Factors related to the use of community nursing services in The Netherlands
- 1 January 1991
- journal article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 16 (1) , 47-54
- https://doi.org/10.1111/j.1365-2648.1991.tb01496.x
Abstract
This study aims to identify factors important in explaining 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 3,315 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.Keywords
This publication has 10 references indexed in Scilit:
- The Influence of Family Caregivers on Elder's Use of In-Home Services: An Expanded Conceptual FrameworkJournal of Health and Social Behavior, 1987
- Factors explaining the referral of the elderly to home nursing or home helpHealth Policy, 1986
- Health Services Utilization among the Noninstitutionalized ElderlyJournal of Health and Social Behavior, 1983
- Use of Social and Health Services by the ElderlyJournal of Health and Social Behavior, 1982
- Toward understanding elders' health service utilizationJournal of Community Health, 1981
- Factors Affecting the Use of Social and Health Services Among the ElderlyAgeing and Society, 1981
- Societal and Individual Determinants of Medical Care Utilization in the United StatesThe Milbank Memorial Fund Quarterly. Health and Society, 1973