{"id":10499,"date":"2023-05-31T16:11:46","date_gmt":"2023-05-31T10:11:46","guid":{"rendered":"https:\/\/projectacceled.com\/?page_id=10499"},"modified":"2023-05-31T16:12:49","modified_gmt":"2023-05-31T10:12:49","slug":"role-of-nursing-in-an-inter-professional-praxis-home-care-as-an-example","status":"publish","type":"page","link":"https:\/\/project-acceled.amu.kz\/en\/role-of-nursing-in-an-inter-professional-praxis-home-care-as-an-example\/","title":{"rendered":"ROLE OF NURSING IN AN INTER-PROFESSIONAL PRAXIS \u2013 home care as an example"},"content":{"rendered":"

Heli Vaartio-Rajalin<\/strong><\/p>\n

Associate professor in gerontological care, Docent in clinical nursing science<\/p>\n

\u00c5bo Akademi University, Health Sciences, Strandgatan 2, 65100 Vasa, Finland<\/p>\n

hevaarti@abo.fi<\/a><\/p>\n

ROLE OF NURSING IN AN INTER-PROFESSIONAL PRAXIS \u2013 home care as an example<\/strong><\/p>\n

The focus of patient care is rapidly shifting away from hospitals to outpatient care and to domiciliary care, such as home health care and hospital-at-home care. This often occurs with the objective of reducing healthcare costs while simultaneously improving the quality of care.<\/p>\n

 <\/p>\n

Home care, an umbrella term, can be defined as the care services provided by health professionals in patients\u2019 homes. Home care services facilitate flexibility in patients\u2019 schedules and time management, for example, reducing the need for travelling to or from the hospital or waiting for appointments. Moreover, care at home helps with hospital admission avoidance. For the chronically ill, care at home constitutes a lifeline to the self\u2010management of medical treatment or interventions for acute exacerbations of chronic conditions.<\/p>\n

 <\/p>\n

Home health care<\/em> encompasses a range of nursing activities, from preventive health work to palliative care, all with the goal of enhancing patients\u2019 functional capavity, health status and quality of life. It consists of interventions such as taking blood samples and other measurements and the monitoring of medicine compliance and patients\u2019 clinical condition. Hospital\u2010at\u2010home<\/em> (HAH), then, support individuals with acute health problems who require temporary special health and nursing care such as infusions or respiratory treatments yet do not need continuous observation. The aim of HAH care is the provision of elements of healthcare normally provided to hospital inpatients, yet realised in a home setting. HAH care is comprised of medical and nursing care.<\/p>\n

 <\/p>\n

While patient\u00b4s clinical symptoms primarily guide the decision\u2010making process connected to place of care, the whole psychosocial and existential human being must be taken into consideration during the planning, realisation and evaluation of care at home (Lou et al., 2017), both together with the patient him\/herself and his\/her family caregivers. The entire interprofessional team must engage in personcentredness, collegial communication and respect for the other\u00a0 (Larsen, Broberger, & Petersson, 2017). Inter-professionality means that professionals from different disciplines work together in order to reach the common goal, which is alwys the best of the patient. Every professional brings to the collaboration his\/her specific professional know-how, which is respected by others,\u00a0 and the decisions are made together. There is no leader in that interprofessional collaboration, for the responsibilities and the goal are shared in every sense of the word, and the patient is in centrum, not a single profession\/al. (Dijkstra et al., 2022.)<\/p>\n

 <\/p>\n

In a scoping review with an HAH context (Vaartio\u2010Rajalin & Fagerstr\u00f6m, 2019), researchers found that patient\u2010centredness was perceived as respect for a patient’s autonomy, self\u2010determination capacity and social relationships and made concrete by nurses through a continuous, trustful relationship established during the planning and evaluation of care \u00a0together with the patient and his\/her near\u2010ones. In that review, nurses were considered an instrumental factor in the facilitation of patient\u2010centredness. Without nursing, the care is focused only in diagnoses, clinical symptoms, medication and its\u00b4 effectivity, and despite the clinical care outcomes (such as normalized hypertonia) may be positive, the patient\u00b4s quality of life is not considered (look a film from https:\/\/euroqol.org\/eq-5d-instruments\/<\/a>).<\/p>\n

