‘I try to make a net around each patient’: home care nursing as relational practice

Abstract

Home care practice can be understood as relational, aimed at creating a net of needed assistance. This work is a collective accomplishment of the teams and shaped by ideals and values shared among team members.

Disclosing and Reporting Practice Errors by Nurses in Residential Long-Term Care Settings: A Systematic Review

“…Reporting and disclosing practice errors by nurses was influenced by older people's and their families' understandings of, and reactions to, error disclosure. Communication and sharing ideas on nursing care with residents and their families should be developed to improve their participation in their own care [53]. This way, active participation of older people and their families in patient safety initiatives improves their willingness to receive the disclosure of practice errors and engenders a more positive reaction when safety concerns are raised [54].…”

Standards of Knowledge That Found Nursing Performance in Home Care

“…[1][2] In the HC setting, the work of the nurse is highlighted both for the essential participation in the multidisciplinary health team and for the potential to respond to the population's health needs, as it contributes to the integrality and continuity of care. [3][4] The role of the nurse is revealed in their autonomy as educator, manager and care provider. [3][4][5][6][7] Therefore, the nurse has a fundamental role in the production of home care 3,7 recognizing that this type of care requires the mobilization of specific knowledge 8 and qualified professional care.…”

“…[3][4] The role of the nurse is revealed in their autonomy as educator, manager and care provider. [3][4][5][6][7] Therefore, the nurse has a fundamental role in the production of home care 3,7 recognizing that this type of care requires the mobilization of specific knowledge 8 and qualified professional care. 6.8 The specificity of home care requires the professional to have contextualized knowledge, which is able to differ from the standardized practices performed in other health services.…”

“…6.8 The specificity of home care requires the professional to have contextualized knowledge, which is able to differ from the standardized practices performed in other health services. 2,4,9 The singularities of the home context need to be recognized, as well as the dynamics of each of the families and the factors that interfere in them, such as income, beliefs, customs, values and knowledge. 10 Understanding the specificities inherent to the home context contributes to the production of knowledge and practices, and also has the potential to innovate care.…”

“…10 It is emphasized that the home environment challenges the professional to develop adaptations and inventions that arise due to the context of the HC, 9 which can be creative, intuitive, innovative and flexible when faced with the demands presented. 4,7,9,11 The lack of academic training of nurses working in HC is reinforced, reflecting a lack of knowledge which in turn affects home care. 9,12 Concerning the work of nurses in HC, specific knowledge is required regarding the provision of care [8][9]13 , especially in relation to therapeutic projects, interpersonal relationships with users, family members and the multidisciplinary team, as well as technical and scientific knowledge specific to the field.…”