Practice variation in home care nursing: mapping potential explanations through a scoping review of the literature

被引：0

作者：

A.E.M. Brabers ^{[1
]}

M.A.M. Meijer ^{[1
]}

P. P. Groenewegen ^{[1
]}

N. Bleijenberg ^{[2
]}

S. Zwakhalen ^{[3
]}

J.D. de Jong ^{[4
]}

机构：

[1] Nivel – Netherlands Institute for Health Services Research,Department of Sociology and Department of Human Geography

[2] Utrecht University,Care and Public Health Research Institute, Department of Health Services Research

[3] University of Applied Sciences Utrecht,Care and Public Health Research Institute

[4] University Medical Center Utrecht,undefined

[5] Maastricht University,undefined

[6] Living Lab in Ageing and Long Term Care,undefined

[7] Department of Health Services Research,undefined

[8] Maastricht University,undefined

来源：

Research in Health Services & Regions | / 3卷 / 1期

关键词：

Practice variation; Home care; Needs assessment; Nursing;

D O I：

10.1007/s43999-024-00048-8

中图分类号：

学科分类号：

摘要：

Needs assessment is the starting point of good home care as it determines which care is necessary, based on the needs of patients, their personal situation, and social context. There are indications that practice variation in needs assessment exists among home care nurses. However, little is known about potential explanations for this variation. Therefore, we explored potential explanations for practice variation in other areas and examined whether these explanations can be applied to explain variation in needs assessment in home care nursing. We conducted a scoping review of the literature on practice variation in (1) needs assessment in home care nursing, (2) home care nursing in general, and (3) medical care in general, with searches in PubMed and CINAHL. We assessed over 6,000 references. Ultimately, 386 studies were included. Explanations for practice variation were grouped into micro, meso and macro level. This scoping review provided insight into a wide variety of variables that might play a role in explaining practice variation in (needs assessment in) home care nursing, such as availability of guidelines, organisational culture, team norms, resources, and preferences of patients. However, the small literature on needs assessment by home care nurses devoted more attention to patients and their social context, compared to the literature on practice variation in general. We discuss how and to what extent these variables could relate to practice variation in (needs assessment in) home care nursing. Future research should empirically examine the role of these variables in explaining the observed practice variation.

引用

共 40 条

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