This article describes components of a qualitative research study that investigated the process of how acute care nurses successfully transition into home health nursing practice. The sequences of activities in choosing home health as a specialty to practice and the phases of successful transition from acute care practice to home health practice are described. The sequence of activities and phases of successful transition were developed and grounded in the practice of 14 home health nurses. Implications for home health nursing practice, administration, and education are discussed.
Adams, B. J. S. (1998). A case study of home health care nursing. Unpublished doctoral dissertation, Georgia State University, Atlanta.
2.
American Nurses Association. (1997). Managed care, health care in chaos: Will we ever see real managed care? Retrieved October 19, 1999, from www.nursingworld.org/mods/mod3/cemcfull.htm
3.
Ark, P. D., & Nies, M. (1996). Knowledge and skills of the home healthcare nurseHome Healthcare Nurse, 14(4), 292-297.
4.
Ashforth, B. E. (2001). Role transitions in organizational life: An identity-based perspective. Mahwah, NJ: Lawrence Erlbaum.
5.
Benefield, L. M. (1996). Making the transition to home care nursingAmerican Journal of Nursing, 96(10), 47-49.
6.
Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley.
7.
Bolton, L., Burnes, L., & Goodenough, A. (2000). Through the looking glass. American Journal of Nursing, 100(10), 96A, 96C.
8.
Bramadat, I. J., Chalmers, K., & Andrusyszyn, M. A. (1996). Knowledge, skills, and experiences for community health nursing practice: The perceptions of community nurses, administrators, and educatorsJournal of Advanced Nursing, 24, 1224-1233.
9.
Bridges, W. (1980). Transitions: Making sense of life’s changes. Reading, MA: Addison-Wesley.
10.
Bridges, W. (1991). Managing transitions: Making the most of change. Reading, MA: Addison-Wesley.
11.
Bridges, W. (2001). The way of transition: Embracing life’s most difficult moments. Cambridge, MA: Perseus.
12.
Bryan, Y. E., Bayley, E. W., Grindel, C., Kingston, M. B., Tuck, M. B., & Wood, L. J. (1997). Preparing to change from acute to community-based careThe Journal of Nursing Administration, 27(5), 35-44.
13.
Buerhaus, P. I. (1998). Is another RN shortage loomingNursing Outlook, 46(3), 103-108.
14.
Bull, M. J. (1992). Managing the transition from hospital to homeQualitative Health Research, 2(1), 27-41.
15.
Bureau of Labor Statistics. (2000). Occupational outlook handbook. Retrieved April 19, 2000, from http://stats.bls.gov/oco/ocos083.htm
16.
Ceslowitz, S. B., & Loreti, S. T. (1991). Easing the transition from hospital nursing to home care: A research studyHome Healthcare Nurse, 9(4), 32-35.
17.
Chick, N., & Meleis, A. I. (1986). Transitions: A nursing concern. In P. L. Chinn (Ed.), Nursing research methodology: Issues and implementation (pp. 237-257). Rockville, MD: Aspen.
18.
Clandinin, D. J., & Connelly, F. M. (1998). Personal experience methods. In N. K. Denzin & Y. S. Lincoln (Eds.), Collecting and interpreting qualitative materials (pp. 150-178). Thousand Oaks, CA: Sage.
19.
Cochran, M., & Brennan, S. J. (1998). Home healthcare nursing in the managed care environment: Part IHome Healthcare Nurse, 16(4), 214-219.
20.
Colombraro, G. C. (1997). Designing, implementing, and evaluating a transition course: Moving registered nurses from acute care to home care. In M. E. Tagliareni & B. B. Marckx (Eds.), Teaching in the community: Preparing nurses for the 21st century (pp. 193-203). New York: National League for Nursing Press.
21.
Culley, J. M., Courtney, J. A., Diamond, L. M., & Bates, E. (1996). A continuing education program to retrain registered nurses for careers in client-focused community health careThe Journal of Continuing Education in Nursing, 27(5), 267-273.
22.
