Home-based nursing care for clients carrying multidrug-resistant organisms: A focus group study in the Netherlands
Langeveld, Tessa JC Haverkate, Manon R Eilers, Renske de Haan, Freek Timen, Aura
Langeveld, Tessa JC
Haverkate, Manon R
Eilers, Renske
de Haan, Freek
Timen, Aura
Series / Report no.
Open Access
Type
Journal Article
Article
Article
Language
en
Date of publication
2024-12-08
Year of publication
Research Projects
Organizational Units
Journal Issue
Title
Home-based nursing care for clients carrying multidrug-resistant organisms: A focus group study in the Netherlands
Translated Title
Published in
Am J Infect Control 2025; 53(4):485-492
Abstract
The growing population of vulnerable clients receiving home-based nursing care (HBNC), combined with the worldwide increase in the prevalence of multidrug-resistant organisms (MDROs), poses a new burden on nursing staff. This study explored the attitudes, perceptions, experiences, challenges, and needs of nursing staff providing HBNC for clients carrying MDROs.
Seven focus groups with home-based nursing staff (N = 34) were performed in the Netherlands between April and July 2022, using a semistructured, open-ended topic list based on the integrated-change model and seven domains of practice. Data were analyzed using thematic analysis.
Participants experienced ambiguities in infection prevention and control recommendations in MDRO guidelines or protocols. At times, the proportionality of these measures was questioned, including the effect on compliance. Participants indicated to be influenced by perceptions and behavior of their colleagues and clients. Furthermore, participants experienced inadequate information exchange about MDRO carriage and debated about the roles and responsibilities of involved health care professionals.
There is a need for tailored MDRO guidelines for HBNC. Expanding knowledge, sufficient resources, and improving information exchange about MDRO carriage among health care professionals, clients (including their family members), and HBNC organization boards are essential to respond to current developments in HBNC.
Seven focus groups with home-based nursing staff (N = 34) were performed in the Netherlands between April and July 2022, using a semistructured, open-ended topic list based on the integrated-change model and seven domains of practice. Data were analyzed using thematic analysis.
Participants experienced ambiguities in infection prevention and control recommendations in MDRO guidelines or protocols. At times, the proportionality of these measures was questioned, including the effect on compliance. Participants indicated to be influenced by perceptions and behavior of their colleagues and clients. Furthermore, participants experienced inadequate information exchange about MDRO carriage and debated about the roles and responsibilities of involved health care professionals.
There is a need for tailored MDRO guidelines for HBNC. Expanding knowledge, sufficient resources, and improving information exchange about MDRO carriage among health care professionals, clients (including their family members), and HBNC organization boards are essential to respond to current developments in HBNC.