Barriers of Home Nursing Care Plane in Iran: A Systematic Review

Introduction: One of the main components of community-based care services, which can help to involve families in patient care and self-care, is home care services. This study was conducted with the aim of reviewing the literature related to the barriers to home care in Iran. Methods: In this systematic review, all articles related to the study objectives, published until March ۲۰۲۱, were examined. An extensive search using the keywords "home care", "Iran's health system" and their combination with the keywords "barriers", "implementation", "nursing" and "Iran", "Home care", "Palliative care", "Nursing home" "care", "Iranian health system" and combining with the keywords "barrier", "Iran", "practice", "nursing" in valid databases as SID, Iran Medex, Iran Doc,Magiran, Science Direct, Medline/PubMed, Web of Science, Scopus, ProQuest, Google Scholar, and Cochrane library was done. Inclusion criteria were articles in English or Farsi, quasi-experimental,questionnaire, qualitative and was relevant to the objectives of the study. Exclusion criteria were review articles, posters, speeches and letters to the editor. Results: Infrastructural problems such as non-availability of social platform, uncertainty of service coverage by universal insurance, non-availability of virtual communication platforms, educationalsystem problems, inter-professional and inter-departmental cooperation problems, accreditation,management factors and related to specialists and the lack of guidelines, lack of competence of some nurses in providing home care services, lack of information about the context and family culture of patients, lack of job security, unsafe home environment for nurses, unsuitable environment for performing some nursing services and Medicine was the main barriers of nursing care at home in Iran. Conclusions: Nursing care plan at home is possible through policy making, reforms and providing infrastructure, defining it in Iran's health system, reassuring the people, benefiting from the capacity of mass media and medical staff, and introducing it on official websites.

Keywords:

Home care , Nursing , Care systems , Iran , Barrier. , مراقبت در منزل , پرستاری , سیستم های مراقبتی , ایران , موانع