Clients with chronic and complex conditions: their experiences of community nursing services.
OBJECTIVE
This qualitative study aimed to explore and describes clients' experiences of receiving care from community nurses.


BACKGROUND
Understanding of the experiences of clients with chronic and complex conditions receiving community nursing care can provide insight into their needs. International studies have identified experiences clients have had of receiving care from community nurses. However, no Australian study was found that had specifically explored with clients who had chronic and complex conditions and their experiences of receiving care from community nurses in an area health service.


METHODS
A qualitative descriptive study conducted during 2005 explored and described clients' experiences of the nursing care provided by community nurses.


METHODS
A purposive sample of 13 volunteer participants with chronic and complex conditions was interviewed and the transcripts analysed.


RESULTS
Three main categories were identified that clients used to describe their experiences. These were: the client's relationship with the nurse, care process and being able to stay out of hospital.


CONCLUSIONS
Clients strongly indicated their satisfaction with care provided by experienced community nurses and acknowledged that nurses are playing a key role in fostering their self-management and avoiding their readmission to hospital. Areas that require further attention are the professional development of less-experienced community nurses, services at the weekend, the scope of nursing management of clients with chronic conditions and the education needs of community nurses to meet the goals of these clients.


CONCLUSIONS
This study highlights the need for nurses who work in strong autonomous clinical roles in the community to have experience in assessment, education, planning and delivery of client care before they can be competent community nurses. The possibility of adverse occurrences during weekends provides the opportunity for managers to review and plan weekday and weekend workloads and staffing.
Wilkes
Lesley
L
University of Western Sydney/Sydney West Area Health Service, Penrith, NSW, Australia. mcmanua@wahs.nsw.gov.au
Cioffi
Jane
J
Warne
Bronwyn
B
Harrison
Kathleen
K
Vonu-Boriceanu
Oana
O
D000328:Adult; D019985:Benchmarking; D002908:Chronic Disease / Q000451:nursing / Q000523:psychology; D002983:Clinical Competence; D003142:Communication; D003152:Community Health Nursing / Q000193:education / Q000458:organization & administration*; D004645:Empathy; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009736:Nursing Process; D010359:Patient Readmission; D017060:Patient Satisfaction; D017009:Professional Autonomy; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D016526:Workload