Role of counseling and nursing care services centers in reduceing work lads of hospitals,: A qualitative study

authors:

avatar Sefollah Alaei , avatar Fatemeh Alhani ORCID , * , avatar Hassan Navipour

Koomesh: Vol.19, issue 2; 475-483
published online: June 06, 2017
article type: Research Article
received: September 01, 2016
accepted: December 06, 2016

how to cite: Alaei S, Alhani F, Navipour H. Role of counseling and nursing care services centers in reduceing work lads of hospitals,: A qualitative study. koomesh. 2017;19(2):e151101. 

Abstract

Introduction: Despite the development of hospitals in recent years, there is a gap between the number of hospital beds in our country and standard number of hospital beds, and they are faced with increased workload. The aim of this study is to explain the role of counseling centers and nursing services in reducing the workload of hospitals. Materials and Methods: This study was conducted using qualitative method. The main research participants were managers of counseling and nursing care services Centers. Purposive and theoretical sampling was used in this study. In total, 26 managers of various centers and institutions providing health care services, physicians, and clients were interviewed. Data were analyzed using content analysis. Results: The final research findings emerged on three main themes "outpatient care of patients at home", "decreased care coverage of acute patients at home", "limited cooperation in the care of hospitalized patients" with several subcategories. Conclusion:  Providing community-based services, particularly providing care for critically ill patients hospitalized at home has been reduced in recent years, and large part of this care is transferred again to the hospital. Therefore, it is necessary to revise the executive programs to develop interactive work and regulated the relationship between counseling and nursing care services Centers and hospitals

References

  • 1.

    McKee M, Healy J. The role of the hospital in a changing environment. Bull World Health Organ 2000; 78: 803-810.

  • 2.

    Melinda A, et al. The role of hospitals in improving non-medical determinants of community population health. NYS Health Foundation 2016.

  • 3.

    De Penthes P. Primary health care improvement. WHO. Switzerland 2016; 6-8.

  • 4.

    Jam, Guiding principles for the development of the hospital of the future. The Joint Commission of ARAMARAK Health care (T.J.C.O.A.H.C), 2009.

  • 5.

    Scott RD. The direct medical costs of healthcare-associated infections in US hospitals and the benefits of prevention: division of healthcare quality promotion national center for preparedness, detection, and control of infectious diseases. Cent Dis Cont Prevent 2009.

  • 6.

    Nurses: A force for change: Improving health systems resilience. International Council of Nurses (I.C.O.N) 2016.

  • 7.

    Royal College of Nursing. The nursing role in integrated care models Reflecting on the United States experience. 2014.

  • 8.

    Guttmacher S, Kelly PJ, Ruiz-Janecko Y. Community-based health interventions. John Wiley Sons 2010.

  • 9.

    Nolte E, Pitch forth E. What is the evidence on the economic impacts of integrated care. Copenhagen: European Observatory on Health Systems and Policies. 2014.

  • 10.

    Heydari H, Shahsavari H, Hazini A, Nasrabadi AN. Exploring the barriers of home care services in Iran: A qualitative study. Scientifica 2016; 2016: 2056470.

  • 11.

    Ministry of Health and Medical Education: Iran. Regulation establish of nursing services and counsel providing centers. 2000.

  • 12.

    James BC. Quality management for health care delivery. Hospital Research and Educational Trust. 1989.

  • 13.

    Hatam N, Zakeri M, Sadeghi A, Ramandi SD, Hayati R, Siavashi E. Equity analysis of hospital beds distribution in Shiraz, Iran 2014. Med J Islamic Republic Iran 2016; 30: 393. (Persian).

  • 14.

    Mostafavi AS, Zandian H, Alipor-Sakha M, Bayaty M, Mostafavy S. Survey distribution of specialists and hospital beds in governmental hospitals' of western azarbayjan province. Faculty of Allied Health Sciences. Payavard Salamat 2015; 9: 55-66 (Persian).

  • 15.

    Ministry of Health and Medical Education. Regulations of the for counseling and nursing services Center, 1999.

  • 16.

    King SE. A 10-Year review of four academic nursemanaged centers: challenges and survival strategies. J Prof Nurs 2008; 24: 14-20.

  • 17.

    Yoder MK. Starting a nurse-managed center for older adults: the needs assessment process. Geriatr Nurs 1996; 17: 14-19.

  • 18.

    Yeh YC, St John W, Venturato L. Inside a postpartum nursing center: tradition and change. Asian Nurs Res 2016; 10: 94-99.

  • 19.

    Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurs Educ Today 2004; 24: 105-112.

  • 20.

    Wu YP, Thompson D, Aroian KJ, McQuaid EL, Deatrick JA. Commentary: writing and evaluating qualitative research reports. J Pediatr Psychol 2016; 41: 493-505.

  • 21.

    Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative. Lipp Williams Wilkins 2011.

  • 22.

    Elo S, Kaariainen M, Kanste O, Polkki T, Utriainen K, Kyngas H. Qualitative content analysis. Sage Open 2014; 4.1: 2158244014522633.

  • 23.

    Lancaster, Community Health Nursing. Translated by Vahid Hosseni and Nasrin JaFary., Jamea Negar: Tehran 2012; 17-18. (Persian).

  • 24.

    Kisa S. Turkish nurses' concerns about home health care in Turkey. Austr J Adv Nurs 2008; 25: 97.

  • 25.

    Mosadeghrad AM. Patient choice of a hospital: implications for health policy and management. Int J Health Care Qual Assur 2014; 27: 152-164.

  • 26.

    Ebrahimian A, Dehvan F. Evaluation of nurses job expectations in hospitals executing the efficiency improvement law in Semnan. Koomesh 2016; 17: Pe739-746.

  • 27.

    De Vliegher K, Aertgeerts B, Declercq A, Milisen K, Sermeus W, Moons P. Shifting care from hospital to home: a qualitative study. Primary Health Care 2015; 25: 24-31.##.