Caring for children with medical complexity: Homecare nurses' point of view.

IF 2 4区医学 Q2 PEDIATRICS

Paediatrics & child health Pub Date : 2025-05-28 eCollection Date: 2025-09-01 DOI:10.1093/pch/pxaf038

Samantha Mekhuri, Natalie Pitch, Richa Patel, Abigail Mi-Hae Shin, Krista Keilty, Stephanie Chu, Julia Orkin, Reshma Amin

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引用次数: 0

Abstract

Objectives: Children with medical complexity (CMC) have intense care demands, dependence on medical technology, and rely on homecare nursing. This study aimed to understand home care nurses' (HCN) experiences caring for CMCs to optimize their home-based place of employment, improve HCN-patient relationships to enhance care and promote CMCs to remain at home with their families safely.

Methods: Semi-structured interviews were conducted with 21 HCNs caring for CMC using medical technology. Interviews were analyzed using content analysis.

Results: Two themes emerged: the unique experiences of a homecare nurse and interactions with patients and their families. Interviews revealed the role is rewarding, and HCNs developed meaningful connections with patients and their families. However, HCNs experienced several challenges in providing quality care.

Conclusions: Understanding HCN's perspectives is critical to improving their experience in the role and enhancing care for their patients. These findings can inform the implementation of support needed to optimize the work experience for HCNs.

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照顾医疗复杂的儿童：家庭护理护士的观点。

目的：医学复杂性患儿具有强烈的护理需求、对医疗技术的依赖和对家庭护理的依赖。本研究旨在了解家庭护理护士（HCN）照顾cmc的经验，以优化他们的家庭工作场所，改善HCN与患者的关系，以加强护理，促进cmc与家人安全在家。方法：采用半结构化访谈法对21名使用医疗技术护理CMC的医护人员进行访谈。访谈采用内容分析法进行分析。结果：出现了两个主题：家庭护理护士的独特经历和与患者及其家属的互动。采访显示，这一角色是有益的，医护人员与患者及其家属建立了有意义的联系。然而，hcn在提供高质量护理方面遇到了一些挑战。结论：了解HCN的观点对于改善他们的角色体验和加强对患者的护理至关重要。这些发现可以为实施所需的支持提供信息，以优化医护人员的工作体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Paediatrics & child health 医学-小儿科

CiteScore

2.10

自引率

5.30%

发文量

208

审稿时长

>12 weeks

期刊介绍： Paediatrics & Child Health (PCH) is the official journal of the Canadian Paediatric Society, and the only peer-reviewed paediatric journal in Canada. Its mission is to advocate for the health and well-being of all Canadian children and youth and to educate child and youth health professionals across the country. PCH reaches 8,000 paediatricians, family physicians and other child and youth health professionals, as well as ministers and officials in various levels of government who are involved with child and youth health policy in Canada.