Irish Public Health Nursing Services and Home Support Services: governance of older persons' home care.

Public Health Nursing (Boston, Mass.) Pub Date : 2022-01-01 Epub Date: 2021-12-08 DOI:10.1111/phn.13021
Anne McDonald, Kate Frazer, Austin Warters
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引用次数: 1

Abstract

Objective: To describe experiences of nurses in the Irish Public Health Nursing service working with Home Support Services (HSS) when providing home care for older people.

Design: Qualitative design. Two of twenty-four focus groups undertaken in 2018 are examined to report specific experiences of registered nurses.

Sample: The first group comprised three Public Health Nurses (PHNs) and two community Registered General Nurses (cRGNs) and the second comprised three PHNs and one cRGN. In total nine nurses participated.

Measurements: Focus group interviews were used to collect data, discussions lasted 60-90 minutes and were audio-recorded, professionally transcribed verbatim, and anonymised.

Results and conclusions: Gaps in lines of authority and accountability in day-to-day care exist, posing risks to safety. Establishing an enhanced home care model for complex cases and levels of accountability and supervision is critical. Investigating ways of adopting digital solutions to share commissioned home care plans with primary care teams (PCTs) would clarify responsibility and roles and reduce the risks of care left undone. Formally defining the role of commissioned home care agencies in primary care and that which they are expected to play during times of crisis, such as during COVID-19 pandemic will enhance integrated care and governance.

爱尔兰公共卫生护理服务和家庭支助服务:老年人家庭护理的管理。
目的:描述护士在爱尔兰公共卫生护理服务与家庭支持服务(HSS)工作时,为老年人提供家庭护理的经验。设计:定性设计。对2018年开展的24个焦点小组中的两个进行了审查,以报告注册护士的具体经验。样本:第一组由3名公共卫生护士(phn)和2名社区注册普通护士(cRGN)组成;第二组由3名公共卫生护士和1名注册普通护士组成。共有9名护士参与。测量方法:使用焦点小组访谈收集数据,讨论持续60-90分钟,录音,专业人员逐字抄录,匿名。结果和结论:在日常护理中存在权力和问责方面的差距,对安全构成风险。建立一种针对复杂病例的强化家庭护理模式以及问责制和监督水平至关重要。研究采用数字解决方案与初级保健团队(pct)共享委托家庭护理计划的方法,将明确责任和角色,并减少未完成护理的风险。正式确定委托家庭护理机构在初级保健中的作用以及它们在危机时期(如2019冠状病毒病大流行期间)应发挥的作用,将加强综合护理和治理。
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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