Table 4.
Factors influencing optimization of home care nursing by domain (methods used in supporting evidence)
| Continuity of care and consistency of care provider |
1. Fragmentation in the community nursing sector (Mult.M) 2. Length of contract and job stability (QN; MM; QL) 3. Consistent scheduling and assignments (QL; QI) 4. Secure employment (QL; Mult.M; DPP) 5. Recruitment (QL; QI) 6. Stable caseloads (QI) 7. Information continuity across care transitions (QL; Mult.M) |
| Appropriate staff mix and staffing levels |
1. Manageable workloads (QN; MM; DP; Mult.M; DPP; PAR; CS) 2. Funding models (QN; MM; QL; DP; Mult.M; CS) 3. Appropriate staff allocation (Mult.M; DPP) |
| Professional development |
1. Orientation and access to standardized, regular, ongoing training (MM; QL; DP; Mult.M; QI; DPP) 2. Management support for professional development (QN; MM; QL; DP; Mult.M; DPP) 3. Opportunities for leadership development (MM; DP) |
| Quality practice environments |
1. The nature of home care work (enablers and stressors) (QN; MM; QL; DP; Mult.M; QI; DPP; PAR; LR; Other) 2. Retention and recruitment (MM; QL; DP; Mult.M; DPP; CS; LR) 3. Compensation and benefits (QN; MM; QL; DP; Mult.M; QI; DPP; LR) 4. Scheduling flexibility and workload management (QN; MM; QL; Mult.M; DPP; CS) 5. Job security (QN; MM; QL; DP; Mult.M; CS) 6. System level funding (QN; QL; DP; Mult.M; DPP; PAR; CS) |
| Intra‐professional and, Inter‐professional and Inter‐organizational Collaboration |
Intra‐professional Collaboration 1. Peer support (QN, MM, QL; DP) 2. Intra‐professional communication (QN,QL; PAR) Inter‐professional and Inter‐organizational Collaboration 1. Opportunities to interact and communicate (QN; MM; QL; DP; Mult.M; QI; DPP; PAR; Other) 2. Role clarity (QN; MM; QL; DP; Mult.M; QI; DPP) 3. Effective case management approaches (QN; MM; QL; DP; Mult.M; DPP; PAR) 4. Shared values, beliefs, and attitudes (MM; DP; Mult.M; QI; DPP; CS) 5. Adequate fiscal and human resources (Mult.M; DPP) 6. Leadership that supports collaboration and capacity building (MM, QL, Mult.M; QI) |
| Enhancing scope of practice |
1. Changing role expectations and functions of home care nurses (QN; MM; QL; DP; Mult.M; QI; DPP; PAR; LR) 2. Organization of case management functions (QN; DP; PAR) |
| Appropriate technology |
1. Appropriate information and communications technology use (e.g., assessment tools, electronic health records, telehealth, e‐health information) (QN; MM; QL; DP; DPP) 2. Shared electronic documentation (MM; QL; DP; DPP) 3. Staff training and education on eHealth technologies (QN; MM; QL; DP; Mult.M; DPP; PAR) |
Abbreviations: CS, case study; DP, descriptive paper; DPP, discussion, policy or position paper; LR, literature review; MM, mixed‐methods; Mult.M, multi‐methods; PAR, participatory action research; QI, quality improvement paper; QL, qualitative methods; QN, quantitative methods.