Barriers and facilitators for reducing low‐value home‐based nursing care: A qualitative exploratory study among homecare professionals

Author:

Cremers Milou1ORCID,Wendt Benjamin2ORCID,Huisman‐de Waal Getty2ORCID,van Bodegom‐Vos Leti3,van Dulmen Simone A.2,Schipper Elise4,van Dijk Monique1,Ista Erwin15

Affiliation:

1. Department of Internal Medicine, Section of Nursing Science, Erasmus MC University Medical Center Rotterdam Rotterdam the Netherlands

2. Radboud Institute for Health Sciences, IQ Healthcare Radboud University Medical Center Nijmegen The Netherlands

3. Department of Biomedical Data Sciences Leiden University Medical Center Leiden The Netherlands

4. Bravis Hospital Bergen op Zoom The Netherlands

5. Division of Pediatric Intensive Care, Department of Neonatal and Pediatric Intensive Care, Erasmus MC‐Sophia Children's Hospital University Medical Center Rotterdam Rotterdam The Netherlands

Abstract

AbstractAimTo explore barriers and facilitators for reducing low‐value home‐based nursing care.DesignQualitative exploratory study.MethodSeven focus group interviews and two individual interviews were conducted with homecare professionals, managers and quality improvement staff members within seven homecare organizations. Data were deductively analysed using the Tailored Implementation for Chronic Diseases checklist.ResultsBarriers perceived by homecare professionals included lack of knowledge and skills, such as using care aids, interactions between healthcare professionals and general practitioners creating expectations among clients. Facilitators perceived included reflecting on provided care together with colleagues, clearly communicating agreements and expectations towards clients. Additionally, clients' and relatives' behaviour could potentially hinder reduction. In contrast, clients' motivation to be independent and involving relatives can promote reduction. Lastly, non‐reimbursement and additional costs of care aids were perceived as barriers. Support from organization and management for the reduction of care was considered as facilitator.ConclusionUnderstanding barriers and facilitators experienced by homecare professionals in reducing low‐value home‐based nursing care is crucial. Enhancing knowledge and skills, fostering cross‐professional collaboration, involving relatives and motivating clients' self‐care can facilitate reduction of low‐value home‐based nursing care.Implications for profession and patient care: De‐implementing low‐value home‐based nursing care offers opportunities for more appropriate care and inclusion of clients on waitlists.ImpactAddressing barriers with tailored strategies can successfully de‐implement low‐value home‐based nursing care.Reporting MethodThe Consolidated Criteria for Reporting Qualitative Research checklist was used.No patient or public contribution.

Funder

ZonMw

Publisher

Wiley

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3