Figure 1
Re-clustering of six integrated regional health systems (RHSs) to three larger integrated RHSs in 2017 [8, 9].
Figure 2
Development of Singapore’s healthcare system and home and community nursing [15].
Figure 3
A refined conceptual framework that recognises the importance of relationships and interactions between different staff within each organisation and between different organisations [42, 43].
Table 1
Demographics of the participants.
| DEMOGRAPHICS | NURSES (N = 4) | HEALTHCARE PROFESSIONALS (N = 3) | MANAGERS (N = 2) |
|---|---|---|---|
| Age (years) (mean, range) | 33.75 (29–37) | 38.00 (‡) | 42.5 (‡) |
| Sex | |||
| Male | 2 | 2 | 0 |
| Female | 2 | 1 | 2 |
| Race | |||
| Chinese | 4 | 2 | 1 |
| Malay | 0 | 0 | 0 |
| Indian | 0 | 1 | 1 |
| Current job designation | 0 Staff nurse | Physiotherapist | Nurse clinician |
| 3 Senior staff nurse | Doctor | Nurse clinician | |
| 1 Nursing officer | Assistant community care coordinator | ||
| Years of working in the current organisation (mean, range) | 9.50 (6–15) | 4.16 (‡) | * |
[i] Note: ‡, range is not reported as the small numbers may reveal the identity of the participants; *, data not presented to ensure anonymity of the small number of participants.
Table 2
Themes and sub-themes of Case D.
| THEMES | SUB-THEMES |
|---|---|
| Theme 1: Coming together to meet the needs of all | • Rising out of the norm • Closing the gaps |
| Theme 2: Standing strong amidst the stormy waves | • Moving along with the storm of change • Shaking a solid foundation • Maintaining a distant relationship • Sustaining a lifeline in the storm |
| Theme 3: Searching for the right formula in handling complexity | • Facing complexity at its prime • Teaming with teams • Emerging differently |
Figure 4
Proposed conceptual framework of the changing homecare nursing roles in an integrated regional health system (RHS).