Document Type : Original Article
Authors
1 Ph.D. Student in Nursing, Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
2 2 Chronic Diseases (Home Care) Research Center, Institute of Cancer, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran 3,*Associate Professor, Department of Medical-Surgical Nursing, School of
3 2 Chronic Diseases (Home Care) Research Center, Institute of Cancer, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran 4 Professor, Department of Community Health Nursing, School of Nursing and
4 5 Professor, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
5 6Mother and Child Care Research Center, Institute of Health Sciences and Technologies, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran. 7,*Professor, Department of Medical Surgical Nursing,
Abstract
Objective: Ensuring the quality of home care services is a primary concern for trauma patients. Identifying and implementing quality improvement strategies can help mitigate the challenges associated with transitioning from hospital to home care. This study aimed to elucidate strategies for enhancing the quality of home care for trauma patients.
Methods: This study, conducted using a conventional qualitative content analysis approach, took place from Sept. 2023 to Sept. 2024 in Hamadan, located in northwest Iran. A total of 18 participants, including home care managers, nurses, trauma patients, and the families of trauma patients, were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed using Graneheim and Lundman’s method with the assistance of MAXQDA v 20 software.
Results: Analysis of the data yielded 430 initial codes, 36 subcategories, and 6 main categories: patient-centered care, safe care provision, spiritual care, effective educational program development, service effectiveness enhancement, and dynamic service delivery.
Conclusion: The study results showed that nurses use strategies to improve the quality of home care services for trauma patients. Some of these actions included "adhering to the principle of patient-centered care, providing safe care for trauma patients, providing spiritual care, developing effective educational programs, enhancing service effectiveness, and dynamism in service delivery." Implementing these strategies can guide policymakers and home care nurses to improve care quality for trauma patients and increase satisfaction. The research results can enhance planning and implementation of home care services, facilitating the transition from hospital to home.
Keywords
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