Attractiveness of people‐centred and integrated Dutch Home Care: A nationwide survey among nurses |
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| Authors: | Erica E. M. Maurits MSc Anke J. E. de Veer PhD Peter P. Groenewegen PhD Anneke L. Francke PhD |
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| Affiliation: | 1. Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands;2. Department of Sociology and Department of Human Geography, Utrecht University, Utrecht, The Netherlands;3. Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Centre, Utrecht, The Netherlands |
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| Abstract: | The World Health Organization is calling for a fundamental change in healthcare services delivery, towards people‐centred and integrated health services. This includes providing integrated care around people′s needs that is effectively co‐ordinated across providers and co‐produced by professionals, the patient, the family and the community. At the same time, healthcare policies aim to scale back hospital and residential care in favour of home care. This is one reason for the home‐care nursing staff shortages in Europe. Therefore, this study aimed to examine whether people‐centred, integrated home care appeals to nurses with different levels of education in home care and hospitals. A questionnaire survey was held among registered nurses in Dutch home‐care organisations and hospitals in 2015. The questionnaire addressed the perceived attractiveness of different aspects of people‐centred, integrated home care. In total 328 nurses filled in the questionnaire (54% response rate). The findings showed that most home‐care nurses (70% to 97%) and 36% to 76% of the hospital nurses regard the different aspects of people‐centred, integrated home care as attractive. Specific aspects that home‐care nurses find attractive are promoting the patient′s self‐reliance and having a network in the community. Hospital nurses are mainly attracted to health‐related prevention and taking control in complex situations. No clear differences between the educational levels were found. It is concluded that most home‐care nurses and a minority of hospital nurses feel attracted to people‐centred, integrated home care, irrespective of their educational level. The findings are relevant to policy makers and home‐care organisations who aim to expand the home‐care nursing workforce. |
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| Keywords: | healthcare services delivery home care integrated care job satisfaction nurses people‐centred care |
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