Family care capacity management in home health care: a content analysis qualitative

Changing family sociodemographic factors, increased life expectancy for people, deinstitutionalization, and policy prioritization of the family as the principal care provider present new challenges to care sustainability. Home health care nurses should have the competency of family care capacity management.

The present study is a content analysis qualitative that was conducted in home health care centers in Tehran in 2020. With purposive sampling to data saturation, 15 home health care nurses were selected and data were collected using semi-structured individual and in-depth interviews, and then, the analysis was performed by the method of conventional content analysis in accordance with Zhang's (2009) approach.

Content analysis of the data led to the extraction of the 95 cods, 8 subcategories, 3 categories and one theme of the Family care capacity management that included categories: Assessing the family's ability to cooperate in care, Increase family care capacity, and Observance of ethical principles in dealing with the patient's family. In home health care, in order to increase the quality of care and to satisfy the patient and the family, the family needs to cooperate in caring for the patient, and for this cooperation, it is necessary to increase the family's ability and respect for family moral principles.  

The findings of the study provided one of the HHC nurses' competencies namely Family care capacity management, which contributes to practice HHC nurses can assess their professional activity and think over the aspects to be completed and refined, That the  result is to improve the quality of care and increase patient, family and nurse satisfaction. Also, there can be a basis for educational curriculum development.