{"id":7235,"date":"2025-06-28T17:33:54","date_gmt":"2025-06-28T17:33:54","guid":{"rendered":"https:\/\/ijssass.com\/journal\/healthcare-workers-experiences-of-transitioning-natalizumab-infusions-from-hospital-services-to-an-in-home-setting-a-qualitative-study\/"},"modified":"2025-06-29T05:08:32","modified_gmt":"2025-06-29T05:08:32","slug":"healthcare-workers-experiences-of-transitioning-natalizumab-infusions-from-hospital-services-to-an-in-home-setting-a-qualitative-study","status":"publish","type":"post","link":"https:\/\/ijssass.com\/journal\/healthcare-workers-experiences-of-transitioning-natalizumab-infusions-from-hospital-services-to-an-in-home-setting-a-qualitative-study\/","title":{"rendered":"Healthcare workers\u2019 experiences of transitioning natalizumab infusions from hospital services to an in-home setting: a qualitative study"},"content":{"rendered":"

This article was originally published as: Healthcare workers\u2019 experiences of transitioning natalizumab infusions from hospital services to an in-home setting: a qualitative study<\/strong><\/p>\n

Original Article Link: Read Original Article<\/a><\/p>\n

Download PDF: Click Here to Download PDF<\/a><\/p>\n

Abstract<\/h2>\n

Objective: This study explored healthcare workers\u2019 experiences of transitioning infusions of natalizumab from hospital to a patient-centred model of home care. Background: Hospital in the home is one of the fastest growing healthcare delivery models. In Australia, intravenous infusions are rarely available at home for chronic disease patients, such as those with multiple sclerosis. A recent trial of natalizumab infusions at home for patients with multiple sclerosis required both the hospital and hospital in the home staff to consider the logistics of how this transition could be achieved safely. Study design and methods: This was a qualitative study using an exploratory-descriptive approach. Twelve participants from two main groups of healthcare workers participated in delivering natalizumab infusions during the six-month trial period and were subsequently interviewed about their experience. Participants were recruited from a hospital ambulatory care day unit and a Home Infusion Team from a private provider of home nursing care located in South Australia. The data was analysed thematically. Results: Three main themes were identified from the interviews: \u2018preparing for change\u2019, \u2018focussing on the patient\u2019, and \u2018enhancing professional support and relationships\u2019. These findings demonstrated the importance of understanding healthcare workers\u2019 experiences of transitioning to a patient-centred model of care, from hospital to home infusion of natalizumab. Discussion: Flexibility and good management of logistics is necessary to maintain the standards of the health services, which highlights the need for training and professional support to facilitate quality home care. This may enhance workers\u2019 sense of professional confidence and trust and reduce stress when delivering the home model of care. Conclusion: Healthcare workers and patients worked to support one another, not only therapeutically but also logistically within collegial relationship and interdependent communications. Being flexible, communicating clearly and being willing to work together within the team, especially between the hospital in the home staff and the hospital staff, was demonstrated to be an important factor for the safe delivery of infusions at home. Managing the logistics of delivering a flexible and safe home therapy service was an important part of this model of care. Implications for research, policy, and practice: The results of this study will be used to inform healthcare teams about the key logistical components that are important for healthcare services, when considering transitioning to a home-based model of care for treating people with relapsing-remitting multiple sclerosis.
\nWhat is already known about the topic?<\/p>\n

Although outpatient infusion programs are often hospital based, they may be run by regional health authorities or private organisations, such as a hospital in the home service.
\nHealthcare workers delivering a hospital in the home service require advanced knowledge and skill in order to deliver quality care.<\/p>\n

What this paper adds:<\/p>\n

The development of a comprehensive logistical process, which has the patient at the centre of the model of care, enabled natalizumab to be delivered safely in the community by healthcare workers.
\nBeing flexible, communicating clearly and being willing to work together within the team, especially between the hospital in the home staff and the hospital staff, was demonstrated to be an important factor for the safe delivery of infusions at home.<\/p>\n

Authors<\/h2>\n
    \n
  • Mahasen Juaton<\/li>\n
  • Lynette Cusack<\/li>\n
  • Tim Schultz<\/li>\n<\/ul>\n

    Keywords<\/h2>\n

    Model of care, healthcare worker, home infusion, multiple sclerosis, natalizumab<\/p>\n

    References<\/h2>\n

    References not available for this article.<\/p>\n","protected":false},"excerpt":{"rendered":"

    This article was originally published as: Healthcare workers\u2019 experiences of transitioning natalizumab infusions from hospital services to an in-home setting:…<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124],"tags":[4115,4116,4114,4117,4118],"class_list":["post-7235","post","type-post","status-publish","format-standard","hentry","category-articles","tag-healthcare-worker","tag-home-infusion","tag-model-of-care","tag-multiple-sclerosis","tag-natalizumab","wpcat-124-id"],"yoast_head":"\nHealthcare workers\u2019 experiences of transitioning natalizumab infusions from hospital services to an in-home setting: a qualitative study - IJSSASS Repository<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ijssass.com\/journal\/healthcare-workers-experiences-of-transitioning-natalizumab-infusions-from-hospital-services-to-an-in-home-setting-a-qualitative-study\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Healthcare workers\u2019 experiences of transitioning natalizumab infusions from hospital services to an in-home setting: a qualitative study - 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