TY - JOUR
T1 - Balancing the benefits of patient-clinician relationships with professional boundaries in Home-based Primary Care
AU - Hulen, Elizabeth
AU - Lafferty, Megan
AU - Laliberte, Avery
AU - Saha, Somnath
AU - Edwards, Samuel T.
N1 - Publisher Copyright:
© 2022 Taylor & Francis.
PY - 2022
Y1 - 2022
N2 - In the home care setting, boundaries may be difficult to identify when behavioral changes are made to accommodate the nature of care being delivered. In this secondary qualitative study, we examined how Home-based Primary Care (HBPC) clinicians understand role and relationship boundaries with patients and how these dynamics support patient care. The data set consisted of 14 semi-structured interviews with HBPC clinicians representing multiple disciplines and field observations of 6 HBPC team meetings. Using a directed approach to content analysis, we identified and described how HBPC clinicians worked to build relationships with patients, experienced challenges with emotional attachment, and negotiated boundaries in the patient-clinician relationship. Our findings illustrate how the home care setting is a site for which strong, therapeutic patient-clinician relationships can be developed while also highlighting the work that clinicians must do to balance addressing patient needs stemming from social isolation and adherence to their own professional boundaries.
AB - In the home care setting, boundaries may be difficult to identify when behavioral changes are made to accommodate the nature of care being delivered. In this secondary qualitative study, we examined how Home-based Primary Care (HBPC) clinicians understand role and relationship boundaries with patients and how these dynamics support patient care. The data set consisted of 14 semi-structured interviews with HBPC clinicians representing multiple disciplines and field observations of 6 HBPC team meetings. Using a directed approach to content analysis, we identified and described how HBPC clinicians worked to build relationships with patients, experienced challenges with emotional attachment, and negotiated boundaries in the patient-clinician relationship. Our findings illustrate how the home care setting is a site for which strong, therapeutic patient-clinician relationships can be developed while also highlighting the work that clinicians must do to balance addressing patient needs stemming from social isolation and adherence to their own professional boundaries.
KW - Home-based Primary Care
KW - boundaries
KW - clinician-patient relationships
KW - ethics
UR - http://www.scopus.com/inward/record.url?scp=85127982149&partnerID=8YFLogxK
U2 - 10.1080/01621424.2022.2056106
DO - 10.1080/01621424.2022.2056106
M3 - Article
AN - SCOPUS:85127982149
SN - 0162-1424
VL - 41
SP - 330
EP - 340
JO - Home Health Care Services Quarterly
JF - Home Health Care Services Quarterly
IS - 4
ER -