Hospital in the home: constructions of the nursing role - a literature review

Duke, Maxine and Street, Annette 2003, Hospital in the home: constructions of the nursing role - a literature review, Journal of clinical nursing, vol. 12, no. 6, pp. 852-859, doi: 10.1046/j.1365-2702.2003.00808.x.

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Title Hospital in the home: constructions of the nursing role - a literature review
Author(s) Duke, MaxineORCID iD for Duke, Maxine
Street, Annette
Journal name Journal of clinical nursing
Volume number 12
Issue number 6
Start page 852
End page 859
Publisher Wiley Interscience
Place of publication New York, N.Y.
Publication date 2003
ISSN 0962-1067
Keyword(s) advanced practice
home care nursing
hospital in the home
speciality practice
Summary • Acute medical and nursing treatment in the home is increasingly seen as an alternative to hospitalization. Models such as hospital in the home (HITH) or acute home care are said to provide a safe, comfortable environment for patients that is conducive to healing.

• A review of the literature reveals the embryonic nature of the research and discussion related to this alternative care delivery model. In general, the benefits of hospital in the home programmes are presented in an uncritical manner.

• Medical practitioners have embraced the move to home care as a means of expanding the use of advanced technologies and improved drug regimes beyond the hospital walls.

• The nursing response has been mechanistic and recipe-like while advancing the HITH nursing role as an opportunity for speciality practice by virtue of the increased autonomy and independence required.

• This review demonstrates the influence of a professional mandate for specialization, and the ideological and scientific interests that have influenced the role of the nurse.

Notes Published Online: 13 Oct 2003
Language eng
DOI 10.1046/j.1365-2702.2003.00808.x
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2003 Blackwell Publishing Ltd
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