Article 2025

Education of a nurse practitioner in the hospital at home setting: A qualitative study

Nurse Education in Practice
Journal · Vol. 85 · Art. 104365
Abstract

Aim(s): To explore barriers, facilitators, and practical implications of educating a nurse practitioner in hospital at home setting from the perspective of the nurse practitioner in training, healthcare professionals, educators, and managers. Background: Hospital at home care is considered promising to deal with current healthcare challenges. Nurse practitioners can have a pivotal role in delivering hospital at home care. Currently there is limited knowledge on education of nurse practitioners in this setting. Design: A generic qualitative study. Methods: Semi-structured interviews were conducted with the nurse practitioner in training, educators, healthcare professionals, and managers working at the hospital or community care organization. The interviews focused on experiences, barriers, and facilitators related to learning and working in the hospital at home setting. Data were coded and thematised. Results: The following six themes emerged: 1) Provide care aligned with the patient's journey; 2) Articulating a clear vision on training in the hospital at home setting; 3) Integrated learning and working requires a wide range of competencies; 4) Integrated learning requires a coherent and motivated team; 5) Practical obstacles require a pragmatic approach; and 6) Clarity on the positioning of nurse practitioners is essential. Conclusions: The findings show that an educational trajectory for a nurse practitioner in a hospital at home setting can be successfully established. Various factors were identified that need to be considered in the development and executing of such learning trajectory. Organizations are recommended to take shared responsibility for these learning trajectories. Reporting method: EQUATOR guidelines. Patient or public contribution: No Patient or Public Contribution © 2025

Keywords

Author Keywords

Professional education Community care Hospital Hospital at home Nurse practitioner

Index Keywords

adult female human male procedures Humans Article interview Vocational education qualitative research education Interviews as Topic clinical practice guideline practice guideline health care personnel normal human knowledge semi structured interview community care home care nurse practitioner Home Care Services Nurse Practitioners
Author Affiliations
Canisius Wilhelmina Ziekenhuis, Nijmegen, Gelderland, Netherlands
Dutch Healthcare Authority, Utrecht, GA Utrecht, Netherlands, Radboud University Medical Center, Nijmegen, Gelderland, Netherlands, Hogeschool van Arnhem en Nijmegen, Nijmegen, Netherlands
Funding & Acknowledgements
No funding information
References 10 References
1 Akkerman, Sanne Floor, Learning at the boundary: An introduction, International Journal of Educational Research, 50, 1, pp. 1-5, (2011)
2 European Code of Conduct for Research Integrity, (2023)
3 undefined, (2024)
4 undefined
5 Arends, Robin F., Competency-based curriculum in nurse practitioner education, Journal of the American Association of Nurse Practitioners, 36, 1, pp. 23-28, (2024)
6 Boeijen, Enzio R.K., Nurse practitioners leading the way: An exploratory study on the added value of nurse practitioners in outpatient care in the Netherlands, Journal of the American Association of Nurse Practitioners, 32, 12, pp. 800-808, (2020)
7 Brody, Abraham A., Starting Up a Hospital at Home Program: Facilitators and Barriers to Implementation, Journal of the American Geriatrics Society, 67, 3, pp. 588-595, (2019)
8 Chen, Hong, An integrated understanding of the impact of hospital at home: a mixed-methods study to articulate and test a programme theory, BMC Health Services Research, 24, 1, (2024)
9 Chua, Crystal Min Siu, Perceptions of Hospital-at-Home Among Stakeholders: a Meta-synthesis, Journal of General Internal Medicine, 37, 3, pp. 637-650, (2022)
10 de Leede-Brunsveld, S. F.M., Nurse Practitioners in Community Health Care: A Rapid Scoping Review of Their Role, Tasks, Responsibilities, and Implementation in Northwest Europe, Health and Social Care in the Community, 2023, (2023)
Quick Actions
Full Text via DOI
Citation Metrics
1
Times Cited (Scopus)

References 10
Document Identifiers