Table 4 Tensions reported by over 50% of standpoint informants as regularly or always encountered during work
Tensions | Description |
|---|---|
Returning older adults at home safely vs. freeing up hospital beds | Case managers strive to ensure the safety of older adults in their homes. However, they perceive pressure from the hospital staff to swiftly arrange home care services for a prompt discharge of older adults. |
Delegating care to “partners” vs. managing the quality of services provided by partners | Case managers should only be minimally involved when care is provided by a partner. However, in practice, they end up overseeing the quality of the services as well as dealing with scheduling issues. |
Meeting organisational requirements vs. spending more time providing care for older adults | Case managers must meet organisational requirements (e.g., up-to-date older adults’ file, up-to-date reporting of the clinical work they do through statistics, up-to-date mandatory assessment). However, in meeting these organisational requirements, they are reducing the time they are directly involved with older adults, thus the quality of care they can provide. |