title: Nursing practice and patient care in a changing home healthcare environment.
abstract: The home healthcare industry is in a period of rapid growth and change driven by events occurring in the larger healthcare system. This descriptive, qualitative study explored the effect of recent system changes on home healthcare nurses and their practice. Nurses in six focus groups contributed data on their perceptions of these effects. Study results suggest that nurses and nursing care have not been adversely affected by recent system changes. However, results also suggest some troubling trends.
authors.affiliation: College of Nursing, University of Massachusetts, Boston, USA.
authors.forename: C H
authors.initials: CH
authors.lastname: Ellenbecker
authors.forename: K
authors.initials: K
authors.lastname: Warren
mesh_terms: D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000523:psychology*; D003152:Community Health Nursing / Q000639:trends*; D017144:Focus Groups; D018166:Health Care Reform / Q000458:organization & administration*; D006699:Home Care Services / Q000639:trends*; D006801:Humans; D008404:Massachusetts; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000523:psychology*; D009936:Organizational Innovation