Caring for homecare: A mixed methods analysis of the current and future role of home nurses
De Vliegher et al. Archives of Public Health 2015, 73(Suppl 1):P43
http://www.archpublichealth.com/content/73/S1/P43
ARCHIVES OF PUBLIC HEALTH
POSTER PRESENTATION
Open Access
Caring for homecare: A mixed methods analysis
of the current and future role of home nurses
Kristel De Vliegher1*, Anja Declercq2, Bert Aertgeerts3, Philip Moons4
From Methods in Epidemiology Symposium
Leuven, Belgium. 17 September 2015
Introduction
The financial constraints and the shift of care from the
hospital to the homecare setting challenges home nursing
to provide care to sicker patients than in the past, to perform more intensive and technically complex nursing
activities at home, and to think about a more efficient
and effective use of the current home nursing staff. A
mixed-method analysis was performed to understand the
impact of these evolutions in home nursing in general
and on the current and future role of home nurses.
Authors’ details
1
Wit-Gele Kruis van Vlaanderen, Brussels, Belgium. 2LUCAS, Leuven, Belgium.
3
ACHG, Leuven, Belgium. 4Department of Public Health and Primary Care,
Leuven, Belgium.
Published: 17 September 2015
doi:10.1186/2049-3258-73-S1-P43
Cite this article as: De Vliegher et al.: Caring for homecare: A mixed
methods analysis of the current and future role of home nurses.
Archives of Public Health 2015 73(Suppl 1):P43.
Aim
To understand the evolutions in home nursing and its
impact on home nurses’ activities.
Method
A mixed-methods project was established comprising:
(1) In-depth interviews with 15 home nurses and 8 medical specialists, and 2 focus groups with general practitioners; (2) Development and psychometric testing of a
‘24-hour recall instrument for home nursing’; (3) Quantitative measurement of the activities of 2478 home nurses;
and (4) In-depth interviews with 12 home nurses,
12 healthcare assistants, and 8 managers of care.
Results
(1) Technical activities are always performed in combination with more intellectual and psychosocial activities;
(2) An instrument with 146 items, with a mean proportion of observed agreement of 0.94 and a mean kappa of
0.71; (3) The top 10 of activities performed is characterized by non-technical interventions; (4) Healthcare assistants can be an answer to the increased demand for
care in home nursing.
1
Wit-Gele Kruis van Vlaanderen, Brussels, Belgium
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© 2015 De Vliegher et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License
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