Preparing to change from acute to community-based care. Learning needs of hospital-based nurses

The Journal of Nursing Administration
Y E BryanL J Wood

Abstract

Increasingly, professional nurses will be required to function in practice settings other than acute care, yet little is known about how nurses perceive the skill sets required to practice in these nonacute care settings. This study explores nurses' perceptions and needs concerning the transition from acute to home care and community-based healthcare facilities. Because the healthcare reform environment of the 1990s mandates changes in the ways hospitals and hospital nurses care for patients, many nurses in acute care settings anticipate that their roles will include or perhaps shift completely to practice in the home and other community-based settings. How professional nurses perceive the skills required to practice in these nonacute care settings may well influence their willingness to accept work redesign initiatives and voluntary employment transitions that involve working outside the hospital setting. Based on focus groups and the literature a three-part 56-item questionnaire was developed as the study instrument to assess skill needs and concerns related to functioning in the acute, home, and community-based setting. A total of 879 nurses representing various specialties in healthcare institutions in the Philadelphia and ...Continue Reading

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Citations

Jan 20, 2005·Journal of Clinical Nursing·Dean Whitehead
Feb 18, 2011·The Journal of Nursing Education·Kathlynn Northrup-SnyderCynthia McDaniel
Nov 25, 2003·Journal of Clinical Nursing·Maxine Duke, Annette Street
Jun 29, 2005·International Journal of Nursing Studies·Heli Vaartio, Helena Leino-Kilpi
Apr 30, 2016·Journal of Clinical Nursing·Christine AshleyAngela Brown
Sep 8, 2011·Australian Journal of Primary Health·Rhian ParkerLaura Forrest

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