AimTo explore barriers and facilitators for reducing low‐value home‐based nursing care.DesignQualitative exploratory study.MethodSeven focus group interviews and two individual interviews were conducted with homecare professionals, managers and quality improvement staff members within seven homecare organizations. Data were deductively analysed using the Tailored Implementation for Chronic Diseases checklist.ResultsBarriers perceived by homecare professionals included lack of knowledge and skills, such as using care aids, interactions between healthcare professionals and general practitioners creating expectations among clients. Facilitators perceived included reflecting on provided care together with colleagues, clearly communicating agreements and expectations towards clients. Additionally, clients' and relatives' behaviour could potentially hinder reduction. In contrast, clients' motivation to be independent and involving relatives can promote reduction. Lastly, non‐reimbursement and additional costs of care aids were perceived as barriers. Support from organization and management for the reduction of care was considered as facilitator.ConclusionUnderstanding barriers and facilitators experienced by homecare professionals in reducing low‐value home‐based nursing care is crucial. Enhancing knowledge and skills, fostering cross‐professional collaboration, involving relatives and motivating clients' self‐care can facilitate reduction of low‐value home‐based nursing care.Implications for profession and patient care: De‐implementing low‐value home‐based nursing care offers opportunities for more appropriate care and inclusion of clients on waitlists.ImpactAddressing barriers with tailored strategies can successfully de‐implement low‐value home‐based nursing care.Reporting MethodThe Consolidated Criteria for Reporting Qualitative Research checklist was used.No patient or public contribution.

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减少低价值家庭护理的障碍和促进因素：家庭护理专业人员的定性探索性研究


目的探讨减少低价值家庭护理的障碍和促进因素。设计定性探索性研究。方法对七个家庭护理组织内的家庭护理专业人员、管理人员和质量改进工作人员进行了七次焦点小组访谈和两次个人访谈。使用慢性病定制实施清单对数据进行演绎分析。结果家庭护理专业人员认为的障碍包括缺乏知识和技能，例如使用护理辅助工具、医疗保健专业人员和全科医生之间的互动，从而在客户中产生期望。认为的促进者包括与同事一起反思所提供的护理，清楚地传达对客户的协议和期望。此外，客户和亲属的行为可能会阻碍减少。相比之下，服务对象独立和让亲戚参与的动机可以促进减少。最后，护理援助的不报销和额外费用被认为是障碍。组织和管理层对减少护理的支持被认为是促进因素。结论了解家庭护理专业人员在减少低价值家庭护理方面遇到的障碍和促进因素至关重要。提高知识和技能、促进跨专业合作、让亲属参与并激发客户的自我护理可以促进减少低价值的家庭护理。对专业和患者护理的影响：取消低价值的家庭护理护理为更适当的护理和将客户纳入候补名单提供了机会。Impact 通过量身定制的策略解决障碍可以成功地取消低价值的家庭护理服务。报告方法使用报告定性研究清单的综合标准。没有患者或公众贡献。