Home Care Nurses' Experiences of Their Competencies: An Interview Study.

Area of Science:

• Nursing
• Healthcare Management
• Professional Competencies

Background:

• Home care services are evolving, with an increasing number of clients managing complex health conditions.
• This necessitates a clear understanding of the competencies required for nurses to effectively provide care in home settings.

Purpose of the Study:

• To explore and describe the experiences of nurses regarding the essential competencies needed for effective practice in home care.
• To identify key areas of competence crucial for delivering high-quality home-based nursing services.

Main Methods:

• A qualitative research design was employed, utilizing semi-structured interviews with nurses.
• Thematic analysis was used to analyze data from eleven nurses working in home care units in Finland.
• The Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines were followed.

Main Results:

• Eight core competence themes emerged: holistic client support, multiprofessional collaboration, situational awareness, technological skills, leadership, continuous learning, ethical competence, and comprehensive client services.
• Nurses highlighted the need for extensive knowledge, skills, and appropriate attitudes for home care practice.

Conclusions:

• Nurses in home care require a diverse skill set encompassing technical, interpersonal, and ethical competencies.
• Findings inform nursing education and professional development programs to meet the dynamic needs of home care.