Home care nurses’ perception of the challenges they faced during the COVID-19 pandemic: a qualitative study

Ghezeljeh, Tahereh Najafi; Rafii, Forough; Kohne, Zahra Amrollah Majdabadi; Fakhari, Ehsan

doi:10.1186/s12912-022-01082-y

Cited by 12 publications

(3 citation statements)

References 38 publications

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“…A significant gap in knowledge lies in understanding the connection between objectively measured job demands and resources (the way work is actually planned and executed) and employee outcomes [ 28 ], and within the home care context a need for the use of different indicators to test the assumptions of the JD-R model has been established [ 23 ]. It is also notable that existing studies have mainly been carried out before the COVID-19 pandemic, which is known to have had a significant impact on nurses’ job demands and available job resources both in older people care and home care contexts [ 29 , 30 ]. Hence, to fill the existing research gap, the purpose of this study was to examine the associations between various job demands and job resources on the stress and job satisfaction of nurses working in home care, using both objective and subjective measurements.…”

Section: Introductionmentioning

confidence: 99%

Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study

Kaihlanen,

Ruotsalainen,

Väisänen

et al. 2023

BMC Nurs

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Background Increasing home care has been seen as a way to respond to the growing care needs of the aging population. To secure a sufficient number of nurses to provide home care, it is essential to identify and take into account the factors related to their well-being and job satisfaction. This study examined associations of both objective and subjective job demands and resources with stress and job satisfaction among nurses working in home care. Methods This study used a mixed-methods sequential explanatory design. First, quantitative data was collected with a survey, followed by a qualitative survey with open-ended questions. Linear regression analyses and qualitative content analysis with an inductive approach were used to analyze the quantitative and qualitative data, respectively. Joint display in a form of a table was used to integrate the results. Results Of the objectively measured job demands and resources, higher proportion of direct care time and higher number of interruptions were associated with higher stress in the fully adjusted models. Of the subjective measures, higher time pressure, role conflicts and disruptions were associated with higher stress. Higher time pressure, role conflicts, and disruptions in the workday were associated with lower job satisfaction, whereas higher care continuity and having more autonomy were associated with higher job satisfaction. The results of the qualitative study, in which the nurses described their experiences of their working week, partly explained and confirmed the results of the quantitative study but were also contradictory in some respects. Conclusions Many demands, both subjectively experienced and objectively measured in terms of work organization, may undermine home care nurses’ well-being and enjoyment at work. A severe nursing shortage combined with a growing number of clients is the reality of home care, significantly increasing the risk of burnout and turnover among employees. Strategies must be developed urgently to ensure sufficient personnel in home care. For example, investments should be made in opportunities for autonomous planning of work, and promotion of good cooperation and functionality of work teams.

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Section: Introductionmentioning

confidence: 99%

Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study

Kaihlanen,

Ruotsalainen,

Väisänen

et al. 2023

BMC Nurs

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“…This leads to a further burden on informal carers due to additional tasks that have to be taken on and to a higher turnover of staff in care organizations [8]. Finally, the COVID-19 pandemic has worsened the situation of home care workers, including lack of or inadequate training and assistance in coping with the situation [9], [10].…”

Section: Introductionmentioning

confidence: 99%

Remote Assistance for Home Care Workers: Concept and Technical Implementation at a Glance

et al. 2023

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Background: Long-term care faces severe challenges on the supply (shortages of formal and informal carers) as well as on the demand side (increasing number of care-dependent people). To cope with these challenges, new forms of support for the professional care network are needed. Objectives: This paper describes the concept and implementation of a Remote Care Assist (RCA) service, consisting of a web-application for the Care Expert Center (CXC) and Remote Support (RS) applications for the HoloLens 2 as well as for Android and iOS smartphones. Methods: Using the evidence-based and user-centred innovation process (EUIP), a Remote Care Assist service was conceptualized and implemented for home care service settings in three European countries. Results: After five iterations within two phases of the EUIP, the final feature set of the RCA-service was determined and implemented. Conclusion: By working closely with the target group, it was possible to identify potential hurdles and additional requirements such as a well-thought-out interaction concept for the HoloLens or a good organizational embedding of the service.

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“…Highlighted by ethics researchers have been findings of ethical anguish in community settings; for example, among PHNs in Korea who were responsible for pandemic prevention and management 14 or, similarly, the moral distress of HCNs in Iran which manifested as feelings of helplessness and futility. 15…”

Section: Introductionmentioning

confidence: 99%

Ethical conflicts experienced by community nurses: A qualitative study

Porr,

Gaudine,

Smith-Young

2023

Nurs Ethics

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Background Despite news reports of morally distressing situations resulting from complex and demanding community-care delivery in Canada, there has been little research on the topic of ethical conflicts experienced by community-based health care professionals. Research aim To identify ethical conflicts experienced by community nurses. Research design Data were collected using semi-structured interviews and then relevant text was extracted and condensed using qualitative content analysis. This research was part of a larger grounded theory project examining how community nurses manage ethical conflict. Research context and participants Community nurses, including 13 public health nurses and 11 home care nurses from two Canadian provinces, were interviewed. Ethical considerations Study approval was granted by the Health Research Ethics Authority of Newfoundland and Labrador and by provincial health authorities. Findings Seven ethical conflicts were identified and assigned to one of two groups. In the grouping categorized as challenges with obligations or risks, the ethical conflicts were: (1) screening for child developmental issues knowing there is a lack of timely early intervention services; (2) encountering inequities in the health care system; (3) not fulfilling principles, goals, and initiatives of primary and secondary prevention; and (4) feeling powerless to advocate for clients. The remaining ethical conflicts were categorized as challenges with process, risks, and consequences, and were: (5) jeopardizing therapeutic relationships while reporting signs of a child at risk; (6) managing confidentiality when neighbors are clients; and (7) supporting client autonomy and decision-making but uncertain of the consequences. Conclusions Research investigation will continue to be important to raise awareness and mobilize ethics supports as health care services are steadily shifted from institutional to community settings. Moreover, with heightened potential for communicable disease outbreaks across international borders from global warming, community nurses around the world will continue to be required to address ethically-difficult care situations with competence and compassion.

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Home care nurses’ perception of the challenges they faced during the COVID-19 pandemic: a qualitative study

Cited by 12 publications

References 38 publications

Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study

Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study

Remote Assistance for Home Care Workers: Concept and Technical Implementation at a Glance

Ethical conflicts experienced by community nurses: A qualitative study

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