"Knowing the places of care": How nurses facilitate transition of children with complex health care needs from hospital to home

Bernie Carter, Lucy Bray, C Sanders, C van Miert, A Hunt, A Moore

Research output: Contribution to journalArticle

3 Citations (Scopus)
2 Downloads (Pure)

Abstract

The number of children with complex health care needs continues to rise and they often have prolonged hospital stays with their discharge home being delayed by a range of factors, despite the fact that, except in extraordinary circumstances, a child’s home is the most appropriate place for them to receive long-term care. The aim of this appreciative, qualitative interview-based study was to explore the work of nurses whose main role is supporting children and families move from an institutional place of care to long-term care within the family home. Analysis of interview transcripts was collaborative, interpretive and thematic. Forty-six participants (9 nurses and 37 local stakeholders) engaged in the study. Findings reflect the ways in which the nurses facilitated transition of children with complex needs from hospital to home and the journeys the nurses took to develop the skills, knowledge and networks needed to support this transition. ‘Knowing the places of care’ was fundamental to success of the nurses’ work. As the nurses’ knowledge of the places (and processes) of care deepened, they were better able to act as informed guides to families and other professionals and to improve care. The nurses’ practice was driven by the belief that the place where care occurs matters. Home was seen as a transformative and sustaining place where caring practices could become incorporated into an environment in which the family could exist and be nurtured together.
Original languageEnglish
Pages (from-to)1-15
JournalComprehensive Child and Adolescent Nursing
Early online date6 Feb 2016
DOIs
Publication statusE-pub ahead of print - 6 Feb 2016

Fingerprint

Nurses
Delivery of Health Care
Long-Term Care
Interviews
Community Health Nurses
Length of Stay

Cite this

@article{63805d5d095249be85c7d1bcc261851f,
title = "{"}Knowing the places of care{"}: How nurses facilitate transition of children with complex health care needs from hospital to home",
abstract = "The number of children with complex health care needs continues to rise and they often have prolonged hospital stays with their discharge home being delayed by a range of factors, despite the fact that, except in extraordinary circumstances, a child’s home is the most appropriate place for them to receive long-term care. The aim of this appreciative, qualitative interview-based study was to explore the work of nurses whose main role is supporting children and families move from an institutional place of care to long-term care within the family home. Analysis of interview transcripts was collaborative, interpretive and thematic. Forty-six participants (9 nurses and 37 local stakeholders) engaged in the study. Findings reflect the ways in which the nurses facilitated transition of children with complex needs from hospital to home and the journeys the nurses took to develop the skills, knowledge and networks needed to support this transition. ‘Knowing the places of care’ was fundamental to success of the nurses’ work. As the nurses’ knowledge of the places (and processes) of care deepened, they were better able to act as informed guides to families and other professionals and to improve care. The nurses’ practice was driven by the belief that the place where care occurs matters. Home was seen as a transformative and sustaining place where caring practices could become incorporated into an environment in which the family could exist and be nurtured together.",
author = "Bernie Carter and Lucy Bray and C Sanders and {van Miert}, C and A Hunt and A Moore",
year = "2016",
month = "2",
day = "6",
doi = "10.3109/01460862.2015.1134721",
language = "English",
pages = "1--15",
journal = "Comprehensive Child and Adolescent Nursing",
issn = "2649-4193",
publisher = "Taylor & Francis",

}

TY - JOUR

T1 - "Knowing the places of care": How nurses facilitate transition of children with complex health care needs from hospital to home

AU - Carter, Bernie

AU - Bray, Lucy

AU - Sanders, C

AU - van Miert, C

AU - Hunt, A

AU - Moore, A

PY - 2016/2/6

Y1 - 2016/2/6

N2 - The number of children with complex health care needs continues to rise and they often have prolonged hospital stays with their discharge home being delayed by a range of factors, despite the fact that, except in extraordinary circumstances, a child’s home is the most appropriate place for them to receive long-term care. The aim of this appreciative, qualitative interview-based study was to explore the work of nurses whose main role is supporting children and families move from an institutional place of care to long-term care within the family home. Analysis of interview transcripts was collaborative, interpretive and thematic. Forty-six participants (9 nurses and 37 local stakeholders) engaged in the study. Findings reflect the ways in which the nurses facilitated transition of children with complex needs from hospital to home and the journeys the nurses took to develop the skills, knowledge and networks needed to support this transition. ‘Knowing the places of care’ was fundamental to success of the nurses’ work. As the nurses’ knowledge of the places (and processes) of care deepened, they were better able to act as informed guides to families and other professionals and to improve care. The nurses’ practice was driven by the belief that the place where care occurs matters. Home was seen as a transformative and sustaining place where caring practices could become incorporated into an environment in which the family could exist and be nurtured together.

AB - The number of children with complex health care needs continues to rise and they often have prolonged hospital stays with their discharge home being delayed by a range of factors, despite the fact that, except in extraordinary circumstances, a child’s home is the most appropriate place for them to receive long-term care. The aim of this appreciative, qualitative interview-based study was to explore the work of nurses whose main role is supporting children and families move from an institutional place of care to long-term care within the family home. Analysis of interview transcripts was collaborative, interpretive and thematic. Forty-six participants (9 nurses and 37 local stakeholders) engaged in the study. Findings reflect the ways in which the nurses facilitated transition of children with complex needs from hospital to home and the journeys the nurses took to develop the skills, knowledge and networks needed to support this transition. ‘Knowing the places of care’ was fundamental to success of the nurses’ work. As the nurses’ knowledge of the places (and processes) of care deepened, they were better able to act as informed guides to families and other professionals and to improve care. The nurses’ practice was driven by the belief that the place where care occurs matters. Home was seen as a transformative and sustaining place where caring practices could become incorporated into an environment in which the family could exist and be nurtured together.

U2 - 10.3109/01460862.2015.1134721

DO - 10.3109/01460862.2015.1134721

M3 - Article

SP - 1

EP - 15

JO - Comprehensive Child and Adolescent Nursing

JF - Comprehensive Child and Adolescent Nursing

SN - 2649-4193

ER -