ArticleJournal of advanced nursing2025
Barriers and facilitators for reducing low-value home-based nursing care: A qualitative exploratory study among homecare professionals.
Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Barriers and facilitators for reducing low-value home-based nursing care: A qualitative exploratory study among homecare professionals.Journal of advanced nursing · 2025Article
- A Tailored De-Implementation Strategy to Reduce Low-Value Home-Based Nursing Care: A Mixed-Methods Feasibility Study.Journal of advanced nursing · 2025Article
- De-implementation of low-value home-based nursing care: an effect and process evaluation.Implementation science communications · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
aimTo explore barriers and facilitators for reducing low-value home-based nursing care.
designQualitative exploratory study.
methodSeven focus group interviews and two individual interviews were conducted with homecare professionals, managers and quality improvement staff members within seven homecare organizations. Data were deductively analysed using the Tailored Implementation for Chronic Diseases checklist.
resultsBarriers perceived by homecare professionals included lack of knowledge and skills, such as using care aids, interactions between healthcare professionals and general practitioners creating expectations among clients. Facilitators perceived included reflecting on provided care together with colleagues, clearly communicating agreements and expectations towards clients. Additionally, clients' and relatives' behaviour could potentially hinder reduction. In contrast, clients' motivation to be independent and involving relatives can promote reduction. Lastly, non-reimbursement and additional costs of care aids were perceived as barriers. Support from organization and management for the reduction of care was considered as facilitator.
conclusionUnderstanding barriers and facilitators experienced by homecare professionals in reducing low-value home-based nursing care is crucial. Enhancing knowledge and skills, fostering cross-professional collaboration, involving relatives and motivating clients' self-care can facilitate reduction of low-value home-based nursing care. Implications for profession and patient care: De-implementing low-value home-based nursing care offers opportunities for more appropriate care and inclusion of clients on waitlists. IMPACT: Addressing barriers with tailored strategies can successfully de-implement low-value home-based nursing care. REPORTING
methodThe Consolidated Criteria for Reporting Qualitative Research checklist was used. No patient or public contribution.
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