The Experiences of Home Care Nurses in Regard to the Care of Vulnerable Populations: A Qualitative Study.

Autor:	Fernández-Medina IM; Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almeria, Spain., Ruíz-Fernández MD; Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almeria, Spain.; Facultad Ciencias de la Salud, Universidad Autónoma de Chile, Temuco 7500000, Chile., Gálvez-Ramírez F; Basic Health Zone Puerto de la Torre, Sanitary Distric Málaga-Guadalhorce, Andalusian Health System, 29009 Malaga, Spain., Martínez-Mengíbar E; Basic Health Zone Bajo Andarax, Almeria Distric, Andalusian Health System, 04009 Almeria, Spain., Ruíz-García ME; San Cecilio Hospital, Andalusian Health System, 18016 Granada, Spain., Jiménez-Lasserrotte MDM; Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almeria, Spain., Ortega-Galán ÁM; Department of Nursing, University of Huelva, 21007 Huelva, Spain., Hernández-Padilla JM; Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almeria, Spain.; Department of Adult, Child and Midwifery, School of Health and Education, Middlesex University, London NW4 4BT, UK.
Jazyk:	angličtina
Zdroj:	Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2021 Dec 23; Vol. 10 (1). Date of Electronic Publication: 2021 Dec 23.
DOI:	10.3390/healthcare10010021
Abstrakt:	Home care nurses have become the main references in home care for vulnerable patients. In patients' homes they offer comprehensive and continuous care to both the vulnerable population and their families. The aim of this qualitative study was to explore experiences and perspectives of home care nurses regarding the care of vulnerable patients in Spain. We conducted in-depth semi-structured interviews with 15 home care nurses working with a vulnerable population. From a data analysis, two themes and four subthemes emerged: (1) "barriers to providing home care to vulnerable populations", with the following subthemes: "the particularities of the patient and their home caregivers" and "perceived barriers for the involvement of home care nurses in the care"; and (2) "the emotional cost of home care" with the subthemes "home care is draining for caregivers" and "the impact of home care on the home care nurses". These findings show us that nurses face a number of difficulties in home care for vulnerable patients. The training of nurses in certain competencies and skills by the social health services would enhance the quality of care offered to these patients.
Databáze:	MEDLINE
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