Robuust

Background Most older adults prefer to age at home rather than in residential care, regardless of their health status. Yet this policy‐supported wish increases demand for home care services at a time when many Western countries already face substantial workforce shortages. To balance the supply and demand of care, governments are encouraging self‐management in both care tasks and daily activities. This policy presents issues for care professionals, including balancing client demands, professional standards and organisational boundaries. The aim of this scoping review is to identify factors that promote and impede the implementation of responsible self‐management in home care, both from the perspective of older adults and health professionals. Method We conducted a scoping review following Joanna Briggs Institute guidelines to guide the search, selection and structure of the review. We included studies that examined older adults receiving home care, addressed self‐management in daily activities and explored interactions between health professionals and clients. A literature search (in PubMed, CINAHL and Scopus) was performed from inception up to 10, February 2025, in collaboration with an information specialist. The search yielded 9910 unique titles. After two authors screened titles, abstracts and full texts, a total of 14 articles were included. Included studies spanned eight countries and employed qualitative and mixed‐methods designs. Results The extracted data showed three themes: (1) A dynamic shift in roles and expectations: professionals move towards coaching and activation, while older adults must articulate their needs more clearly, increasing client ownership and reducing professional control. (2) Partnership between professionals and older adults as central to self‐management, calling on professionals to focus on potential and to trust and treat older adults as equal partners. (3) Balancing individual care needs with limited time and resources. When professionals are stretched thin, delivering flexible care becomes significantly harder. Conclusion The willingness to engage in self‐management hinges on the individual’s capacity and their perceptions of home care, shaped by how well care needs can be balanced with limited time and resources. Both sides of the dyad rely on a flexible care system, making a balanced, collaborative approach essential to strengthen self‐management and overall care quality for older adults.

Denne artikkelen er et resultat av 20 års arbeid med barn, unge og familier hvor forfatteren har utforsket mulighetene som ligger i de mange ulike praksisene som tilhører den narrative terapitradisjonen. Bruken av terapeutiske brev og dokumenter er blant disse, og denne artikkelen har til hensikt å presentere noen av ideene og holdningene som ligger til grunn for denne litterære praksisen. Artikkelen beskriver samt gir et konkret eksempel på en terapeutisk brevkampanje igangsatt i samarbeid med en mor, «Ellen», som befant seg i en kritisk livssituasjon. Ellen har lest teksten og bidratt med kommentarer. Alle navn er anonymisert.

The parent–infant relationship begins during pregnancy as parents prepare psychologically for the birth of their child. Father involvement, beginning in pregnancy, is associated with positive maternal and infant outcomes. Less is known about fathers’ experiences as they prepare to parent a new baby, especially fathers who are parenting in contexts of risk. The current study interviewed 44 expectant fathers to gain a deeper understanding of their thoughts and experiences during the prenatal period. Fathers described the importance of preparing their children to be productive citizens and described their anticipated parenting roles with their child as an older child (that is, beyond early childhood). For many fathers a sense of increased responsibility and the need to provide financially for their family weighed heavily. When seeking parenting support, the majority of fathers described a reliance on women in their lives for advice. Fathers’ focus on their parenting role with older children during interviews conducted in the prenatal period suggests that the importance of active engagement with their infant may be overlooked. Interventions that help fathers identify and engage in parenting roles with their infants have the capacity to support the early father–infant relationship, which forms the foundation for a long-lasting father–child relationship.

A comprehensive report has been prepared on the state of public health and healthcare in the Midden-Holland region of the Netherlands. This study describes the development of the report and the mechanisms behind public health knowledge utilisation by three groups of health policy actors: local authorities, public health professionals and regional care providers. The processes are studied in various qualitative ways. The mechanisms explaining the use of the report were found to be complex and different for each group of policy actors. Interaction between researchers and users is not the only factor that explains usage, but rather serves as an intermediate factor.