ArticleJournal of health services research & policy2019
More care out of hospital? A qualitative exploration of the factors influencing the development of the district nursing workforce in England.
Article in Journal of health services research & policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- The community nurse in Australia. Who are they? A rapid systematic review.Journal of nursing management · 2022Pooled it
- Experience and Perceptions of Retention Strategies in District Nursing Services: A Web-Based Mixed Methods Cross-Sectional Survey.Journal of advanced nursing · 2026Article
- Successful Retention Strategies for Nurses in Home Visiting Nursing Services: A Scoping Review.Journal of advanced nursing · 2026Article
- A Survey of Nurses' Views of the Current and Future Role of Community Registered General Nurses (CRGN).Journal of advanced nursing · 2026Article
- Registered nurses' perceptions of their leadership close to older adults in municipal home healthcare: a cross-sectional questionnaire study.BMC nursing · 2025Article
- Home care practice behavior and its influencing factors of primary care providers: a multicenter cross-sectional study in Sichuan Province, China.BMC nursing · 2024Article
- What are the home care needs of Chinese healthcare workers: a latent class analysis.Frontiers in public health · 2024Article
- Barriers and facilitators to the implementation of nurse's role in primary care settings: an integrative review.BMC nursing · 2021Article
- 'It's like trying to ice a cake that's not been baked': a qualitative exploration of the contextual factors associated with implementing an evidence-based information intervention for family carers at the end of life.Primary health care research & development · 2020Article
- Factors influencing the recruitment and retention of registered nurses in adult community nursing services: an integrative literature review.Primary health care research & development · 2020Review
- Yonder: District nursing, deprescribing, psychotropic drugs, and reasonableness.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesMany 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.
methodsA 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 impact on generalist nursing, the capacity of the district nursing service to meet growing demand, and the influence of the short-term service commissioning process on the need for long-term workforce development.
conclusionThere is an apparent paradox between health policies which promote more care within and closer to home and the reported decline in district nursing services. Using the lens of workforce development theory, an explanatory framework was offered with factors such as the nature of the nursing labour market, human resource practices, career advancement opportunities as well as the contractual context and the economic environment.
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