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A conceptual framework for home nursing.

E M Coombs

    Journal of Advanced Nursing
    |March 1, 1984
    PubMed
    Summary

    Home nursing is a complex and vital field, challenging the stereotype of basic tasks. Research reveals home nurses play a central role in patient adaptation to chronic illness and disability.

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    Area of Science:

    • Nursing
    • Healthcare Management
    • Patient Care

    Background:

    • Home nursing is often underestimated as a series of simple tasks.
    • This perception fails to recognize the complexity and impact of home care on patients.

    Purpose of the Study:

    • To develop a conceptual framework for home nursing.
    • To challenge the stereotype of home nursing as basic and limited.
    • To explore the role of home nurses in patient adaptation to chronic illness.

    Main Methods:

    • Utilized the grounded theory approach (Glaser & Strauss, 1967).
    • Observed and analyzed home nursing practices in Australia.
    • Compared findings with district nursing observations in England (Kratz, 1976, 1978).

    Main Results:

    • Home nursing is significantly more complex and challenging than commonly acknowledged.
    • Home nurses play a crucial role in how patients respond to and adapt to chronic illness.
    • Unique variables in home settings influence nursing interventions differently than in acute facilities.

    Conclusions:

    • Home nursing requires a deeper understanding beyond task-based definitions.
    • Recognizing the complexity of home nursing is essential for developing nursing knowledge and education.
    • Home nurses facilitate patient adaptation and potentially enhance functioning during long-term illness.

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