackwell Publishing Ltd
International Journal of Older People Nursing
Volume 9, Issue 1, pages 25–33, March 2014
How to Cite
2014) Working with ‘hands-off’ support: a qualitative study of multidisciplinary teams’ experiences of home rehabilitation for older people. International Journal of Older People Nursing 9, 25–33. doi: 10.1111/opn.12013, , , (
- Issue published online: 26 FEB 2014
- Article first published online: 7 DEC 2012
- Manuscript Accepted: 11 SEP 2012
- Manuscript Received: 14 MAR 2012
- focus group;
- home rehabilitation;
- multidisciplinary team;
- older people
There is a move towards the provision of rehabilitation for older people in their homes. It is essential to ensure that rehabilitation services promote independence of older people.
The aim of the study was to explore multidisciplinary teams' experiences of home rehabilitation for older people.
Five focus groups were conducted with multidisciplinary teams based in a municipality in Sweden, covering seven different professions. In total, 28 participants volunteered to participate in these interviews. Interviews were transcribed verbatim and analysed according to content analysis.
Two main categories, as well as four subcategories, emerged. The first main category, having a rehabilitative approach in everyday life, consisted of the subcategories: ‘giving ‘hands-off’ support’ and ‘being in a home environment’. The second main category, working across professional boundaries, consisted of the subcategories: ‘coordinating resources’ and ‘learning from each other’.
Common goals, communication skills and role understanding contributed to facilitating the teams' performances of rehabilitation. A potential benefit of home rehabilitation, because the older person is in a familiar environment, is to work a rehabilitative approach into each individual's activity in their everyday life in order to meet their specific needs. At an organisational level, there is a need for developing services to further support older people's psychosocial needs during rehabilitation.
Implications for practice
Team performance towards an individual's rehabilitation should come from an emerged whole and not only from the performance of a specific professional approach depending on the traditional role of each profession. A rehabilitative approach is based on ‘hands-off’ support in order to incorporate an individual's everyday activities as a part of their rehabilitation.