Fitting a Round Peg into a Square Hole: Exploring Issues, Challenges, and Strategies for Solutions in Rural Home Care Settings

Authors

  • Beverly D Leipert University of Western Ontario
  • Marita Kloseck University of Western Ontario
  • Carol McWilliam University of Western Ontario
  • Dorothy Forbes University of Western Ontario
  • Anita Kothari University of Western Ontario
  • Abe Oudshoorn University of Western Ontario

DOI:

https://doi.org/10.14574/ojrnhc.v7i2.134

Abstract

While home care has received much attention lately, little research to date has drawn on the experiences of rural multidisciplinary teams providing in-home care. Home care is typically studied in urban areas, with the tendency to expand urban practices to rural settings, often with problematic results. This paper presents findings regarding unique rural multidisciplinary home care issues, challenges, and strategies for solutions. Five focus group interviews were held with each of three rural multidisciplinary home care provider groups (n=19) in southwest Ontario, Canada. Findings revealed practice issues related to time, distance, communication, recruitment and retention, as well as system issues regarding poor understanding and scheduling of rural practice by administrators and urban employers. Study findings indicate that rural home care requires enhanced understanding and changes to policies and practices to provide efficient and effective care to rural residents. Best practice guidelines for home care in rural areas are urgently needed.

Author Biography

  • Beverly D Leipert, University of Western Ontario
    Associate Professor
    Arthur Labatt Family School of Nursing

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Issue

Vol. 7 No. 2 (2007)

Section

Articles

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