More care out of hospital? A qualitative exploration of the factors influencing the development of the district nursing workforce in England

Journal of Health Services Research & Policy
Vari M Drennan

Abstract

Many countries seek to improve care for people with chronic conditions and increase delivery of care outside of hospitals, including in the home. Despite these policy objectives in the United Kingdom, the home visiting nursing service workforce, known as district nursing, is declining. This study aimed to investigate the factors influencing the development of district nursing workforces in a metropolitan area of England. A qualitative study in a metropolitan area of three million residents in diverse socio-economic communities using semi-structured interviews with a purposive sample of senior nurses in provider and commissioning organizations. Thematic analysis was framed by theories of workforce development. Findings: All participants reported that the context for the district nursing service was one of major reorganizations in the face of wider National Health Service changes and financial pressures. The analysis identified five themes that can be seen to impact the ways in which the district nursing workforce was developed. These were: the challenge of recruitment and retention, a changing case-mix of patients and the requirement for different clinical skills, the growth of specialist home visiting nursing services and its i...Continue Reading

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Feb 5, 2016·Public Health Reports·Angela J Beck, Matthew L Boulton

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Citations

Feb 2, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Ahmed Rashid
Nov 2, 2019·British Journal of Community Nursing·Cepta Hamm, Julie Glyn-Jones
Sep 4, 2020·British Journal of Community Nursing·Toni Gray
May 15, 2021·American Journal of Infection Control·Sara M ReeseSarah Smathers
Oct 12, 2021·Journal of Nursing Management·Nicole BlayPauline Murray-Parahi

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