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A Theoretical Framework of Home-Based Professional Nursing Practice.
1Susan M. Hinck, PhD, APRN, GCNS-BC , is Former Compliance Director, Haven Home Health and Therapy, Ozark, Missouri.
Home Healthcare Now
|May 5, 2022
Summary
This study introduces a new theoretical framework for professional nursing practice in the home, emphasizing patient authority and nurse autonomy in home-based care settings.
Area of Science:
- Nursing
- Healthcare Theory
- Home Healthcare
Background:
- Home-based care models are diverse, necessitating a clear definition of professional nursing practice.
- Existing frameworks may not fully capture the unique aspects of nursing within the patient's home environment.
Purpose of the Study:
- To introduce a descriptive, middle-range theoretical framework specifically for professional nursing practice in the home.
- To define key concepts and relationships relevant to home-based nursing care.
Main Methods:
- Development of a theoretical framework based on descriptive analysis.
- Identification of six core concepts: primacy of home, patient authority, patient self-management, caregivers as collaborators, interprofessional clinical team collaboration, and nurse autonomy.
- Formulation of four relational statements describing patient and provider experiences in the home.
Main Results:
- The framework integrates six concepts and four relational statements to describe home-based nursing practice.
- Key theoretical statements highlight the influence of home environment, patient decision-making, interprofessional collaboration, and nurse autonomy.
Conclusions:
- This theoretical framework can guide nursing education, organizational structures, and practice in home-based care.
- It aims to maintain the integrity and purpose of the professional nurse's role in home settings.
- Recommendations for future research to test and validate the framework are provided.
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