ArticleJournal of clinical nursing2024
Exploring the barriers, facilitators and needs to use patient outcomes in district nursing care: A multi-method qualitative study.
Article in Journal of clinical nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Person-centered shared decision-making and data-informed district nursing care to enhance independence: Protocol for a feasibility study.International journal of nursing studies advances · 2026Article
- Climate change literacy and environmental stewardship in neonatal intensive care: a mixed-methods study of nursing practice patterns.BMC nursing · 2026Article
- Advancing District Nursing Care Through a Learning Healthcare System: A Viewpoint on Key Requirements.Healthcare (Basel, Switzerland) · 2024Article
- Exploring the barriers, facilitators and needs to use patient outcomes in district nursing care: A multi-method qualitative study.Journal of clinical nursing · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
AIM AND
objectivesTo provide an in-depth insight into the barriers, facilitators and needs of district nurses and nurse assistants on using patient outcomes in district nursing care.
backgroundAs healthcare demands grow, particularly in district nursing, there is a significant need to understand how to systematically measure and improve patient outcomes in this setting. Further investigation is needed to identify the barriers and facilitators for effective implementation.
designA multi-method qualitative study.
methodsOpen-ended questions of a survey study (N = 132) were supplemented with in-depth online focus group interviews involving district nurses and nurse assistants (N = 26) in the Netherlands. Data were analysed using thematic analysis.
resultsDifferent barriers, facilitators and needs were identified and compiled into 16 preconditions for using outcomes in district nursing care. These preconditions were summarised into six overarching themes: follow the steps of a learning healthcare system; provide patient-centred care; promote the professional's autonomy, attitude, knowledge and skills; enhance shared responsibility and collaborations within and outside organisational boundaries; prioritise and invest in the use of outcomes; and boost the unity and appreciation for district nursing care.
conclusionsThe preconditions identified in this study are crucial for nurses, care providers, policymakers and payers in implementing the use of patient outcomes in district nursing practice. Further exploration of appropriate strategies is necessary for a successful implementation. RELEVANCE TO CLINICAL PRACTICE: This study represents a significant step towards implementing the use of patient outcomes in district nursing care. While most research has focused on hospitals and general practitioner settings, this study focuses on the needs for district nursing care. By identifying 16 key preconditions across themes such as patient-centred care, professional autonomy and unity, the findings offer valuable guidance for integrating a learning healthcare system that prioritises the measurement and continuous improvement of patient outcomes in district nursing. REPORTING
methodConsolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. PATIENT OF PUBLIC CONTRIBUTION: No patient or public contribution.
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