ArticleNursing open2020
Balancing contradictory requirements in homecare nursing-A discourse analysis.
Article in Nursing open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Article
- Beyond protocol versus judgment: A qualitative study of nurses' prioritization and integration strategies.International journal of nursing studies advances · 2026Article
- Perspectives of user groups in the co-creation of a targeted dental care service intervention for older adults receiving home healthcare: an explorative study.BMC health services research · 2025Article
- Family function and health self-management ability among older adults from mountainous areas in China: moderated mediation model in a cross-sectional study.BMC public health · 2025Article
- "Organizing practice": The hidden work of homecare nurses in fighting health inequity and advancing social justice.Nursing inquiry · 2025Article
- Putting patients first: when home-based care staff prioritise loyalty to patients above the system and themselves. An ethnographic study.BMC medical ethics · 2024Article
- Evaluation of Quality Indicators in Home Health Services Delivery.Iranian journal of public health · 2023Article
- Registered nurses' challenges and suggestions for improvement of their leadership close to older adults in municipal home healthcare.BMC nursing · 2023Article
- Understanding registered nurses' career choices in home care services: a qualitative study.BMC health services research · 2023Article
- A competence improvement programme for the systematic observation of frail older patients in homecare: qualitative outcome analysis.BMC health services research · 2022Article
- The mediating effect of self-efficacy on the relationship between family functioning and quality of life among elders with chronic diseases.Nursing open · 2021Article
- Changes in home care clients' characteristics and home care in five European countries from 2001 to 2014: comparison based on InterRAI - Home Care data.BMC health services research · 2021Article
- Staff's perspectives on the organization of homecare services to people with dementia-A qualitative study.Nursing open · 2021Article
- Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aim: To explore prevailing discourses on nursing competence in homecare nursing to boost understanding of practice within this field. Design: A qualitative study with a social constructivist perspective. Methods: Six focus-group interviews with homecare nurses in six different municipalities in Norway. Adapting a critical discourse analysis, data were linguistically, thematically and contextually analysed in the light of theories on competence, institutional logic and discourses. Results: The analysis found homecare nursing to be a diverse and contradictory practice with ever-increasing work tasks. Presented as binary oppositions, we identified the following prevailing discourses: individualized care versus organizing work; everyday-life care versus medical follow-up; and following rules versus using professional discretion. The binary oppositions represent contradictory requirements that homecare nurses strive to balance. The findings indicate that medical follow-up and organizational work have become more dominant in homecare nursing, leaving less time and attention paid to relational and everyday-life care.
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