Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 May;32(9-10):1723-1737.
doi: 10.1111/jocn.16169. Epub 2021 Dec 12.

Home-based nursing care competencies: A scoping review

Khairul Dzakirin Bin Rusli  1 , Apphia Jia Qi Tan  1 , Shu Fen Ong  2 , Shaun Speed  3 , Ying Lau  1 , Sok Ying Liaw  1
Affiliations

Home-based nursing care competencies: A scoping review

Khairul Dzakirin Bin Rusli et al. J Clin Nurs. 2023 May.

Abstract

Aims and objectives: To identify and consolidate the available evidence about nursing-related competencies for home-based care.

Background: Over recent years, the demand for home-based nursing care has increased because of the need to meet the increasing need for chronic disease care to be delivered in patients' homes. However, knowledge is lacking about the expected competencies for home-based care nurses.

Design: A scoping review was conducted in accordance with Arksey and O'Malley's six-step scoping review framework and the PRISMA-ScR guidelines. The review identified literature using five electronic databases (CINAHL, PubMed, Embase, Cochrane and Scopus) and a hand search for grey literature in relevant home-based care journals and online searches. Key search terms and inclusion and exclusion criteria were used as strategies to identify relevant articles.

Results: Sixty-four articles were eligible for inclusion. Mapping and narrative synthesis of 116 elements related to home-based nursing care competencies identified the following 10 competencies: (1) care assessments; (2) performance of nursing procedures; (3) management of health conditions; (4) critical thinking and problem-solving skills; (5) interpersonal relationships and communication; (6) interdisciplinary collaboration; (7) leadership and resource management; (8) professional development; (9) technological literacy; (10) quality and safety.

Conclusion and relevance to clinical practice: This review provides insight into current knowledge about home-based nursing care competencies. These competencies could be used to evaluate nurses' competence level for home-based care or for development of appropriate professional education. The review also outlines the scope of nursing practice in home-based care, which provides support for some form of standardisation of home-based nursing care expectations across various stakeholders.

Keywords: community health nursing; home care services; professional competence.

PubMed Disclaimer

References

REFERENCES

    1. Aasgaard, H. S., Fagerstrom, L., & Landmark, B. (2014). Nurses’ experiences of providing care to dementia patients through home health care: After further training and a reorganization of nursing resources. Home Health Care Management & Practice, 26(4), 230-238. https://doi.org/10.1177/1084822314530992
    1. Aitken, A. (2006). District nurses’ triggers for referral of patients to the Macmillan nurse. British Journal of Community Nursing, 11(3), 100-107. https://doi.org/10.12968/bjcn.2006.11.3.20584
    1. Andersson, H., Lindholm, M., Pettersson, M., & Jonasson, L. L. (2017). Nurses’ competencies in home healthcare: An interview study. BMC Nursing, 16(65), 1-8. https://doi.org/10.1186/s12912-017-0264-9
    1. Annells, M., O’Neill, J., & Flowers, C. (2008). Compression bandaging for venous leg ulcers: the essentialness of a willing patient. Journal of Clinical Nursing, 17(3), 350-359. https://doi.org/10.1111/j.1365-2702.2007.01996.x
    1. Ark, P. D., & Nies, M. (1996). Knowledge skills of the home healthcare nurse. Home Healthcare Nurse, 14(4), 292-297.

Publication types

LinkOut - more resources