Journal
NURSING OPEN
Volume 9, Issue 2, Pages 1200-1209Publisher
WILEY
DOI: 10.1002/nop2.1161
Keywords
home care service; home health nursing; nursing care; qualitative research
Categories
Funding
- Fasa University of Medical Sciences, Fasa, Iran [IR.FUMS.REC.1399.141]
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This research identified barriers to efficient management of home care nursing using a qualitative approach, including lack of effective standards, ineffective interactions, inappropriate cultural/social context, and professional issues. Recommendations to improve the quality of in-home care nursing include creating an appropriate cultural/social context in Iranian society, providing necessary infrastructure, encouraging teamwork, and organizing workshops for effective interactions between personnel and patients.
Aim: Inefficient management is one of the major barriers to development of in-home care in the society. Accordingly, the present study aims to identify the barriers to efficient management of home care nursing using a qualitative approach. Design: The present study is a qualitative-descriptive work of research. Method: Data were collected using semi-structured, in-depth, individual interviews with 19 nurses from November 2020 to May 2021, The collected data were analysed using Graneheim and Lundman's method. Results: The findings of the study were categorized into four main themes, namely lack of effective standards, ineffective interactions, inappropriate cultural/social context and professional issues, and 15 subthemes. Conclusion: In-home care nurses in Iran experience various problems in their practice. Creating an appropriate cultural/social context in Iranian societies, providing the necessary infrastructure, including insurance, providing comprehensive, clear guidelines for in-home care, encouraging teamwork and organizing workshops to promote effective interactions between the personnel and patients can improve the quality of in-home care nursing.
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