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Who cares?—The unrecognised contribution of homecare nurses to care trajectories.

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Title: Who cares?—The unrecognised contribution of homecare nurses to care trajectories.
Authors: Norlyk, Annelise, Burau, Viola, Ledderer, Loni Kraus, Martinsen, Bente
Source: Scandinavian Journal of Caring Sciences. Mar2023, Vol. 37 Issue 1, p282-290. 9p.
Subjects: Home nursing, Medical quality control, Focus groups, Professions, Home care services, Research methodology, Interviewing, Nursing practice, Qualitative research, Conceptual structures, Nurses, Clinical competence, Sound recordings, Commitment (Psychology), Patient care, Medical case management, Corporate culture
Abstract: Background: Organisation of patients' trajectories is a critical element of nursing practice. However, nursing practice is mainly expressed in terms of direct patient care, while the practices through which care is organised have received little attention, are poorly acknowledged and lack formal recognition. Aim: To examine the management of care trajectories as provided by homecare nurses. Design: We conducted focus group interviews with 29 Danish homecare nurses. The analysis drew on the evidence based and theoretically informed framework care trajectory management. Care trajectory management is conceptualised as comprising of three organisational components: (1) Trajectory awareness, (2) Trajectory working knowledge and (3) Trajectory articulation. Findings The organising work of homecare nursing is both complex and unpredictable requiring advanced organisational, collaborative and clinical competences to secure concerted actions in alignment with the needs of the individual patient. Without having any formal obligation homecare nurses took on the responsibility for the coordination of the different activities of the professional actors, and for securing concerted actions. Care trajectory management as provided by homecare nurses reflected a high degree of commitment for patients and illustrated that this type of organising work was driven by the values of the humanistic ethos of nursing. Conclusion: The study highlights the strength of the invisible and ongoing organising work of homecare nurses. Care trajectory management in homecare reflects the moral foundation of nursing. Consequently, the professional logic of nursing reflected as direct patient care alone is too narrow. We need to acknowledge the organising work of patients' trajectories as a core task equal to direct patient care. Our study highlights the need for articulating the organising work of homecare nurses and for presenting problematic organisational structures to policymakers and managers. If not, the important organisational work of homecare nurses is at the risk of remaining invisible. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Who cares?—The unrecognised contribution of homecare nurses to care trajectories.
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  Data: <searchLink fieldCode="AR" term="%22Norlyk%2C+Annelise%22">Norlyk, Annelise</searchLink><br /><searchLink fieldCode="AR" term="%22Burau%2C+Viola%22">Burau, Viola</searchLink><br /><searchLink fieldCode="AR" term="%22Ledderer%2C+Loni+Kraus%22">Ledderer, Loni Kraus</searchLink><br /><searchLink fieldCode="AR" term="%22Martinsen%2C+Bente%22">Martinsen, Bente</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Mar2023, Vol. 37 Issue 1, p282-290. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Home+nursing%22">Home nursing</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+quality+control%22">Medical quality control</searchLink><br /><searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br /><searchLink fieldCode="DE" term="%22Professions%22">Professions</searchLink><br /><searchLink fieldCode="DE" term="%22Home+care+services%22">Home care services</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+practice%22">Nursing practice</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses%22">Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Commitment+%28Psychology%29%22">Commitment (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+care%22">Patient care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+case+management%22">Medical case management</searchLink><br /><searchLink fieldCode="DE" term="%22Corporate+culture%22">Corporate culture</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Organisation of patients' trajectories is a critical element of nursing practice. However, nursing practice is mainly expressed in terms of direct patient care, while the practices through which care is organised have received little attention, are poorly acknowledged and lack formal recognition. Aim: To examine the management of care trajectories as provided by homecare nurses. Design: We conducted focus group interviews with 29 Danish homecare nurses. The analysis drew on the evidence based and theoretically informed framework care trajectory management. Care trajectory management is conceptualised as comprising of three organisational components: (1) Trajectory awareness, (2) Trajectory working knowledge and (3) Trajectory articulation. Findings The organising work of homecare nursing is both complex and unpredictable requiring advanced organisational, collaborative and clinical competences to secure concerted actions in alignment with the needs of the individual patient. Without having any formal obligation homecare nurses took on the responsibility for the coordination of the different activities of the professional actors, and for securing concerted actions. Care trajectory management as provided by homecare nurses reflected a high degree of commitment for patients and illustrated that this type of organising work was driven by the values of the humanistic ethos of nursing. Conclusion: The study highlights the strength of the invisible and ongoing organising work of homecare nurses. Care trajectory management in homecare reflects the moral foundation of nursing. Consequently, the professional logic of nursing reflected as direct patient care alone is too narrow. We need to acknowledge the organising work of patients' trajectories as a core task equal to direct patient care. Our study highlights the need for articulating the organising work of homecare nurses and for presenting problematic organisational structures to policymakers and managers. If not, the important organisational work of homecare nurses is at the risk of remaining invisible. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/scs.13120
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 282
    Subjects:
      – SubjectFull: Home nursing
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Professions
        Type: general
      – SubjectFull: Home care services
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Nursing practice
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Conceptual structures
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      – SubjectFull: Nurses
        Type: general
      – SubjectFull: Clinical competence
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      – SubjectFull: Sound recordings
        Type: general
      – SubjectFull: Commitment (Psychology)
        Type: general
      – SubjectFull: Patient care
        Type: general
      – SubjectFull: Medical case management
        Type: general
      – SubjectFull: Corporate culture
        Type: general
    Titles:
      – TitleFull: Who cares?—The unrecognised contribution of homecare nurses to care trajectories.
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            NameFull: Burau, Viola
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            NameFull: Ledderer, Loni Kraus
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            – D: 01
              M: 03
              Text: Mar2023
              Type: published
              Y: 2023
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