Cushman, M. J., Ellenbecker, C. H., Wilson, D. L., McNally, M., & Williams, K. (2001). Home healthcare nurses—why they leave and why they stayCaring, 20(10), 62-67.
23.
Daley, B. J., & Miller, M. (1996). Defining home health care nursing: Implications for continuing nursing education. Journal of Continuing Education in Nursing, 27(5), 228-237.
24.
dela Cruz, F. A., Jacobs, A. M., & Wood, L. J. (1986). The educational needs of home health nursesHome Healthcare Nurse, 4(3), 11-17.
25.
Ebaugh, H. R. F. (1988). Becoming an ex: The process of role exit. Chicago: University of Chicago Press.
26.
Ellenbecker, C. H. (2004). A theoretical model of job retention for home health care nursesJournal of Advanced Nursing, 47(3), 303-310.
27.
Ellenbecker, C. H., & Warren, K. (1998). Nursing practice and patient care in a changing home healthcare environmentHome Healthcare Nurse, 16(8), 531-539.
28.
Federation of Nurses & Health Professionals. (2001). The nurse shortage: Perspectives from current direct care nurses and former direct care nurses. Washington, DC: Peter D. Hart Research Associates.
29.
Feldman, R. (1993). Meeting the educational needs of home health care nursesJournal of Home Health Care Practice, 5(4), 12-19.
30.
General Accounting Office. (2001a). Nursing workforce: Emerging nurse shortages due to multiple factors. Retrieved October 20, 2001, from www.gao.gov/new.items/d01944.pdf
31.
General Accounting Office. (2001b). Nursing workforce: Recruitment and retention of nurses and nurse aides is a growing concern. Washington, DC: Author.
32.
Green, P. H. (1994). Meeting the learning needs of home health nursesJournal of Home Health Care Practice, 6(4), 25-32.
33.
Greenglass, E. R., & Burke, R. J. (2001). Stress and the effects of hospital restructuring in nursesCanadian Journal of Nursing Research, 33(2), 93-108.
34.
Grindel, C., Bayley, E. W., Kingston, M. B., Tuck, M. B., Wood, L. J., & Bryan, Y. E. (1997). Nurses preparing for change: Their needs and concernsMEDSURG Nursing, 6(5), 278-287.
35.
Hartung, S. Q. (2003). Nurses’ transition from acute care practice to home health practice: A grounded theory study. Dissertation Abstracts International, 64(04), 1684B. (UMI No. 3088612)
36.
Holloway, I., & Wheeler, S. (1996). Qualitative research for nurses. Malden, MA: Blackwell.
37.
Humphrey, C. J., & Milone-Nuzzo, P. (1997). Transitioning hospital nurses to home care. In M. Harris (Ed.), Handbook of home health care administration (2nd ed., pp. 517-525). Gaithersburg, MD: Aspen.
38.
Huntington, J. A. (1997). Health care in chaos: Will we ever see real managed care? Retrieved May 29, 1999, from www.nursingworld/ojin/tpc2/tpc2.htm
39.
Huston, C. J., & Fox, S. (1998). The changing health care market: Implications for nursing education in the coming decadeNursing Outlook, 46(3), 109-114.
40.
Jacox, A. (1997, December 30). Determinants of who does what in health care. Retrieved May 30, 1999, from www.nursingworld.org/ojin/tpc5/tpc5_1.htm
41.
Keating, S. B., & Sechrist, K. R. (2001, January 31). The nursing shortage in California: The public policy role of the California Strategic Planning Committee for Nursing. Retrieved February 15, 2001, from www.nursingworld.org/ojin/topic14/tpc14_2.htm
42.
Kenyon, V. L., Smith, E., Vig Hefty, L., Bell, M. L., McNeil, J., & Martaus, T. (1990). Clinical competencies for community health nursingPublic Health Nursing, 7(1), 33-39.
43.
Lewin, K. (1951). Field theory in social science: Selected theoretical papers. New York: Harper & Row.
44.
