Home care services for sick children: Healthcare professionals' conceptions of challenges and facilitators.
OBJECTIVE
To explore healthcare professionals' conceptions of caring for sick children in home care services.


BACKGROUND
Families often prefer home care to hospital care, and the number of home care services for children is increasing. Caring for children at home has been recognised as challenging for healthcare professionals in home care services used to providing care predominately for adults.


METHODS
An inductive qualitative design.


METHODS
Seven focus group interviews were performed with 36 healthcare professionals from multidisciplinary home care services. Data were analysed stepwise using a phenomenographic analysis.


RESULTS
Three description categories emerged: "A challenging opportunity", "A child perspective", and "Re-organise in accordance with new prerequisites." Providing home care services for children was conceived to evoke both professional and personal challenges such as feelings of inadequacy and fear and professional growth such as increased competence and satisfaction. Conceptions of whether the home or the hospital was the best place for care differed. Adapting to the child's care was conceived as important. Cooperation with paediatric departments and a well-functioning team work were important organisational aspects.


CONCLUSIONS
Providing home care for children was a challenging but rewarding task for healthcare professionals used to care for adults. To provide care with a child perspective was experienced as important even though there were conflicting conceptions of how this should be done. Close cooperation with paediatric departments and teamwork were prerequisites that make up for the low number of paediatric patients and facilitate confidence and competence.


CONCLUSIONS
A sufficient number of referred children and enabling healthcare professionals to be part of the re-organising and implementation processes might facilitate the home care services for sick children. Enough time and good teamwork must be emphasised. Early referrals, continuous cooperation with paediatric clinics complemented with individualised support when a child is referred is desirable.
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Charlotte
http://orcid.org/0000-0002-9188-2461
C
Castor
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Inger
I
Hallström
Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital Rigshospitalet, København Ø, Denmark.
Helena
H
Hansson
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Kajsa
K
Landgren
D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D003299:Cooperative Behavior; D017144:Focus Groups; D006282:Health Personnel / Q000458:organization & administration*; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D007400:Interprofessional Relations; D036301:Qualitative Research
children; conceptions; experiences; healthcare professionals; home care service; multiprofessional; phenomenography