Family members of older persons with multi-morbidity and their experiences of case managers in Sweden: an interpretive phenomenological approach

Int J Integr Care. 2015 Mar 31:15:e011. doi: 10.5334/ijic.1538. eCollection 2015 Jan-Mar.

Abstract

Background: Family members of older persons (75+) with multi-morbidity are likely to benefit from utilising case management services performed by case managers. However, research has not yet explored their experiences of case managers.

Objectives: The aim of the study was to deepen the understanding of the importance of case managers to family members of older persons (75+) with multi-morbidity.

Design: The study design was based on an interpretive phenomenological approach.

Method: Data were collected through individual interviews with 16 family members in Sweden. The interviews were analysed by means of an interpretive phenomenological approach.

Results: The findings revealed one overarching theme: "Helps to fulfil my unmet needs", based on three sub-themes: (1) "Helps me feel secure - Experiencing a trusting relationship", (2) "Confirms and strengthens me - Challenging my sense of being alone" and (3) "Being my personal guide - Increasing my competence".

Conclusion and discussion: The findings indicate that case managers were able to fulfil unmet needs of family members. The latter recognised the importance of case managers providing them with professional services tailored to their individual needs. The findings can contribute to the improvement of case management models not only for older persons but also for their family members.

Keywords: case management; family members; integrated care; interpretive phenomenology; multi-morbidity; older persons.