Exploring home-based care nurses' mindset for nursing practices: a phenomenological study.
Care Trajectory Management
Clinical mindlines
Home Care
Home nursing
Nurse role
Professional Independence
Situational awareness
Journal
BMC nursing
ISSN: 1472-6955
Titre abrégé: BMC Nurs
Pays: England
ID NLM: 101088683
Informations de publication
Date de publication:
01 Nov 2022
01 Nov 2022
Historique:
received:
25
05
2022
accepted:
10
10
2022
entrez:
1
11
2022
pubmed:
2
11
2022
medline:
2
11
2022
Statut:
epublish
Résumé
Home nursing is an essential aspect of healthcare and can address future health challenges. The nature of nursing and its practical applications are of particular interest, as nursing involves technical knowledge, rational procedures, and diverse skills. It is consequential to explore nursing practices in context to understand how nurses navigate their work. This study aimed to explore the characteristics of home care nurse practices and how nurses solve tasks in the context of nursing in home care. This is an exploratory qualitative research study using a descriptive phenomenological approach. We reported following the COREQ guidelines. Fifteen in-depth interviews with nurses from four Norwegian municipalities were conducted and analysed according to stepwise inductive analysis. The analysis revealed three main patterns that characterise nursing practices in home care: 'To be vigilant', 'To be an all-rounder', and 'To act with independence'. The content and distinction of these patterns are discussed through a theoretical framework of 'clinical mindlines'. There are multiple mindlines and complex realities for home-based care nursing. The nurses displayed great sensitivity in their practice, were knowledgeable about where they focused their attention, adapted their actions to the context, and demonstrated their independence as professionals. Nurses' vigilance and contextual insight are critical to their practice approach and task-solving abilities. These professionals need to manage emergent organisations and exercise independence and professional judgment when adapting their work to the context of home care patients. Future health policy should not strictly be based on standardised guidelines; depending on the context, it is also appropriate to focus on nurses' practical knowledge and the importance of mindlines.
Sections du résumé
BACKGROUND
BACKGROUND
Home nursing is an essential aspect of healthcare and can address future health challenges. The nature of nursing and its practical applications are of particular interest, as nursing involves technical knowledge, rational procedures, and diverse skills. It is consequential to explore nursing practices in context to understand how nurses navigate their work. This study aimed to explore the characteristics of home care nurse practices and how nurses solve tasks in the context of nursing in home care.
METHODS
METHODS
This is an exploratory qualitative research study using a descriptive phenomenological approach. We reported following the COREQ guidelines. Fifteen in-depth interviews with nurses from four Norwegian municipalities were conducted and analysed according to stepwise inductive analysis.
RESULTS
RESULTS
The analysis revealed three main patterns that characterise nursing practices in home care: 'To be vigilant', 'To be an all-rounder', and 'To act with independence'. The content and distinction of these patterns are discussed through a theoretical framework of 'clinical mindlines'. There are multiple mindlines and complex realities for home-based care nursing. The nurses displayed great sensitivity in their practice, were knowledgeable about where they focused their attention, adapted their actions to the context, and demonstrated their independence as professionals.
CONCLUSION
CONCLUSIONS
Nurses' vigilance and contextual insight are critical to their practice approach and task-solving abilities. These professionals need to manage emergent organisations and exercise independence and professional judgment when adapting their work to the context of home care patients. Future health policy should not strictly be based on standardised guidelines; depending on the context, it is also appropriate to focus on nurses' practical knowledge and the importance of mindlines.
Identifiants
pubmed: 36316738
doi: 10.1186/s12912-022-01068-w
pii: 10.1186/s12912-022-01068-w
pmc: PMC9623960
doi:
Types de publication
Journal Article
Langues
eng
Pagination
291Subventions
Organisme : Nord University
ID : 263000-512
Informations de copyright
© 2022. The Author(s).
Références
Nurs Open. 2021 Mar;8(2):815-823
pubmed: 33570265
Int J Nurs Pract. 2017 Jun;23(3):
pubmed: 28177175
Nurs Inq. 2021 Jan;28(1):e12375
pubmed: 32725871
JAMA. 2002 Oct 16;288(15):1909-14
pubmed: 12377092
Br J Community Nurs. 2018 Dec 2;23(12):597-604
pubmed: 30521386
J Am Med Dir Assoc. 2018 Sep;19(9):725-727
pubmed: 30149838
Health Soc Care Community. 2012 May;20(3):283-91
pubmed: 22356449
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
J Adv Nurs. 2011 Feb;67(2):276-86
pubmed: 20973810
BMC Nurs. 2016 May 25;15:31
pubmed: 27231437
Nurs Inq. 2009 Sep;16(3):223-31
pubmed: 19689649
Soc Sci Med. 2014 Oct;119:131-8
pubmed: 25181472
J Gen Intern Med. 2017 Apr;32(4):380-386
pubmed: 28243869
Med Clin North Am. 2006 Jul;90(4):713-58
pubmed: 16843771
Scand J Public Health. 2018 Jun;46(4):495-502
pubmed: 28914585
Int J Environ Res Public Health. 2021 Oct 07;18(19):
pubmed: 34639804
Health Soc Care Community. 2019 Sep;27(5):e604-e621
pubmed: 31231890
Int J Integr Care. 2011 Jan;11(Spec 10th Anniversary Ed):e127
pubmed: 22128282
Glob Qual Nurs Res. 2018 Dec 14;5:2333393618816780
pubmed: 30574532
J Nurs Manag. 2019 Jan;27(1):4-9
pubmed: 30015392
Nurs Ethics. 2011 May;18(3):408-17
pubmed: 21558116
Health Serv Insights. 2020 Jun 8;13:1178632920922221
pubmed: 32565676
Clin Nurs Res. 2006 Nov;15(4):231-54; discussion 255-7
pubmed: 17056768
Nurs Outlook. 2015 Mar-Apr;63(2):130-6
pubmed: 25261382
J Adv Nurs. 2019 Feb;75(2):400-411
pubmed: 30209811
Rev Bras Enferm. 2017 Jan-Feb;70(1):210-219
pubmed: 28226061
BMC Nurs. 2015 Apr 28;14:23
pubmed: 25931986
J Clin Nurs. 2020 Oct;29(19-20):3652-3666
pubmed: 33463848
Int J Community Based Nurs Midwifery. 2019 Apr;7(2):118-127
pubmed: 31041322
BMC Health Serv Res. 2019 Feb 14;19(1):121
pubmed: 30764824
BMC Health Serv Res. 2011 Aug 30;11:207
pubmed: 21878111
Int J Nurs Stud. 2018 Jan;77:39-45
pubmed: 29032349
Int J Integr Care. 2021 Mar 19;21(1):16
pubmed: 33776605
Nurs Inq. 2018 Oct;25(4):e12250
pubmed: 29984533
Eur J Emerg Med. 2001 Sep;8(3):221-3
pubmed: 11587468
BMJ. 2004 Oct 30;329(7473):1013
pubmed: 15514347
J Health Organ Manag. 2018 May 21;32(3):358-373
pubmed: 29771202