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Low‐value home‐based nursing care: A national survey study.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); May2024, Vol. 80 Issue 5, p1891-1901, 11p
- Publication Year :
- 2024
-
Abstract
- Aims: To explore potential areas of low‐value home‐based nursing care practices, their prevalence and related influencing factors of nurses and nursing assistants working in home‐based nursing care. Design: A quantitative, cross‐sectional design. Methods: An online survey with questions containing scaled frequencies on five‐point Likert scales and open questions on possible related influencing factors of low‐value nursing care. The data collection took place from February to April 2022. Descriptive statistics and linear regression were used to summarize and analyse the results. Results: A nationwide sample of 776 certified nursing assistants, registered nurses and nurse practitioners responded to the survey. The top five most delivered low‐value care practices reported were: (1) 'washing the client with water and soap by default', (2) 'application of zinc cream, powders or pastes when treating intertrigo', (3) 'washing the client from head to toe daily', (4) 're‐use of a urinary catheter bag after removal/disconnection' and (5) 'bladder irrigation to prevent clogging of urinary tract catheter'. The top five related influencing factors reported were: (1) 'a (general) practitioner advices/prescribes it', (2) 'written in the client's care plan', (3) 'client asks for it', (4) 'wanting to offer the client something' and (5) 'it is always done like this in the team'. Higher educational levels and an age above 40 years were associated with a lower provision of low‐value care. Conclusion: According to registered nurses and certified nursing assistants, a number of low‐value nursing practices occurred frequently in home‐based nursing care and they experienced multiple factors that influence the provision of low‐value care such as (lack of) clinical autonomy and handling clients' requests, preferences and demands. The results can be used to serve as a starting point for a multifaceted de‐implementation strategy. Reporting Method: STROBE checklist for cross‐sectional studies. Patient or Public Contribution: No Patient or Public Contribution. Implications for the Profession and/or Patient Care: Nursing care is increasingly shifting towards the home environment.Not all nursing care that is provided is effective or efficient and this type of care can therefore be considered of low‐value.Reducing low‐value care and increasing appropriate care will free up time, improve quality of care, work satisfaction, patient safety and contribute to a more sustainable healthcare system. [ABSTRACT FROM AUTHOR]
- Subjects :
- EVALUATION of medical care
NURSES
HOME nursing
WORK
CROSS-sectional method
SCALE analysis (Psychology)
MEDICAL protocols
NURSE-patient relationships
PROFESSIONAL autonomy
RESEARCH funding
COST analysis
EMPIRICAL research
QUESTIONNAIRES
QUANTITATIVE research
DESCRIPTIVE statistics
AGE distribution
NURSE practitioners
BOWEL & bladder training
PHYSICIAN practice patterns
NURSES' attitudes
DATA analysis software
PSYCHOSOCIAL factors
NURSES' aides
EXPERIENTIAL learning
REGRESSION analysis
PATIENTS' attitudes
EDUCATIONAL attainment
PERSONAL grooming
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 80
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 176636039
- Full Text :
- https://doi.org/10.1111/jan.15970