Exploring the barriers, facilitators and needs to use patient outcomes in district nursing care: A multi-method qualitative study
Veldhuizen,Jessica Desiree Van Wijngaarden,Frans Mikkers,Misja Chiljon Schuurmans,Marieke Joanne Bleijenberg,Nienke
Veldhuizen,Jessica Desiree
Van Wijngaarden,Frans
Mikkers,Misja Chiljon
Schuurmans,Marieke Joanne
Bleijenberg,Nienke
Abstract
Aim and Objectives To provide an in-depth insight into the barriers, facilitators and needs of district nurses and nurse assistants on using patient outcomes in district nursing care. Background As healthcare demands grow, particularly in district nursing, there is a significant need to understand how to systematically measure and improve patient outcomes in this setting. Further investigation is needed to identify the barriers and facilitators for effective implementation. Design A multi-method qualitative study. Methods Open-ended questions of a survey study (N = 132) were supplemented with in-depth online focus group interviews involving district nurses and nurse assistants (N = 26) in the Netherlands. Data were analysed using thematic analysis. Results Different barriers, facilitators and needs were identified and compiled into 16 preconditions for using outcomes in district nursing care. These preconditions were summarised into six overarching themes: follow the steps of a learning healthcare system; provide patient-centred care; promote the professional's autonomy, attitude, knowledge and skills; enhance shared responsibility and collaborations within and outside organisational boundaries; prioritise and invest in the use of outcomes; and boost the unity and appreciation for district nursing care. Conclusions The preconditions identified in this study are crucial for nurses, care providers, policymakers and payers in implementing the use of patient outcomes in district nursing practice. Further exploration of appropriate strategies is necessary for a successful implementation. Relevance to clinical practice This study represents a significant step towards implementing the use of patient outcomes in district nursing care. While most research has focused on hospitals and general practitioner settings, this study focuses on the needs for district nursing care. By identifying 16 key preconditions across themes such as patient-centred care, professional autonomy and unity, the findings offer valuable guidance for integrating a learning healthcare system that prioritises the measurement and continuous improvement of patient outcomes in district nursing. Reporting Method Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Patient of Public Contribution No patient or public contribution.
Description
Date
2024-12
Journal Title
Journal ISSN
Volume Title
Publisher
Research Projects
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Journal Issue
Keywords
Community health nursing, Home care services, Learning health system, Patient-reported outcome measures, Qualitative research, Value-based health care
Citation
Veldhuizen, J D, Van Wijngaarden, F, Mikkers, M C, Schuurmans, M J & Bleijenberg, N 2024, 'Exploring the barriers, facilitators and needs to use patient outcomes in district nursing care : A multi-method qualitative study', Journal of Clinical Nursing, vol. 33, no. 12, pp. 4781-4794. https://doi.org/10.1111/jocn.17407
License
info:eu-repo/semantics/openAccess