Home‐based care nurses' lived experiences and perceived competency needs: A phenomenological study

Rusli, Khairul Dzakirin Bin; Fen, Ong Shu; Speed, Shaun; Seah, Betsy; McKenna, Lisa; Lau, Ying; Liaw, Sok Ying

doi:10.1111/jonm.13694

Cited by 4 publications

(1 citation statement)

References 41 publications

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“…Homecare providers describe it as stressful to balance the older adult’s needs with organizational demands [ 66 ]. Nevertheless, individualized care [ 67 ] and person-centred care [ 68 ] are described as core values in home healthcare [ 67 , 68 ]. RNs’ leadership in home healthcare implies being able to adapt to the older adult’s needs and wishes [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Registered nurses’ challenges and suggestions for improvement of their leadership close to older adults in municipal home healthcare

2023

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Background Worldwide people are living longer. The need for healthcare for older adults is increasing. The trend is towards advanced home healthcare, where registered nurses are key figures. This implies challenges for municipal home healthcare, as well as for registered nurses’ leadership. The aim is to explore registered nurses’ perceptions of challenges and suggestions for improvements in their leadership close to older adults in municipal home healthcare. Methods The present study is part of a larger web-based questionnaire survey with a cross-sectional design. The design is inductive, analysing data using qualitative content analysis and descriptive statistics. A questionnaire with open-ended and closed-ended questions was used. A total of n = 70 registered nurses leading close to older adults participated in seven municipalities in two geographic areas in Sweden. Results The results show registered nurses’ perceptions of challenges as leaders close to older adults in terms of 11 categories. The categories are motivating for care, adjusting and coordinating nursing care to the older adult, relating to next of kin, managing communication difficulties, relating to social situations in the home, managing demands, working alone, having lack of time, collaborating with physicians, and care staff having low competence. The registered nurses suggested improvements for their leadership close to older adults in terms of nine categories. The categories are adjusting the work to the older adult, clarifying registered nurses’ responsibility, balancing demands and resources, setting time aside, improving staffs’ competence, ensuring staff’s competence development, improving the work environment, and cooperation between professions in the municipality, as well as between healthcare organizations. Conclusion The results show that registered nurses’ leadership in municipal home healthcare implies a wide range of challenges. There is a need for strategies to improve the organizational preconditions to reduce challenges in registered nurses’ leadership in order to promote positive patient outcomes for safe and quality care.

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Section: Discussionmentioning

confidence: 99%

Registered nurses’ challenges and suggestions for improvement of their leadership close to older adults in municipal home healthcare

2023

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Perceptions of community care among nursing students: A cross-sectional study with implications to nursing workforce

Chee,

Rusli,

Tan

et al. 2024

Nurse Education Today

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A hybrid systematic narrative review of instruments measuring home‐based care nurses' competency

Rusli,

Chua,

Ang

et al. 2023

Journal of Advanced Nursing

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AimThe aim of the study was to identify and synthesize the contents and the psychometric properties of the existing instruments measuring home‐based care (HBC) nurses' competencies.DesignA hybrid systematic narrative review was performed.Review MethodsThe eligible studies were reviewed to identify the competencies measured by the instruments for HBC nurses. The psychometric properties of instruments in development and psychometric testing design studies were also examined. The methodological quality of the studies was evaluated using the Medical Education Research Study Quality Instrument and COSMIN checklist accordingly.Data SourcesRelevant studies were searched on CINAHL, MEDLINE (via PubMed), EMBASE, PsychINFO and Scopus from 2000 to 2022. The search was limited to full‐text items in the English language.ResultsA total of 23 studies reporting 24 instruments were included. 12 instruments were adopted or modified by the studies while the other 12 were developed and psychometrically tested by the studies. None of the instruments encompassed all of the 10 home‐based nursing care competencies identified in an earlier study. The two most frequently measured competencies were the management of health conditions, and critical thinking and problem‐solving skills, while the two least measured competencies were quality and safety, and technological literacy. The content and structural validity of most instruments were inadequate since the adopted instruments were not initially designed or tested among HBC nurses.ConclusionThis review provides a consolidation of existing instruments that were used to assess HBC nurses' competencies. The instruments were generally not comprehensive, and the content and structural validity were limited. Nonetheless, the domains, items and approaches to instrument development could be adopted to develop and test a comprehensive competency instrument for home‐based nursing care practice in the future.ImpactThis review consolidated instruments used to measure home‐based care nurses' competency. The instruments were often designed for ward‐based care nurses hence a comprehensive and validated home‐based nursing care competency instrument is needed. Nurses, researchers and nursing leaders could consider the competency instruments identified in this review to measure nurses' competencies, while a home‐based nursing care competency scale is being developed.Patient or Public ContributionNo patient or public contribution was required in this review.

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Home‐based care nurses' lived experiences and perceived competency needs: A phenomenological study

Cited by 4 publications

References 41 publications

Registered nurses’ challenges and suggestions for improvement of their leadership close to older adults in municipal home healthcare

Registered nurses’ challenges and suggestions for improvement of their leadership close to older adults in municipal home healthcare

Perceptions of community care among nursing students: A cross-sectional study with implications to nursing workforce

A hybrid systematic narrative review of instruments measuring home‐based care nurses' competency

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