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Rural influences on the social network dynamics of district nursing services: A qualitative meta‐synthesis

Jack Gillham Orcid Logo, Ivaylo Vassilev Orcid Logo, Becky Band Orcid Logo

Health Science Reports, Volume: 4, Issue: 3

Swansea University Author: Becky Band Orcid Logo

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DOI (Published version): 10.1002/hsr2.336

Abstract

Background and AimsAs demands on healthcare services grow, fiscal restrictions place increased emphasis on services outside of traditional healthcare settings. Previous research into long-term-conditions suggests that social network members (including weaker ties such as acquaintances, community gro...

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Published in: Health Science Reports
ISSN: 2398-8835 2398-8835
Published: Wiley 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa67025
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There is limited knowledge about the engagement of social networks in supporting people who are receiving medical interventions at home. This qualitative metasynthesis explores the work and the interactions between district nurses (DN) and informal network members supporting people who are receiving medical interventions at home and living in rural areas.MethodsA search was undertaken on CINAHL, Medline, and PsychINFO for qualitative research articles from 2009 to 2019. Studies that examined DN in rural locations and/or social network support in rural locations were eligible. Fourteen articles were selected.ResultsThematic analysis of results and discussion data from the studies resulted in four themes being developed: the development of both transactional and friend-like nurse-patient ties in rural localities, engagement of the wider network in the delivery of good care, blurring of professional boundaries in close community relationships, and issues accessing and navigating formal and informal support in the context of diminishing resources in rural areas.These findings suggest that DNs in rural localities work beyond professional specialties and experience to provide emotional support, help with daily tasks, and build links to communities. There was also evidence that nurses embedded within rural localities developed friend-like relationships with patients, and negotiated with existing support networks and communities to find support for the patient.ConclusionsFindings indicated that developing strong links with patients and members of their networks does not automatically translate into positive outcomes for patients, and can be unsustainable, burdensome, and disruptive. DNs developing weak ties with patients and building awareness of the structure of individual networks and local sources of support offers avenues for sustainable and tailored community-based nursing support.</abstract><type>Journal Article</type><journal>Health Science Reports</journal><volume>4</volume><journalNumber>3</journalNumber><paginationStart/><paginationEnd/><publisher>Wiley</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>2398-8835</issnPrint><issnElectronic>2398-8835</issnElectronic><keywords>community nurse, district nurse, nursing, rural, rurality, social networks, social support</keywords><publishedDay>1</publishedDay><publishedMonth>9</publishedMonth><publishedYear>2021</publishedYear><publishedDate>2021-09-01</publishedDate><doi>10.1002/hsr2.336</doi><url/><notes/><college>COLLEGE NANME</college><department>Health and Social Care School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HSOC</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>The university of Southampton and the Dorset County Hospital havejointly funded the PhD programme of JG and therefore this study.Open access funding provided by the University of Southampton.</funders><projectreference/><lastEdited>2024-09-02T16:22:38.8094629</lastEdited><Created>2024-07-09T15:21:51.8130229</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Psychology</level></path><authors><author><firstname>Jack</firstname><surname>Gillham</surname><orcid>0000-0001-8938-7720</orcid><order>1</order></author><author><firstname>Ivaylo</firstname><surname>Vassilev</surname><orcid>0000-0002-2206-8247</orcid><order>2</order></author><author><firstname>Becky</firstname><surname>Band</surname><orcid>0000-0001-5403-1708</orcid><order>3</order></author></authors><documents><document><filename>67025__31234__7e8e918e48d042ed976339bc8de054b9.pdf</filename><originalFilename>67025.VoR.pdf</originalFilename><uploaded>2024-09-02T16:20:48.2567209</uploaded><type>Output</type><contentLength>1517394</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; 2021 The Authors. 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spelling 2024-09-02T16:22:38.8094629 v2 67025 2024-07-09 Rural influences on the social network dynamics of district nursing services: A qualitative meta‐synthesis 06b53a31f254b004de8649a376ce2fbd 0000-0001-5403-1708 Becky Band Becky Band true false 2024-07-09 HSOC Background and AimsAs demands on healthcare services grow, fiscal restrictions place increased emphasis on services outside of traditional healthcare settings. Previous research into long-term-conditions suggests that social network members (including weaker ties such as acquaintances, community groups, and healthcare professionals) play a key role in illness management. There is limited knowledge about the engagement of social networks in supporting people who are receiving medical interventions at home. This qualitative metasynthesis explores the work and the interactions between district nurses (DN) and informal network members supporting people who are receiving medical interventions at home and living in rural areas.MethodsA search was undertaken on CINAHL, Medline, and PsychINFO for qualitative research articles from 2009 to 2019. Studies that examined DN in rural locations and/or social network support in rural locations were