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Table 2 Characteristics of included articles with results according to the aim of current study

From: What implies registered nurses’ leadership close to older adults in municipal home health care? A systematic review

Authors

Year

Country

Design

Aim

Settings

Sample

Data collection

Analysis

Results

Arnaert, A

Wainwright, M

(2009)

Canada

Qualitative Explorative

Explore experiences, perspectives and reflection of five nurse specialists in palliative home care

Palliative home care

Nurse specialists

n = 5

Individual interviews

Content analysis

Three major themes with subthemes

1 Acknowledging one’s own limitations and humanness

Calling for backup, learning as we go along, coping with the emotional demands and interacting with family members

2 Building a collaborative partnership

Working collaboratively, sharing information, guiding home care nurses, being non-judgmental

3 teamwork and implementing palliative home care teams

Mc Garry, J

(2009)

UK

Qualitative Ethnographic

Explore the nature of the care relationship within the home setting between community nurses and elderly people

Home care

District nurses

n = 5

Registered nurses n = 9

Auxiliary nurses

n = 2

Older adults

n = 13

Observations Individual interviews

Content analysis

Three key themes

1 The location of care

2 The nature of relationship

3 The meaning of ill health and illness

Davies, S

Jenkins, E

Mabett, G

(2010)

UK

Qualitative

Interpretive

Identify and explore district nurse’s views and perceptions of emotional intelligence

Home care

District nurses

n = 5

Individual interviews

Interpretive phenomeno-logical analysis

Six themes

1 Self-awareness

2 Control over emotions

3 Assessment

4 Experience

5 Palliative care

6 Leadership

Annersten, M

Pilhammar, K

Alm Roijer, C

(2012)

Sweden

Qualitative Explorative

Explore registered nurse’s professional work with foot ulcer prevention in home care settings

Home care

Registered nurses

n = 15

Individual interviews

Manifest content analysis

Four themes with subcategories

1 Leadership: Formal, informal, executive tools

2 Nursing practice: Assessment of patients’ needs, planning, nursing action, evaluation

3 Education: Patient, next of kin, health care assistants, content, educational method

4 Research and development

Berland, A

Holm, A

Gundersen, D

Berntsen, SB

(2012)

Norway

Qualitative

Explorative

Explore home care registered nurses’ experiences of patient safety in the delivery of home care to elderly patients

Home care

Registered nurses

n = 20

Focus groups interviews

Thematic analysis

One main theme

Struggling with responsibility in different situations:

Five subthemes

1 Poor work moral and work ethic. 2 Documentation. 3 Lack of functional leadership. 4 Competence. 5 Lack of updated routines and guidelines

Furuåker, C

(2012)

Sweden

Qualitative

Descriptive

Describe the everyday work of registered nurses and their views on what skills they use, require, and wish to develop when looking after patients in home health care

Home care

Registered nurses

n = 20

Individual interviews

Manifest content analysis

Four themes

1 Nursing content in home care

2 The home as a workplace

3 Leadership in home care

4 Competence in home care

Five subthemes

1 Common content. 2 Problematic nursing situations. 3 Required competence. 4 Competence to improve. 5 Learning strategies

Flöjt, J

Le Hir, U

Rosengren, K

(2014)

Sweden

Qualitative

Descriptive

Describe nurses’ experiences of competence in home health care

Home health care

District nurses

n = 6

Individual interviews

Manifest content analysis

One category

Being prepared

Three subcategories

1 Importance of leadership strategies. 2 Training promotes patient safety and independence.

3 Co-operation for professional development

Howell, D

Hardy, B

Boyd, C

et al.

(2014)

UK

Qualitative

Descriptive

Describe community palliative care nurse specialist activities during interaction with patients

Community palliative care

Nurse specialist

n = 4,

Older patients

n = 34

Audio-recorded observations

Thematic analysis

Summary of interactions

1 Assessment: History taking, skilled questioning, observation, use of analogue scales, examination

2 Planning: Liaising with others, referral to others, just in case medication, advance care planning

3 Intervention: Clinical, emotional, preparation for death, provision of information, financial, advocacy

4 Evaluation: Follow-up visit or phone call, feedback from others in support team, multidisciplinary team meetings

5 Crosscutting themes:

Communication, leadership and coordination, real-time decision making, ability to respond to complex or varied situations

Nilsen, E

Olafsen, A

Steinsvåg, AG

et al.

(2016)

Norway

Qualitative

Descriptive

Present nursing leaders’ role in municipal home care services

Municipal home care services

Registered nurses n = 9

Individual interviews

Deductive thematic analysis

Map of interactions and relations between nursing leader and superiors, subordinates and peers

1 Leadership, managing performance in a squeeze. 2 Relation with the superior, management by email.

3 Relation with subordinates, availability and respect. 4 Relation with peers, professional and personal