Abstract
The purpose of the study was to validate and refine the Neal Theory of Home Health Nursing Practice. A triangulated methodology of focus groups and a descriptive self-report survey were used to elicit data from home health nurses. Six focus groups with 20 participants total were held in three agencies in Virginia and Maryland. A stratified random sample of 68 members of the Home Health Nurses Association responded to a mailed survey. Nurses pass through three stages in attaining autonomy of home health nursing practice: dependence, moderate dependence, and autonomy. Role changes and process changes temporarily move the autonomous nurse back to dependence. Adaptation is key to home health nursing practice. Home health nursing is a specialty practice. Nurses require specific qualities and characteristics to practice effectively and successfully in home health. The findings support the Neal Theory of Home Health Nursing Practice.
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