Nurses’ experiences of the ethical values of home care nursing: A qualitative study

Arab, Masoume; Shahriari, Mohsen; Keshavarzian, Amir; Abbaszadeh, Abbas; Keshvari, Mahrokh

doi:10.1016/j.ijnss.2022.06.008

Cited by 4 publications

(2 citation statements)

References 39 publications

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“…how such values can affect communication, joint decision-making, and empower patients in planning their recovery. According to research carried out by Arab et al (Arab et al ., 2022), arguing that because of the involvement of patient privacy in home care situations, Professional identity perception, privacy, managing family interactions, shared security, and cultural-religious competency are just a few of the ethical values that become extremely important—even more important than hospital treatment.…”

Section: Resultsmentioning

confidence: 99%

Discharge Planning Patient Stroke a Nursing Science Philosophy: Systematic Review

Retnaningsih,

Pandin,

Nursalam

et al. 2023

Preprint

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ObjectivesThe quality of life and health of the patient are strongly influenced by the high incidence of stroke in a particular community or population. After the early recovery phase, recovery planning is crucial, as individuals who have suffered a stroke face uncertainty about the long-term recovery process as well as adjustments in everyday life. The objective of the research is to discuss the philosophical review of discharge planning for stroke patients from the points of view of ontology, epistemology, and axiology, with a focus on the philosophy of nursing science.Materials and methodsIn accordance with PRISMA (2017–2023) criteria, the study is a review of the literature. Keyword searches for “discharge planning,” “stroke,” “patients,” and “RCT” were conducted in the databases of Scopus, Science Direct, and ProQuest. The inclusion criteria encompassed quantitative research design, English-language publications, studies involving adult stroke patients, interventions related to discharge planning, and analysis evaluating discharge planning for stroke patients, yielding 281 identified papers. The Rayyan application is used in the selection process. PICO synthesis and grouping, which are based on the Cochrane Handbook for Systematic Review, are used in the analysis. Using the Joanna Briggs Institute Critical Assessment methodology, methodological quality assessment demonstrates that a multidisciplinary approach through ontological, epistemological, and axiological investigations offers a solid basis for enhancing health information systems and clinical practice.ResultsThere are twenty-two quantitative research findings that show the features of the respondents, who were family caregivers and stroke patients. Ensuring that stroke victims receive the best care possible when they leave the hospital is the aim of recovery planning. In the process, families, patients, and health care providers collaborate. Patient assessment, treatment planning, medication scheduling, patient and family education, advanced care planning, mental and spiritual health support, health service coordination, medical recordkeeping, and monitoring are all essential elements of recovery planning.ConclusionThorough recovery planning guarantees effective monitoring of medical records and coordination of treatment, improving the post-hospital experience for stroke patients. With an emphasis on the best possible recovery, this planning aims to offer focused and well-coordinated treatment. Stroke patients should anticipate comprehensive and well-coordinated post-hospital treatment, which will benefit both patients and families, thanks to the cooperation of health care professionals, patients, and families.

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Section: Resultsmentioning

confidence: 99%

Discharge Planning Patient Stroke a Nursing Science Philosophy: Systematic Review

Retnaningsih,

Pandin,

Nursalam

et al. 2023

Preprint

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“…Arab et al’s study (2022) similarly pointed out the significance of nurses’ safety and privacy in providing home care. These researchers stated that observing communication boundaries in patient care improves nurses’ safety [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Challenges of home care: a qualitative study

Shahriari,

Nia,

kalij

et al. 2024

BMC Nurs

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Background Despite countless benefits of home care, unfortunately, the variety and quality of services provided by homecare centers are uncertain. This study was conducted to explore of home care challenges. Methods The present qualitative study used the content analysis approach. A total of 17 participants, including nurses, managers of home care centers, and patients, were enrolled through purposive sampling. Data were collected using semi-structured interviews and analyzed through Granheim’s qualitative content analysis method. Results In order to explain the challenges of home care, after analyzing the data, 700 primary codes, 15 initial categories, sub-subcategories and two main categories, including ‘infrastructural challenges’ and ‘challenges related to the process of home care services provision’ emerged. The main category, “infrastructural challenges”, consisted of 4 sub-categories (the challenge of acculturalization of home care services, economic challenges of providing services, challenges related to human resources, and the challenge of policymaking and setting regulations and rules for home care). The second main category, “challenges related to the process of home care services provision”, consisted of 2 subcategories: challenges of improving the quality of home care services and the challenge of facilities for service provision. Conclusion In order to promote and improve the quality of home care services, in addition to providing insurance coverage for the services, acculturalization and revising the bylaws, empowering the human resource, enhancing the monitoring of the performance of home care centers, and employing modern technology need to be taken into account.

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Blurred lines: Ethical challenges related to autonomy in home-based care

Hertzberg,

Heggestad,

Magelssen

2023

Nurs Ethics

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Background Home-based care workers mainly work alone in the patient’s home. They encounter a diverse patient population with complex health issues. This inevitably leads to several ethical challenges. Aim The aim is to gain insight into ethical challenges related to patient autonomy in home-based care and how home-based care staff handle such challenges. Research design The study is based on a 9-month fieldwork, including participant observation and interviews in home-based care. Data were analysed with a thematic analysis approach. Participants and research context The study took place within home-based care in three municipalities in Eastern Norway, with six staff members as key informants. Ethical considerations The Norwegian Agency for Shared Services in Education and Research evaluated the study. All participants were competent to consent and signed an informed consent form. Findings A main challenge was that staff found it difficult to respect the patient’s autonomy while at the same time practicing appropriate care. We found two main themes: Autonomy and risk in tension; and strategies to balance autonomy and risk. These were explicated in four sub-themes: Refusing and resisting care; when choosing to live at home becomes risky; sweet-talking and coaxing; and building trust over time. Staff’s threshold for considering the use of coercion appeared to be high. Conclusions Arguably, home-based care staff need improved knowledge of coercion and the legislation regulating it. There is also a need for arenas for ethics reflection and building of competence in balancing ethical values in recurrent ethical problems.

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Nurses’ experiences of the ethical values of home care nursing: A qualitative study

Cited by 4 publications

References 39 publications

Discharge Planning Patient Stroke a Nursing Science Philosophy: Systematic Review

Discharge Planning Patient Stroke a Nursing Science Philosophy: Systematic Review

Challenges of home care: a qualitative study

Blurred lines: Ethical challenges related to autonomy in home-based care

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