Balancing between extremes-Work in hospital-at-home

Area of Science:

• Healthcare Management
• Nursing
• Gerontology

Background:

• Hospital at Home (HAH) services are an evolving model of care delivery.
• Understanding staff perceptions is crucial for optimizing HAH service delivery and sustainability.

Purpose of the Study:

• To describe Hospital at Home (HAH) staff's perceptions of HAH care.
• To explore work structures, processes, and outcomes within HAH settings.

Main Methods:

• A cross-sectional descriptive study was conducted across three HAH units in Finland.
• Thematic content analysis (COREQ) of three focus group interviews with 24 interprofessional staff members.
• An audit visit was conducted at a UK-based HAH service for comparative insights.

Main Results:

• Finnish HAH staff reported balancing patient/near-one wishes, well-being, person-centered care, work safety, and support needs.
• Patients were perceived to be satisfied with HAH care in both Finland and the UK.
• HAH services were recognized for their potential to save hospital bed capacity.

Conclusions:

• HAH staff navigate complex demands, highlighting the need for supportive work environments.
• Positive patient satisfaction and hospital bed savings underscore the value of HAH models.
• Further research should explore strategies to support HAH staff and enhance service delivery.