eligible. Fourteen articles were selected.ResultsThematic analysis of results and discussion data from the studies resulted in four themes being developed: the development of both transactional and friend-like nurse-patient ties in rural localities, engagement of the wider network in the delivery of good care, blurring of professional boundaries in close community relationships, and issues accessing and navigating formal and informal support in the context of diminishing resources in rural areas.These findings suggest that DNs in rural localities work beyond professional specialties and experience to provide emotional support, help with daily tasks, and build links to communities. There was also evidence that nurses embedded within rural localities developed friend-like relationships with patients, and negotiated with existing support networks and communities to find support for the patient.ConclusionsFindings indicated that developing strong links with patients and members of their networks does not automatically translate into positive outcomes for patients, and can be unsustainable, burdensome, and disruptive. DNs developing weak ties with patients and building awareness of the structure of individual networks and local sources of support offers avenues for sustainable and tailored community-based nursing support. Journal Article Health Science Reports 4 3 Wiley 2398-8835 2398-8835 community nurse, district nurse, nursing, rural, rurality, social networks, social support 1 9 2021 2021-09-01 10.1002/hsr2.336 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee The university of Southampton and the Dorset County Hospital havejointly funded the PhD programme of JG and therefore this study.Open access funding provided by the University of Southampton. 2024-09-02T16:22:38.8094629 2024-07-09T15:21:51.8130229 Faculty of Medicine, Health and Life Sciences School of Psychology Jack Gillham 0000-0001-8938-7720 1 Ivaylo Vassilev 0000-0002-2206-8247 2 Becky Band 0000-0001-5403-1708 3 67025__31234__7e8e918e48d042ed976339bc8de054b9.pdf 67025.VoR.pdf 2024-09-02T16:20:48.2567209 Output 1517394 application/pdf Version of Record true © 2021 The Authors. This is an open access article under the terms of the Creative Commons Attribution License. true eng http://creativecommons.org/licenses/by/4.0/
title Rural influences on the social network dynamics of district nursing services: A qualitative meta‐synthesis
spellingShingle Rural influences on the social network dynamics of district nursing services: A qualitative meta‐synthesis
Becky Band
title_short Rural influences on the social network dynamics of district nursing services: A qualitative meta‐synthesis
title_full Rural influences on the social network dynamics of district nursing services: A qualitative meta‐synthesis
title_fullStr Rural influences on the social network dynamics of district nursing services: A qualitative meta‐synthesis
title_full_unstemmed Rural influences on the social network dynamics of district nursing services: A qualitative meta‐synthesis
title_sort Rural influences on the social network dynamics of district nursing services: A qualitative meta‐synthesis
author_id_str_mv 06b53a31f254b004de8649a376ce2fbd
author_id_fullname_str_mv 06b53a31f254b004de8649a376ce2fbd_***_Becky Band
author Becky Band
author2 Jack Gillham
Ivaylo Vassilev
Becky Band
format Journal article
container_title Health Science Reports
container_volume 4
container_issue 3
publishDate 2021
institution Swansea University
issn 2398-8835
2398-8835
doi_str_mv 10.1002/hsr2.336
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
active_str 0
description Background and AimsAs demands on healthcare services grow, fiscal restrictions place increased emphasis on services outside of traditional healthcare settings. Previous research into long-term-conditions suggests that social network members (including weaker ties such as acquaintances, community groups, and healthcare professionals) play a key role in illness management. There is limited knowledge about the engagement of social networks in supporting people who are receiving medical interventions at home. This qualitative metasynthesis explores the work and the interactions between district nurses (DN) and informal network members supporting people who are receiving medical interventions at home and living in rural areas.MethodsA search was undertaken on CINAHL, Medline, and PsychINFO for qualitative research articles from 2009 to 2019. Studies that examined DN in rural locations and/or social network support in rural locations were eligible. Fourteen articles were selected.ResultsThematic analysis of results and discussion data from the studies resulted in four themes being developed: the development of both transactional and friend-like nurse-patient ties in rural localities, engagement of the wider network in the delivery of good care, blurring of professional boundaries in close community relationships, and issues accessing and navigating formal and informal support in the context of diminishing resources in rural areas.These findings suggest that DNs in rural localities work beyond professional specialties and experience to provide emotional support, help with daily tasks, and build links to communities. There was also evidence that nurses embedded within rural localities developed friend-like relationships with patients, and negotiated with existing support networks and communities to find support for the patient.ConclusionsFindings indicated that developing strong links with patients and members of their networks does not automatically translate into positive outcomes for patients, and can be unsustainable, burdensome, and disruptive. DNs developing weak ties with patients and building awareness of the structure of individual networks and local sources of support offers avenues for sustainable and tailored community-based nursing support.
published_date 2021-09-01T05:33:04Z
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