Maurits Erica E M, de Veer Anke J E, Groenewegen Peter P, Francke Anneke L
Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
Department of Sociology and Department of Human Geography, Utrecht University, Utrecht, The Netherlands.
Health Soc Care Community. 2018 Jul;26(4):e523-e531. doi: 10.1111/hsc.12564. Epub 2018 Mar 5.
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.
世界卫生组织呼吁对医疗服务的提供方式进行根本性变革，转向以患者为中心的综合医疗服务。这包括围绕人们的需求提供综合护理，这种护理要在各医疗服务提供者之间进行有效协调，并由专业人员、患者、家庭和社区共同参与提供。与此同时，医疗政策旨在减少医院和住院护理服务，转而支持居家护理。这是欧洲居家护理护士短缺的原因之一。因此，本研究旨在探讨以患者为中心的综合居家护理对居家护理机构和医院中不同学历的护士是否具有吸引力。2015年，对荷兰居家护理机构和医院的注册护士进行了问卷调查。问卷涉及以患者为中心的综合居家护理不同方面的吸引力。共有328名护士填写了问卷（回复率为54%）。结果显示，大多数居家护理护士（70%至97%）以及36%至76%的医院护士认为以患者为中心的综合居家护理的不同方面具有吸引力。居家护理护士认为有吸引力的具体方面包括促进患者的自立以及在社区建立网络。医院护士主要被与健康相关的预防措施以及在复杂情况下进行管控所吸引。未发现不同学历之间存在明显差异。研究得出结论，大多数居家护理护士以及少数医院护士，无论其学历如何，都对以患者为中心的综合居家护理感兴趣。这些研究结果对于旨在扩大居家护理护士队伍的政策制定者和居家护理机构具有参考价值。
