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Home care nursing practice: the new frontier.

M A Rose

    Holistic Nursing Practice
    |February 1, 1989
    PubMed
    Summary

    Home care nursing is evolving, requiring nurses to manage complex patient needs and advocate for systemic changes. Addressing practice, services, and financing is crucial for a holistic approach to home healthcare delivery.

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    Area of Science:

    • Nursing
    • Healthcare Systems
    • Public Health

    Background:

    • Home care is a vital component of healthcare delivery, often viewed as a cost-effective alternative to hospital care.
    • The home is increasingly recognized as a primary site for healthcare, with institutions serving as alternatives.
    • Home care nursing encompasses a broad spectrum of responsibilities, from advanced technical skills to managing the multifaceted needs of chronically ill patients.

    Purpose of the Study:

    • To discuss critical areas within home care nursing practice.
    • To highlight the need for preventive and supportive services in home care.
    • To examine the financial aspects influencing home care delivery.

    Main Methods:

    • Literature review and analysis of historical and contemporary home care practices.
    • Discussion of key challenges including evolving nursing roles, service gaps, and financing models.
    • Exploration of potential strategies for reconstructing home care models.

    Main Results:

    • Home care nursing has undergone significant transformation since its inception.
    • Gaps exist in preventive and supportive services within current home care systems.
    • Home care financing presents ongoing challenges that impact service delivery.

    Conclusions:

    • Home care nurses must engage in practice, education, research, and political action to shape the future of home healthcare.
    • A holistic nursing practice in home care requires awareness and involvement in systemic changes.
    • Reimagining home care models, such as reconstructing historical frameworks, is essential for contemporary practice.

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