Autonomous home-care nursing staff are more engaged in their work and less likely to consider leaving the healthcare sector: A questionnaire survey

Maurits, Erica E. M.; Veer, A.J.E. de; Hoek, L. van der; Francké, Anneke L.

doi:10.1016/j.ijnurstu.2015.07.006

Cited by 26 publications

(38 citation statements)

References 33 publications

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“…Professional intra-and inter-relationships and teamwork in palliative care were often based on shared trust and nurses working in home-care perceived the value of teamwork more than nurses working in hospices (Maurits, de Veer, van der Hoek, & Franck, 2015;Moir, Roberts, Martz, Perry, & Tivis, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Hence, nurses’ engagement and organisational commitment are pivotal to attentive caring for end‐of‐life patients (Freeney & Tiernan, ). Nurses in palliative care valued their work as integral of a team approach and essential to managing and resolving the complexities of a demanding clinical field (Maurits et al, ). Amidst the changing Italian nursing environment, palliative care offered nurses the opportunity for expand their scope of practice.…”

Section: Relevance To Clinical Practice: Nurses’ Work Engagement To Hmentioning

confidence: 99%

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Nursing’s professional dignity in palliative care: Exploration of an Italian context

Stıevano¹,

Sabatino²,

Affonso³

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To determine the relevance of nursing's professional dignity in palliative care. Background Dignity is a valued concept in the ethical discourse of health disciplines. Nursing's professional dignity, a concept related to professional identity, is not clearly defined nor have its characteristics been delineated for its clinical relevance in palliative care. Design A qualitative methodological approach. Methods Focus groups elicited dialogues of nursing's professional dignity among 69 nurses working in hospices and home‐care in Italy. Data were content‐analysed via an inductive process. The COREQ checklist for qualitative studies was used for reporting this research. Results A central theme related to (a) “Intrinsic dignity of persons” was embedded in the essence of palliative care. Several corollary themes underscored this central theme: (b) Professional (intra‐ and inter) relationships and teamwork; (c) Nursing professionalism; (d) Ethical dilemmas; and (e) Relationships with patients and their significant persons. Conclusions Nurses valued the essence of respect as persons and the essence of respect for their work as coherent with intrinsic dignity and work dignity in palliative care. Nurses perceived their psycho‐social relationships with patients and their families as rewarding incentives amidst disputatious interactions with peers and/or other healthcare professionals. They experienced ethical dilemmas, which they perceived as inherent in palliative care. Relevance to clinical practice Study findings corroborate the literature regarding the concept of nursing's professional dignity which is intrinsic in respect of the human person. The intrinsic dignity in palliative care manifests as nurses are working in juxtaposition of a demanding yet rewarding care ambience.

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Section: Discussionmentioning

confidence: 99%

Section: Relevance To Clinical Practice: Nurses’ Work Engagement To Hmentioning

confidence: 99%

Nursing’s professional dignity in palliative care: Exploration of an Italian context

Stıevano¹,

Sabatino²,

Affonso³

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Nursing Staff Panel participants are recruited via a random sample of Dutch healthcare employees provided by the Dutch Employee Insurance Agency. This procedure helps generate a representative group with respect to age, sex, region and employer (Maurits et al., ). In 2014, there was a supplementary recruitment drive in which participants working in home care were asked to invite up to four colleagues to join the Nursing Staff Panel.…”

Section: Methodsmentioning

confidence: 99%

“…However, to date the research on factors that attract nurses to home care has tended to focus on general work characteristics. For instance, previous studies have shown that autonomy is important (Ellenbecker, Boylan, & Samia, ; Maurits, De Veer, & Francke, ; Tummers, Groeneveld, & Lankhaar, ). Little is known about the attractiveness of people‐centred and integrated home care.…”

Section: Introductionmentioning

confidence: 99%

Attractiveness of people-centred and integrated Dutch Home Care: A nationwide survey among nurses

Maurits

Veer

Groenewegen

et al. 2018

Health Soc Care Community

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The World Health Organization is calling for a fundamental change in healthcare services delivery, towards people-centred and integrated health services. This includes providing integrated care around people's needs that is effectively co-ordinated across providers and co-produced by professionals, the patient, the family and the community. At the same time, healthcare policies aim to scale back hospital and residential care in favour of home care. This is one reason for the home-care nursing staff shortages in Europe. Therefore, this study aimed to examine whether people-centred, integrated home care appeals to nurses with different levels of education in home care and hospitals. A questionnaire survey was held among registered nurses in Dutch home-care organisations and hospitals in 2015. The questionnaire addressed the perceived attractiveness of different aspects of people-centred, integrated home care. In total 328 nurses filled in the questionnaire (54% response rate). The findings showed that most home-care nurses (70% to 97%) and 36% to 76% of the hospital nurses regard the different aspects of people-centred, integrated home care as attractive. Specific aspects that home-care nurses find attractive are promoting the patient's self-reliance and having a network in the community. Hospital nurses are mainly attracted to health-related prevention and taking control in complex situations. No clear differences between the educational levels were found. It is concluded that most home-care nurses and a minority of hospital nurses feel attracted to people-centred, integrated home care, irrespective of their educational level. The findings are relevant to policy makers and home-care organisations who aim to expand the home-care nursing workforce.

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“…Disabled and older people tend not to want institutional care, but rather to receive care in a friendly environment such as their own homes . The need for home care is rising in many Western European countries due to ageing population and to governmental policies aiming at replacing institutional care with home care . In most OECD countries, between half and three‐quarters of all formal long‐term care is provided in home care settings …”

Section: Introductionmentioning

confidence: 99%

Exploring home care nurses’ perceptions regarding their services in economic crisis: A qualitative approach

et al. 2018

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This article explores the home care nurses' perceptions on the services they provide in Cyprus, which has been hit by a financial crisis. Semistructured interviews were conducted in Greek at the home care nurses' offices. Data were analyzed using qualitative content analysis. The participants' perceptions are described in terms of provision of home care nursing, administration of homecare nursing, job satisfaction, financial issues, and suggesting improvements. The financial crisis influences the home care services with regard to workload increase, staff shortage, and lack of resources. Home care nurses are well engaged in the provision of proper services in order to address the patients' needs. However, the financial crisis has set obstacles in the provision of care.

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Autonomous home-care nursing staff are more engaged in their work and less likely to consider leaving the healthcare sector: A questionnaire survey

Abstract: In developing strategies for retaining nursing staff in home care, employers and policy makers should target their efforts at enhancing nursing staff's autonomy, thereby improving their work engagement.

Cited by 26 publications

References 33 publications

Nursing’s professional dignity in palliative care: Exploration of an Italian context

Nursing’s professional dignity in palliative care: Exploration of an Italian context

Attractiveness of people-centred and integrated Dutch Home Care: A nationwide survey among nurses

Exploring home care nurses’ perceptions regarding their services in economic crisis: A qualitative approach

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