Implementing Buurtzorg-derived models in the home care setting: a Scoping Review

Hegedüs, Anna; Schürch, Anita; Bischofberger, Iren (2021). Implementing Buurtzorg-derived models in the home care setting: a Scoping Review International Journal of Nursing Studies Advances, 4(4), p. 100061. Elsevier 10.1016/j.ijnsa.2022.100061

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Background Buurtzorg is a pioneering healthcare organization founded in the Netherlands. Buurtzorg has established independent, self-managing teams of nurses and promises high-quality home care at a lower cost through person-centered care, continuity of care, building trusting relationships, and networks in the neighborhood. Traditional home care services are increasingly reorganized according to the Buurtzorg-principles. Objectives This review aims to describe the experiences gathered during the implementation of the Buurtzorg-derived model outside the Netherlands. It further outlines their potential effects. Design Scoping Review Methods Several electronic databases were searched for relevant articles, supplemented by hand-searching and internet searches for gray literature. Various publication types that described the implementation of the Buurtzorg model or its outcomes in countries other than the Netherlands were included. The data were analyzed using qualitative content analysis. Two authors coded the data in several cycles and created categories and subcategories. Results The review identified 25 publications reporting the experiences or outcomes of Buurtzorg-derived models outside the Netherlands. Upon implementing elements of Buurtzorg, the home care organizations adopted a person-centered care approach, with improved communication with patients and family caregivers, and could establish new networks with other services. The main challenges were related to the self-managed working culture, the organizational framework, or national healthcare policies, which hindered the implementation process. Conclusions The implementation of Buurtzorg-derived models is complex, challenging, and requires adaptations on several levels: upskilling of networking and staffing competencies in teams, leadership and IT requirements in the organization, and policy changes in the healthcare system. Individualized approaches and solid conceptual preparation are required for implementation. Tweetable abstract Experiences with the implementation of Buurtzorg in home care services outside the Netherlands. A scoping review @HegeduesAnna

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Institute for Participatory Health Care
Name:	Hegedüs, Anna0000-0002-9802-876X; Schürch, Anita and Bischofberger, Iren
Subjects:	R Medicine > RT Nursing
ISSN:	2666-142X
Publisher:	Elsevier
Language:	English
Submitter:	Anita Schürch
Date Deposited:	02 Feb 2022 10:18
Last Modified:	02 Feb 2022 10:18
Publisher DOI:	10.1016/j.ijnsa.2022.100061
Uncontrolled Keywords:	Buurtzorg Home care Community care Nursing Self-management Implementation Experience Scoping Review
ARBOR DOI:	10.24451/arbor.16527
URI:	https://arbor.bfh.ch/id/eprint/16527