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Title: Home-based care nurses' lived experiences and perceived competency needs: A phenomenological study
Shu Fen Ong
Shaun Speed
Seah Betsy 
Lisa McKenna
Lau Ying 
Liaw S.Y. 
Keywords: Community Health Nursing
Home Care Services
Home health nursing
Issue Date: 22-May-2022
Publisher: Wiley
Citation: KHAIRUL DZAKIRIN BIN RUSLI, Shu Fen Ong, Shaun Speed, Seah Betsy, Lisa McKenna, Lau Ying, Liaw S.Y. (2022-05-22). Home-based care nurses' lived experiences and perceived competency needs: A phenomenological study. Journal of Nursing Management. ScholarBank@NUS Repository.
Rights: Attribution-NonCommercial-NoDerivatives 4.0 International
Abstract: Aim The aim of this work is to explore home-based care nurses' practice experiences in order to understand their competency and needs. Background The demand for home-based care is increasing in many countries. Nurses perform a broader range of competencies with a significant degree of independence in home-based care. However, little is known about nurses' day-to-day experiences and their perceived competency and needs. Methods The study adopted a descriptive phenomenological design. Individual interviews with 17 nurses from four service providers were performed. Colaizzi's analysis method was used for data analysis. Reflective diary approaches were adopted to guide the bracketing process. Results Following data analysis, four themes emerged: (1) Full spectrum of patient care, (2) autonomy in nursing practice, (3) beliefs in person-centred care and (4) enhancing supportive systems. Conclusion Findings suggest a need for better understanding of the broader scope of nursing practice in home-based care to improve nurses' transition experience. This includes performing autonomous assessments, making decisions and managing social related matters. Implications for nursing management It should be a priority to identify a clear scope of practices in home-based nursing care in order for organizations to improve nurses' readiness for and experiences in home-based care. Nursing leaders should also expand practical experience opportunities in home-based care to transitioning nurses with supportive workplace systems.
Source Title: Journal of Nursing Management
Rights: Attribution-NonCommercial-NoDerivatives 4.0 International
Appears in Collections:Staff Publications

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