Shahriari Mohsen, Nia Donya Hafezi, Kalij Fatemeh, Hashemi Maryam Sadat
Nursing and Midwifery Care Research Center, Department of Adult Health Nursing, School of Nursing and midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing Student, Department of Psychiatric Nursing, School of Nursing and Midwifery, Donya Hafezi Nia, Isfahan University of Medical Sciences, Isfahan, MS, Iran.
BMC Nurs. 2024 Mar 28;23(1):215. doi: 10.1186/s12912-024-01878-0.
Despite countless benefits of home care, unfortunately, the variety and quality of services provided by homecare centers are uncertain. This study was conducted to explore of home care challenges.
The present qualitative study used the content analysis approach. A total of 17 participants, including nurses, managers of home care centers, and patients, were enrolled through purposive sampling. Data were collected using semi-structured interviews and analyzed through Granheim's qualitative content analysis method.
In order to explain the challenges of home care, after analyzing the data, 700 primary codes, 15 initial categories, sub-subcategories and two main categories, including 'infrastructural challenges' and 'challenges related to the process of home care services provision' emerged. The main category, "infrastructural challenges", consisted of 4 sub-categories (the challenge of acculturalization of home care services, economic challenges of providing services, challenges related to human resources, and the challenge of policymaking and setting regulations and rules for home care). The second main category, "challenges related to the process of home care services provision", consisted of 2 subcategories: challenges of improving the quality of home care services and the challenge of facilities for service provision.
In order to promote and improve the quality of home care services, in addition to providing insurance coverage for the services, acculturalization and revising the bylaws, empowering the human resource, enhancing the monitoring of the performance of home care centers, and employing modern technology need to be taken into account.
尽管居家护理有诸多益处，但遗憾的是，居家护理中心提供的服务种类和质量参差不齐。本研究旨在探讨居家护理面临的挑战。
本定性研究采用内容分析法。通过目的抽样法共纳入了17名参与者，包括护士、居家护理中心管理人员和患者。使用半结构化访谈收集数据，并通过格兰海姆定性内容分析法进行分析。
为了解释居家护理的挑战，在对数据进行分析后，出现了700个原始编码、15个初始类别、子类别以及两个主要类别，即“基础设施挑战”和“与居家护理服务提供过程相关的挑战”。主要类别“基础设施挑战”包括4个子类别（居家护理服务文化适应挑战、服务提供的经济挑战、人力资源相关挑战以及居家护理政策制定和规章制度挑战）。第二个主要类别“与居家护理服务提供过程相关的挑战”包括2个子类别：提高居家护理服务质量的挑战和服务提供设施挑战。
为了促进和提高居家护理服务质量，除了为服务提供保险覆盖、文化适应和修订规章制度外，还需要考虑增强人力资源、加强对居家护理中心绩效的监测以及采用现代技术。
