Designing a Process Model of Home Care Service Delivery in Iran: A Mixed Methods Study
Background: Considering the position of home health care in the current world, the objective of this<br />study was to design an applied model of providing home care services in Iran.<br />Methods: The mixed methods approach was employed in three stages in Iran from Feb 2015 to Sep<br...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2019-10-01
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| Series: | International Journal of Community Based Nursing and Midwifery |
| Subjects: | |
| Online Access: | http://ijcbnm.sums.ac.ir/article_45562_aa2f28cde2d238795794bd090a6d220d.pdf |
| Summary: | Background: Considering the position of home health care in the current world, the objective of this<br />study was to design an applied model of providing home care services in Iran.<br />Methods: The mixed methods approach was employed in three stages in Iran from Feb 2015 to Sep<br />2016. During the first phase, the qualitative method of content analysis was used. Data were collected by conducting 26 individual interviews and holding one focus group session involving 7 people. Data<br />analysis was based on Graneheim and Lundman’s approach to content analysis.<br />In the second phase of the study, a literature review was carried out and at the end of this stage, a<br />preliminary model was designed. The model was standardized in the third phase using the Delphi<br />method with 23 participants in two rounds.<br />Results: In the first and second stages of the study, various categories emerged including patient<br />referral, agreement, determination of the needed level of care, care plans designing, provision of<br />comprehensive services, documentation, service monitoring, inter-professional cooperation, issuance<br />of death certificates at home, ethical considerations, and the evaluation of services. Then, in the Delphi phase, 20 (95.2%) of the experts confirmed the structure and content of the model and its applicability.<br />Conclusion: The designed model can be helpful in organizing the provision of integrated and<br />comprehensive health services to clients at home, which can be effective in improving the clients’<br />health and enhancing their self-care and autonomy. |
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| ISSN: | 2322-2476 2322-4835 |