| Autor: |
Zúñiga F; Ressort Pflege / MTT, Universitätsspital Basel.; Pflegewissenschaft - Nursing Science (INS), Universität Basel., Frei IA; Ressort Pflege / MTT, Universitätsspital Basel. |
| Jazyk: |
angličtina |
| Zdroj: |
Pflege [Pflege] 2021 Feb; Vol. 34 (1), pp. 23-30. Date of Electronic Publication: 2020 Nov 26. |
| DOI: |
10.1024/1012-5302/a000776 |
| Abstrakt: |
Between demand and reality - Perspectives of case-leading nurses on rationing in home care Abstract. Background: The demand for home care services in Switzerland (Spitex) is growing at an annual rate of 8 %. With increasingly complex client situations, lack of time and professional resources, the risk of rationing care is rising. Objective: This study explores how case-leading nurses (CLNs) experience rationing of care and how they deal with this in their daily practice. Methods: We chose a qualitative approach with an interpretative description. Between September and December 2018, we conducted semi-structured interviews with 12 CLNs from seven Spitex organisations in the German-speaking part of Switzerland. The data were analysed according to the thematic analysis of Brown and Clarke. Results: CLNs often experience not having enough time to fully oversee a client's care plan from the assessment to the evaluation of care needed. They show a high level of commitment to providing good quality of care, but have to walk a tightrope between demand and reality. Additionally, they are under pressure to defend the financing of needed services from health insurance companies. Conclusions: Rationing is an everyday experience of CLNs' practice and they invest a lot of effort in reducing its effects for their clients. CLNs work under pressure, thus targeted measures are necessary both at the political and Spitex organizational level, to reduce rationing of care. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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