BackgroundHealthcare and societal expectations change over time, with Hospital in the Home (HITH) registered nurses (RNs) increasing in community profile in Australian nursing domains. With increases in service demand and bed pressure creating an increased need for services outside the hospital environment understanding of the role of the registered nurse working in HITH is needed. AimThis research aims to identify the role and function of the RNs’ experience in their day-to-day work in the HITH setting. Additionally, the research shares a content analysis of the position descriptions of participating HITH RNs to analyse key performance indicator inclusions and barriers in scope of practice for the registered nurse. MethodUsing an interpretive phenomenological approach and Gadamer’s method, 12 HITH RN participants from across Australia were engaged in in-depth interviews. Interviews provided HITH RNs the opportunity to share their experience of the role and a contributing content analysis of position descriptions followed that provided a synopsis of key areas of commonality and difference. FindingsThree key areas emerged: professionalism, knowledge, and responsiveness, with an identified mismatch between generalisations in scope of practice in the position descriptions and the shared experience of the HITH RN participants. DiscussionThe research identified shared challenges exist in the day-to-day role and function of the HITH RN determining that HITH RNs undertake complex roles, working with generic position descriptions, often absent of core components of autonomous practice, experience, and knowledge. Limitations exist in the scope of practice of the HITH RN resulting in delays in care where advanced practice could be applied. What is known about the topic?•HITH registered nurses provide acute care in community.•HITH nursing education pathways and career progression in advanced practice is not formalised.•HITH nursing position descriptions are determined by each health service. What does this paper add?•First-hand understanding of the HITH RN experiences of role and scope working in Australia.•The HITH RN undertakes a complex role in the absence of an advanced practice model.•Highlights the need for consideration of career pathway planning and advanced practice pathways for HITH RNs.
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