Open AccessNordic homecare nursing from the perspective of homecare nurses—a meta-ethnography
Author(s) -
Bente Martinsen,
Anne Sofie Mortensen,
Annelise Norlyk
Publication year - 2018
Publication title -
british journal of community nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 28
eISSN - 2052-2215
pISSN - 1462-4753
DOI - 10.12968/bjcn.2018.23.12.597
Subject(s) - medicine , nursing , rationing , work (physics) , qualitative research , ethnography , perspective (graphical) , paternalism , focus group , medline , health care , sociology , mechanical engineering , social science , artificial intelligence , computer science , law , political science , engineering , economics , economic growth , anthropology
The pressure on homecare nursing in the Nordic countries has increased in recent years because of a reorganisation of healthcare systems that has put a focus on very early discharge from hospital as well as demographic changes. This article details an analysis of the findings of 13 published qualitative research reports about Nordic homecare nurses' experiences of their work. Using a process of meta-ethnography, the authors identify five themes within the primary research: home care as a professional practice on foreign ground; home care as a massive time constraint; home care as fair rationing; home care as relationships with relatives as fellow players or opponents; and home care as latent paternalism. These have two main implications for practice: homecare nurses should continuously be taught how to cooperate with partners who are emotionally involved; and also homecare nurses may benefit from training that focuses on the challenges of carrying out professional work in private settings.