The need for acute assessments in home healthcare - Swedish registered nurses' experiences.

IF 2.1 4区医学 Q2 NURSING

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-06-27 DOI:10.1080/17482631.2024.2373541

Jessica Westerholm, Lena-Karin Gustafsson, Mirkka Söderman

{"title":"The need for acute assessments in home healthcare - Swedish registered nurses' experiences.","authors":"Jessica Westerholm, Lena-Karin Gustafsson, Mirkka Söderman","doi":"10.1080/17482631.2024.2373541","DOIUrl":null,"url":null,"abstract":"Purpose: The study aims to describe Swedish RNs' experiences of acute assessments at home. More patients with complex nursing needs are cared for at home due to an ageing population. Registered nurses (RNs) who work with home healthcare need a broad medical competence and clinical experience alongside adapted decision support systems for maintaining patient safety in acute assessments within home healthcare.Methods: A content analysis of qualitative survey data from RNs (n = 19) working within home healthcare in Sweden.Results: There were challenges in the acute assessments at home due to a lack of competence since several of the RNs did not have much experience working as an RN in home healthcare. Important information was missing about the patients, such as access to medical records due to organizational challenges and limited access to equipment and materials. The RNs needed support in the form of cooperation with a physician, support from colleagues, and a decision support system.Conclusion: To increase the possibility of patient-safe assessments at home, skills development, collegial support, and an adapted decision support system are needed. Collaboration with primary healthcare, on-call physicians, and nursing staff, and having the opportunity to consult with someone also provide security in acute assessments.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11212560/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Qualitative Studies on Health and Well-Being","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/17482631.2024.2373541","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/27 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: The study aims to describe Swedish RNs' experiences of acute assessments at home. More patients with complex nursing needs are cared for at home due to an ageing population. Registered nurses (RNs) who work with home healthcare need a broad medical competence and clinical experience alongside adapted decision support systems for maintaining patient safety in acute assessments within home healthcare.

Methods: A content analysis of qualitative survey data from RNs (n = 19) working within home healthcare in Sweden.

Results: There were challenges in the acute assessments at home due to a lack of competence since several of the RNs did not have much experience working as an RN in home healthcare. Important information was missing about the patients, such as access to medical records due to organizational challenges and limited access to equipment and materials. The RNs needed support in the form of cooperation with a physician, support from colleagues, and a decision support system.

Conclusion: To increase the possibility of patient-safe assessments at home, skills development, collegial support, and an adapted decision support system are needed. Collaboration with primary healthcare, on-call physicians, and nursing staff, and having the opportunity to consult with someone also provide security in acute assessments.

查看原文本刊更多论文

家庭医疗保健中的急性评估需求--瑞典注册护士的经验。

目的：本研究旨在描述瑞典护士在家进行急性评估的经验。由于人口老龄化，越来越多有复杂护理需求的病人在家中接受护理。从事家庭医疗保健工作的注册护士（RNs）需要具备广泛的医疗能力和临床经验，同时还要有经过调整的决策支持系统，以便在家庭医疗保健的急性评估中维护患者安全：方法：对瑞典从事家庭医疗工作的护士（n = 19）的定性调查数据进行内容分析：结果：由于几名护士没有在家庭医疗领域担任护士的丰富经验，他们在能力不足的情况下进行家庭急症评估时遇到了挑战。由于组织方面的挑战以及设备和材料的有限性，缺少有关病人的重要信息，如医疗记录。护士需要医生的合作、同事的支持和决策支持系统的支持：结论：为提高在家中对患者进行安全评估的可能性，需要进行技能开发、同事支持和调整决策支持系统。与初级医疗保健人员、值班医生和护理人员合作，并有机会向他人咨询，也能为急性评估提供安全保障。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Qualitative Studies on Health and Well-Being Multiple-

CiteScore

3.20

自引率

5.60%

发文量

审稿时长

14 weeks

期刊介绍： International Journal of Qualitative Studies on Health and Well-being acknowledges the international and interdisciplinary nature of health-related issues. It intends to provide a meeting-point for studies using rigorous qualitative methodology of significance for issues related to human health and well-being. The aim of the International Journal of Qualitative Studies on Health and Well-being is to support and to shape the emerging field of qualitative studies and to encourage a better understanding of all aspects of human health and well-being.