Title: Perceptions and experiences of midwives and nurses who conducted home visits in Jordan
Abstract:
Background:
Home visit is an integral part of primary healthcare delivery systems. It is preventive and promotes health practice where community health workers, particularly nurses provide healthcare to clients in their own environment according to their needs. One of the health care services that is provided by community health nurses (CHNs) is home visits (HVs) through which they can empower the community by identifying its needs and by assisting in setting strategic planning to achieve the desired results. Currently, the Covide -19 pandemic and the early discharge from hospitals lead to shift the locus of care to homes, imposing the increasing need for providing care at clients homes through conducting the HVs.
Purpose: The study was conducted to fully understand midwives and nurses perceptions and experiences regarding home visits program after conducting actual HVs. based on the home visits- related workshop.
Methodology: This descriptive qualitative study invited 8 nurses and midwives out of 24 participants who were willing to participate in the study. Purposeful sampling was used to achieve data saturation through the interview guide. Emerged data were analysed using the manual coding (content analysis) by two expert researchers to ensure trustworthiness. Results: qualitative analysis revealed four major themes: 1) concerns of self safety, 2) Stress related to conducting HVs, 3)Threats to violence and consequences, 4) Successful program with some recommendations. Conclusion and recommendations: The existing program was generally perceived as successful with some recommendations. Three main barriers were crystallized through the understanding of participants perception and experiences, including: Client-related, nurse-related, and organizational related barriers. Such barriers should be considered in HVs programs development.
In addition, it is recommended to work thoroughly on Community Needs assessment and planning and to hold regular training workshops/ courses regarding HVs. Further, to conduct a full research study utilizing both quantitative and qualitative approaches.
