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The Experiences of Home Care Team Members Regarding the Needs of Family Caregivers of Heart Failure Patients in Home Health Care Services in Iran: A Qualitative Study Publisher



Hashemlu L1 ; Esmaeili R2 ; Bahramnezhad F3 ; Rohani C4, 5
Authors
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Authors Affiliations
  1. 1. Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Nursing and Midwifery Care Research Center, School of Nursing and Midwifery AND Department of Spiritual Health, Research Center of Quran, Hadith and Medicine, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Health Care Sciences, Palliative Care Center, Marie Cederschiold Hogskola, Campus Ersta, Stockholm, Sweden
  5. 5. Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: ARYA Atherosclerosis Published:2022


Abstract

BACKGROUND: Home healthcare guidelines emphasize the engagement of family caregivers of heart failure (HF) patients in patient care at home. Thus, this study was conducted with the aim to explore the deep experiences of home care team members regarding the needs of family caregivers of HF patients in home healthcare services in Iran. METHODS: The present qualitative study was performed with a conventional content analysis approach. Data were collected through in-depth, semi-structured interviews with 23 participants who were recruited through purposive sampling. The Data were analyzed using the Graneheim and Lundman method for conventional content analysis in MAXQDA Software. RESULTS: The participants included 14 women and 9 men with the mean age of 46.21 ± 11.44 years. After analyzing the interviews, 3 main categories and 15 subcategories were extracted. The main categories were “family caregiver’s unmet needs” (with 5 subcategories), “Empowering Informal Caregivers” (with 3 subcategories), and “access to a standard home healthcare system” (with 7 subcategories). CONCLUSION: Deep understanding of the needs of family caregivers of HF patients in home health care services increases the quality of services, the quality of life (QOL) of the family, and prevents patients’ hospital readmissions. Moreover, it will contribute to our next project of the home healthcare guideline for HF patients in the health care system of Iran. Identifying the training needs of caregivers within the home health care services has an important role in the designing of education strategies in policy making programs at the level of the Ministry of Health or planning at lower levels of the health network. © 2022, Isfahan University of Medical Sciences(IUMS). All rights reserved.
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