 <\/p>\n

There is also evidence that the care organization gains from inter-professionality, for existing service structures and processes are used effectively, employees perceive less work-related stress and more working satisfaction, all professional in inter-professional team learn new competencies, and the quality of care as well as safety of care are rising (Al Sabei et al., 2022; Dijkstra et al., 2022; De Luca et al., 2021; Zidek & Medland, 2020).<\/p>\n

References<\/strong><\/p>\n

Al Sabei, S. D., Labrague, L. J., Al\u2010Rawajfah, O., AbuAlRub, R., Burney, I. A., & Jayapal, S. K. (2022). Relationship between interprofessional teamwork and nurses’ intent to leave work: The mediating role of job satisfaction and burnout.\u00a0Nursing forum (Hillsdale), 57<\/em>(4), 568-576. https:\/\/doi.org\/10.1111\/nuf.12706<\/p>\n

De Luca, E., Sena, B., Cataldi, S., & Fusillo, F. (2021). A Delphi survey of health education system and interprofessional nurse’ role.\u00a0Nurse education today, 99<\/em>, 104779. https:\/\/doi.org\/10.1016\/j.nedt.2021.104779<\/a><\/p>\n

Dijkstra, N. E., Sino, C. G., Schoonhoven, L., Verdoorn, S., Bouvy, M. L., Heerdink, E. R., . . . Pharmacology, P. a. C. (2022). Home care nurses\u2019 perceptions about their role in interprofessional collaborative practice in clinical medication reviews.\u00a0Journal of interprofessional education & practice, 28<\/em>, 1.<\/p>\n

Larsen, A., Broberger, E., & Petersson, P. (2017). Complex caring needs without simple solutions: The \u00a0experience of interprofessional collaboration among staff caring for older persons with multimorbidity at home care settings. Scandinavian Journal of Caring Sciences<\/em>, 31<\/em>(2),<\/p>\n

342\u2013350. https:\/\/doi.org\/10.1111\/scs.12352<\/a><\/p>\n

Lou, S., Carsten, K., Moldrup, M., Shahla, S., Zakharia, E., & Nielsen, C. P. (2017). Early supported discharge following mild stroke: A qualitative study of patients\u2019 and their partners\u2019 experiences of rehabilitation at home. Scandinavian Journal of Caring Sciences<\/em>, 31<\/em>(2), 302\u2013311.<\/p>\n

https:\/\/doi.org\/10.1111\/scs.12347<\/a><\/p>\n

Vaartio\u2010Rajalin, H., & Fagerstr\u00f6m, L. (2019). Professional care at home: Patient\u2010centeredness, interprofessionality and effectivity? A scoping review. Health and Social Care in the Community<\/em>, 27<\/em>(4), 1\u20139. https :\/\/doi.org\/10.1111\/hsc.12731<\/p>\n

 <\/p>\n

Zidek, S., & Medland, J. (2020). Interprofessional Collaboration: A Model for Nurse Executives to Follow to Support Magnet\u00ae Designation.\u00a0The Journal of nursing administration, 50<\/em>(10), E8-E11. https:\/\/doi.org\/10.1097\/NNA.0000000000000933<\/p>\n","protected":false},"excerpt":{"rendered":"

Heli Vaartio-Rajalin Associate professor in gerontological care, Docent in clinical nursing science \u00c5bo Akademi University, Health Sciences, Strandgatan 2, 65100 Vasa, Finland hevaarti@abo.fi ROLE OF NURSING IN AN INTER-PROFESSIONAL PRAXIS \u2013 home care as an example The focus of patient care is rapidly shifting away from hospitals to outpatient care and to domiciliary care, such…<\/i><\/p>\n

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