Caring for a growing population of older adults with complex health problems in their homes is part of every-day work for many health care professionals in the world. This qualitative interview study explores the way health care professionals perceive possibilities and constraints when caring for older adults living with long-term pain in community home care in Sweden. The study aims to understand the relationship between health care professionals' subjective experiences and social structures such as the organization of care and shared norms and values in regard to their perceived space of action. Findings provide insight into how institutional structures such as organization and time, conflate with cultural notions, norms, and ideals, and how these enable and constrain health care professionals in their daily work but also create dilemmas. Findings suggest centering the meaning of structuring aspects in social organizations as a tool for reflection on priorities, improvement, and development in care settings.

在家中照顾越来越多的患有复杂健康问题的老年人是世界上许多医疗保健专业人员日常工作的一部分。这项定性访谈研究探讨了医疗保健专业人员在照顾瑞典社区家庭护理中长期疼痛的老年人时如何看待可能性和限制。该研究旨在了解医疗保健专业人员的主观体验与社会结构之间的关系，例如护理组织和关于他们感知的行动空间的共同规范和价值观。调查结果深入了解组织和时间等制度结构如何与文化观念、规范和理想相融合，以及这些结构如何在日常工作中支持和限制医疗保健专业人员，但也会造成困境。