Factors related to the use of community nursing services in The Netherlands

Authors

  • Ada Kerkstra PhD,

    Corresponding author
    1. Co-ordinator of Community Nursing Research, Netherlands Institute of Primary Health Care, Utrecht, The Netherlands
      Dr Ada Kerkstra NIVEL (Netherlands Institute of Primary Health Care), PO Box 1568, 3500 BN Utrecht, The Netherlands
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  • Trees Vorst-Thijssen RN

    Research Fellow
    1. Netherlands Institute of Primary Health Care, Utrecht, The Netherlands
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Dr Ada Kerkstra NIVEL (Netherlands Institute of Primary Health Care), PO Box 1568, 3500 BN Utrecht, The Netherlands

Abstract

This study aims to identify factors important in expiaining the nature of community nursing care received by patients in their homes because little is known about the relation between individual characteristics of patients receiving nursing care and the nature of care delivered by community nurses During a period of 2 weeks a representative sample of 137 community nurses and 49 community nurses' auxiliaries at 47 different locations paid a total number of 12 847 home visits to provide care to 3315 patients For each home visit, patient's characteristics, the nature of care delivered by the nurse and the length of the home visit was recorded The results suggested that three groups of patients could be identified in terms of the nature of nursing care received at home First, patients who were older, who were also receiving informal care and did not suffer from psychosocial problems, were most likely to receive assistance in their activities of daily living Second, patients suffering from multiple disorders, whose situation was assessed as unstable, and those who did not suffer from psychosocial problems were most likely to receive technical nursing care These patients were visited most often Finally, male patients suffering from multiple disorders, whose situation was assessed as unstable, especially when new mental or social problems emerged, were most likely to receive psychosocial support and education from the community nurse These visits appeared to be the most time-consuming

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