Accessible summary
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Encouraging people with schizophrenia to live in the community is the current health-care policy, but community living is difficult for clients and their families.
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Influencing factors in home care need to be identified so as to guide service delivery for community-dwelling clients with schizophrenia and their families.
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Four categories and 12 subcategories of influencing factors were identified, which have positive and negative effects on nursing roles and the functions of public health nurses in the mental health home-visiting service in Taiwan.
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The influencing factors were found to support the importance of home care services.
Abstract
The purpose of this study was to explore the influencing factors in the substantive theory of home care for people with schizophrenia in Taiwan. The grounded theory of Strauss and Corbin approach was used. Semi-structured one-to-one in-depth interviews were utilized to collect data. Constant comparative analysis continued during the open, axial and selective coding processes until data saturation occurred. Participants were selected using theoretical sampling, and the final sample in this study consisted of a total of 29 community nurses (18 public health nurses and 11 home health nurses) who provided community mental health home-visiting services. The public health nurses and home health nurses both conducted a total of 16 (eight carers and eight clients) home visits. Four categories and 12 subcategories of influencing factors were identified; these factors have both positive and negative effects on nursing roles and the functions of public health nurses in the mental health home-visiting service in Taiwan. The influencing factors identified support the importance of home care services.