%0 Journal Article
%T Complexities and Challenges of Singapore Nurses Providing Postacute Home Care in Multicultural Communities: A Grounded Theory Study
%A Alfred Ka-Shing Wong
%A Chek Hooi Wong
%A David Bruce Matchar
%A Desiree Lie
%A Kirsten Eom Yoon
%A Reuben Ng
%A Shu Fen Ong
%J Journal of Transcultural Nursing
%@ 1552-7832
%D 2018
%R 10.1177/1043659617736884
%X Introduction: Studies are needed to inform the preparation of community nurses to address patient behavioral and social factors contributing to unnecessary readmissions to hospital. This study uses nurses¡¯ input to understand challenges faced during home care, to derive a framework to address the challenges. Methods: Semistructured interviews were conducted to saturation with 16 community nurses in Singapore. Interviews were transcribed verbatim and transcripts independently coded for emergent themes. Themes were interpreted using grounded theory. Results: Seven major themes emerged from 16 interviews: Strained social relationships, complex care decision-making processes within families, communication barriers, patient¡¯s or caregiver neglect of health issues, building and maintaining trust, trial-and-error nature of work, and dealing with uncertainty. Discussion: Community nurses identified uncertainty arising from complexities in social-relational, personal, and organizational factors as a central challenge. Nursing education should focus on navigating and managing uncertainty at the personal, patient, and family levels
%K community nursing
%K transitional care
%K home care
%K nursing practice
%K work complexity
%K challenges
%K nursing experience
%K qualitative research
%U https://journals.sagepub.com/doi/full/10.1177/1043659617736884