{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:28:45Z","timestamp":1792798125066,"version":"4.5.0"},"reference-count":52,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,4,26]],"date-time":"2016-04-26T00:00:00Z","timestamp":1461628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Health Research Council of New Zealand Disability Research Placement Programme Career Development Award","award":["11\/129"],"award-info":[{"award-number":["11\/129"]}],"id":[{"id":"https:\/\/ror.org\/00zbf3d93","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To describe the learning process of family carers who manage technical health procedures (such as enteral tube feeding, intravenous therapy, dialysis or tracheostomy care) at home.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Increasingly, complex procedures are being undertaken at home but little attention has been paid to the experiences of family carers who manage such procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Grounded theory, following Charmaz's constructivist approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Interviews with 26 family carers who managed technical health procedures and 15 health professionals who taught carers such procedures. Data collection took place in New Zealand over 19\u00a0months during 2011\u20132013. Grounded theory procedures of iterative data collection, coding and analysis were followed, with the gradual development of theoretical ideas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>The learning journey comprised three phases: (1) an initial, concentrated period of training; (2) novice carers taking responsibility for day\u2010to\u2010day care of procedures while continuing their learning; and (3) with time, experience and ongoing self\u2010directed learning, the development of expertise. Teaching and support by health professionals (predominantly nurses) was focussed on the initial phase, but carers\u2019 learning continued throughout, developed through their own experience and using additional sources of information (notably the Internet and other carers).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Further work is needed to determine the best educational process for carers, including where to locate training, who should teach them, optimal teaching methods and how structured or individualized teaching should be. Supporting carers well also benefits patient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.12984","type":"journal-article","created":{"date-parts":[[2016,4,26]],"date-time":"2016-04-26T19:39:25Z","timestamp":1461699565000},"page":"2173-2184","source":"Crossref","is-referenced-by-count":39,"title":["Becoming an expert carer: the process of family carers learning to manage technical health procedures at home"],"prefix":"10.1111","volume":"72","author":[{"given":"Janet","family":"McDonald","sequence":"first","affiliation":[{"name":"University of Otago Wellington New Zealand"},{"name":"Victoria University of Wellington Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"McKinlay","sequence":"additional","affiliation":[{"name":"University of Otago Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Keeling","sequence":"additional","affiliation":[{"name":"University of Otago Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Levack","sequence":"additional","affiliation":[{"name":"University of Otago Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.00197"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00032-0"},{"key":"e_1_2_11_4_1","volume-title":"Nurse as Educator: Principles of Teaching and Learning for Nursing Practice","author":"Bastable S.B.","year":"2008"},{"key":"e_1_2_11_5_1","volume-title":"From Novice to Expert: Excellence and Power in Clinical Nursing Practice","author":"Benner P.","year":"2001"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0270467604265061"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607188012004392"},{"key":"e_1_2_11_8_1","first-page":"19","volume-title":"Working with Older People and their Families","author":"Brown J.","year":"2001"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004045-200702000-00015"},{"key":"e_1_2_11_10_1","volume-title":"Constructing Grounded Theory: A Practical Guide through Qualitative Analysis","author":"Charmaz K.","year":"2006"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cub.2007.09.020"},{"key":"e_1_2_11_12_1","volume-title":"The Foundations of Social Research: Meaning and Perspective in the Research Process","author":"Crotty M.","year":"1998"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2010.01.025"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S146342361100034X"},{"key":"e_1_2_11_15_1","volume-title":"An introduction to quality assurance in health care","author":"Donabedian A.","year":"2003"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0270467604264992"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2012.01274.x"},{"key":"e_1_2_11_18_1","first-page":"429","volume-title":"Nurse as Educator: Principles of Teaching and Learning for Nursing Practice","author":"Fitzgerald K.","year":"2008"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.07.020"},{"issue":"6","key":"e_1_2_11_20_1","first-page":"261","article-title":"Application of social learning theory to teaching ostomy care to parents of infants with ostomies","volume":"20","author":"Foster M.E.","year":"1993","journal-title":"Journal of ET Nursing"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12030"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423607000515"},{"key":"e_1_2_11_23_1","volume-title":"The Discovery of Grounded Theory","author":"Glaser B.G.","year":"1967"},{"key":"e_1_2_11_24_1","unstructured":"Health Navigator New Zealand(2015)IBS mobile apps[Online]. 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