Meyer, K. A. (1997). An educational program to prepare acute care nurses for a transition to home health care nursingThe Journal of Continuing Education in Nursing, 28(3), 124-129.
45.
Michels, N. (1988). The transition from hospital to home: An exploratory studyHome Health Care Services Quarterly, 9(1), 29-44.
46.
Miller, M. M., & Daley, B. J. (1996). Home health care nursing: There is a differenceHome Health Care Management and Practice, 8(4), 64-70.
47.
Moore, P., Pace, K. B., & Rapacz, K. (1991). Collaborative model for continuing education for home health nursesThe Journal of Continuing Education in Nursing, 22(2), 67-72.
48.
Murray, T. A. (1997). An examination of autonomy, self-efficacy, role orientation, and job satisfaction in nurses who have switched from hospital-based practice to home care nursing. Unpublished doctoral dissertation, St. Louis University, St. Louis, MO.
49.
Murray, T. A. (1998a). From outside the walls: A qualitative study of nurses who recently changed from hospital-based practice to home health care nursingThe Journal of Continuing Education in Nursing, 29(2), 55-60.
50.
Murray, T. A. (1998b). Role orientation in novice home healthcare nursesJournal for Nurses in Staff Development, 14(6), 287-292.
51.
Murray, T. A. (1998c). Using role theory concepts to understand transitions from hospital-based nursing practice to home care nursingThe Journal of Continuing Education in Nursing, 29(3), 105-111.
52.
Neal, L. J. (1998). Toward a theory of home health care nursing practice. Unpublished doctoral dissertation, George Mason University, Fairfax, VA.
53.
Neal, L. J. (2000). On becoming a home health nurse: Practice meets theory in home care nursing. Washington, DC: Homecare University.
54.
Nursing Executive Center. (2000). The nurse perspective: Drivers of nurse job satisfaction and turnover. Washington, DC: Advisory Board Company.
55.
O’Shea, A. M. (1994). Transitioning professional nurses into home care: A 6-month mentorship programJournal of Home Health Care Practice, 6(4), 67-72.
56.
Porter-O’Grady, P. (1995). Creating a new system of health care. In S. S. Blancett & D. L. Flarey (Eds.), Reengineering nursing and health care (pp. 408-414). Gaithersburg, MD: Aspen.
57.
Prochaska, J. O., Norcross, J. C., & DiClemente, C. C. (1994). Changing for good. New York: Avon.
58.
Reid, G. C. (1997). Transitioning nurses from hospital to homeHome Health Care Management and Practice, 9(4), 22-30.
59.
Schein, E. H., & Bennis, W. G. (1975). Personal and organizational change through group methods. New York: John Wiley & Sons.
60.
Schreiber, R. S., & Stern, P. N. (Eds.). (2001). Using grounded theory in nursing. New York: Springer.
61.
Simmons, B. L., Nelson, D. L., & Neal, L. J. (2001). A comparison of the positive and negative work attitudes of home health care and hospital nursesHealth Care Management Review, 26(3), 63-74.
62.
Smith, J. R., & Shiner, P. M. (1996). Transforming nursing practice: Acute to community careHome Health Care Management & Practice, 8(5), 32-39.
63.
Spratley, E., Johnson, A., Sochalski, J., Fritz, M., & Spencer, W. (2000). The registered nurse population: Findings from the National Sample Survey of Registered Nurses. Washington, DC: Division of Nursing, Bureau of Health Professions, Health Resources & Services Administration, Public Health Services, U.S. Department of Health & Human Services.
64.
Strauss, A. L., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks, CA: Sage.
65.
Tappen, R. M. (2001). Nursing leadership and management: Concepts and practice (4th ed.). Philadelphia: F. A. Davis.
66.
U.S. Census Bureau. (2001). Age 2000: Census 2000 brief. Retrieved January 20, 2003, from www.census.gov
67.
Wilson, S. A. (1997). The transition to nursing home life: A comparison of planned and unplanned admissionsJournal of Advanced Nursing, 26, 864-871.
