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How home health nurses plan their work schedules: A qualitative descriptive study
Elliane Irani1, Karen B Hirschman2, Pamela Z Cacchione2
1Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
Journal of Clinical Nursing
|June 13, 2018
Summary
Home health nurses autonomously plan schedules considering patient needs and agency rules, facing challenges in dynamic settings. This ensures patient-centered, timely care despite productivity demands.
Area of Science:
- Nursing Practice
- Healthcare Management
- Workforce Studies
Background:
- Home health nurses (HHN) possess autonomy in scheduling, yet empirical data on their planning process is limited.
- Understanding HHN work scheduling is crucial given the dynamic nature of home healthcare.
Purpose of the Study:
- To describe the daily work schedule planning process for home health nurses.
- To identify challenges encountered by home health nurses during schedule planning.
Main Methods:
- Qualitative descriptive design utilizing semi-structured interviews.
- 20 experienced registered nurses from three mid-Atlantic home health agencies participated.
- Conventional content analysis was employed for data analysis.
Main Results:
- Four planning themes emerged: prioritizing patient needs, accommodating patient preferences, coordinating with other providers, and meeting agency productivity standards.
- Key challenges included schedule adjustments, anticipating visit durations, and ensuring continuity of care.
- Nurses balance patient-centered care with agency requirements and productivity demands.
Conclusions:
- Home health nurses make autonomous scheduling decisions influenced by patient and agency factors.
- Nurses navigate challenges inherent in the unpredictable home healthcare environment.
- Findings emphasize the need for research on nurse productivity and improved work environments to prevent burnout.
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