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Home-based care nurses' lived experiences and perceived competency needs: A phenomenological study.

Khairul Dzakirin Bin Rusli1, Shu Fen Ong2, Shaun Speed3

  • 1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

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|May 22, 2022
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Summary

Home-based care nurses experience full patient care and autonomy, but require clearer practice scopes and enhanced support systems for improved readiness and transition. Their needs include autonomous decision-making and managing social matters.

Keywords:
community health nursinghome care serviceshome health nursingperception

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Area of Science:

  • Nursing Practice
  • Home Healthcare
  • Qualitative Research

Background:

  • Increasing demand for home-based care globally.
  • Nurses in home care exhibit expanded competencies and autonomy.
  • Limited understanding of nurses' daily experiences, perceived competencies, and needs in home care.

Purpose of the Study:

  • To explore home-based care nurses' practice experiences.
  • To understand nurses' perceived competency and needs in home-based care settings.

Main Methods:

  • Descriptive phenomenological design.
  • Individual interviews with 17 home-based care nurses.
  • Colaizzi's analysis method and reflective diaries for bracketing.

Main Results:

  • Four emergent themes: full spectrum of patient care, autonomy in practice, person-centred care beliefs, and enhancing supportive systems.
  • Nurses engage in autonomous assessments, decision-making, and social matter management.
  • Identified need for improved understanding of the broader scope of home-based nursing practice.

Conclusions:

  • Findings highlight the need for a defined scope of practice in home-based nursing.
  • Organizations must improve nurses' readiness and experiences through clear practice guidelines.
  • Nursing leadership should enhance practical experience opportunities and supportive workplace systems for transitioning nurses.