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Researching needs in district nursing.

B N Ong1

  • 1Centre for Health Planning and Management, University of Keele, Staffordshire, England.

Journal of Advanced Nursing
|June 1, 1991
PubMed
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This study explores district nursing clients' needs using mixed methods. Findings inform understanding of client perceptions and the district nurse role for future service evaluation.

Area of Science:

  • Nursing
  • Healthcare Research
  • Sociology

Background:

  • District nursing services are crucial for client care at home.
  • Understanding client and carer needs is essential for effective service delivery.
  • Previous research has not fully captured the contextual factors influencing district nursing needs.

Purpose of the Study:

  • To identify and understand the needs of clients and their carers receiving district nursing services.
  • To explore client and carer perceptions of themselves and the district nurse role.
  • To develop a contextual framework for evaluating district nursing activities.

Main Methods:

  • A pluralistic research design combining qualitative and quantitative methods.
  • An ethnographic approach was employed to generate concepts of needs.

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  • Focus groups and interviews were used to gather client and carer perspectives.
  • Main Results:

    • Client and carer needs are multifaceted and context-dependent.
    • Perceptions of the district nurse role vary significantly among clients and carers.
    • A preliminary contextual framework for needs assessment was developed.

    Conclusions:

    • Client and carer needs in district nursing are complex and require a nuanced understanding.
    • The developed framework provides a basis for evaluating district nursing practice.
    • Further research is needed to refine the framework and assess its impact on service delivery.