Feasibility of a standardised National induction programme for Home Support Workers (HSWs) in the Republic of Ireland? Results from a National consultation with stakeholders from the sector

Home Support Workers (HSWs) make a valuable contribution to healthcare globally. They are the most rapidly increasing workforce in the Republic of Ireland (ROI) however no standardised National Induction Programme (NIP) exists to ensure consistency in their role. The primary aim of this study was to explore the feasibility of a NIP for HSWs in ROI. To inform the primary aim, we also explored the scope of practice of HSWs by examining the tasks that should be part of their role/the areas where they should provide support to patients/clients. Advantages, disadvantages and barriers to the implementation of a standardised NIP were explored. A mixed-methods design was used, combining online surveys and one-to-one interviews/focus groups. Three separate surveys were administered via the Zoho platform to (1) Key Stakeholders, (2) Induction Programme Providers (IPPs), and (3) HSWs. The surveys explored the feasibility of a standardised NIP, HSW roles/scope of practice, as well as advantages, disadvantages and barriers to its implementation. Semi-structured interviews and focus groups were conducted with Key Stakeholders to further explore these topics. Qualitative data were analysed by thematic analysis, while quantitative data were analysed descriptively in Microsoft Excel. A total of 38 Key Stakeholders, 11 IPPs, and 18 HSWs participated in the online surveys. Eight Key Stakeholders participated in one-to-one interviews or focus groups. All (100%) Key Stakeholders and 91% of IPPs agreed that a NIP with standardised content is feasible for HSWs across both public and private sectors. The majority of participants felt that a standardised NIP should be mandatory for all HSWs, including current staff. Thematic analysis found a high level of consensus on the feasibility, necessity for, and potential benefits of a NIP. Specific knowledge and skills requirements were identified across a wide range of theoretical and clinical areas. The study reports a high level of consensus around the feasibility and importance of a NIP for HSWs, which would improve the quality and consistency of care across this sector. A proposed curriculum for a standardised NIP based on this study was developed and will be presented in a subsequent publication to follow.