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Development of and Testing Novel Questionnaires Assessing Palliative Care-Related Knowledge, Attitudes, and Confidence Among Home Healthcare Clinicians, Patients, and Caregivers. 开发和测试新的问卷评估姑息治疗相关的知识，态度和信心在家庭保健临床医生，患者和护理人员。
Home healthcare now Pub Date : 2025-01-01 Epub Date: 2025-01-07 DOI: 10.1097/NHH.0000000000001316
Ashley M Chastain, Jingjing Shang, Komal P Murali, Lori King, Charity Ogunlusi, Suning Zhao, Jung A Kang, Yihong Zhao, Khadra Dualeh, Margaret V McDonald
{"title":"Development of and Testing Novel Questionnaires Assessing Palliative Care-Related Knowledge, Attitudes, and Confidence Among Home Healthcare Clinicians, Patients, and Caregivers.","authors":"Ashley M Chastain, Jingjing Shang, Komal P Murali, Lori King, Charity Ogunlusi, Suning Zhao, Jung A Kang, Yihong Zhao, Khadra Dualeh, Margaret V McDonald","doi":"10.1097/NHH.0000000000001316","DOIUrl":"10.1097/NHH.0000000000001316","url":null,"abstract":"<p><p>Palliative care improves the quality of life for seriously ill patients, but misconceptions and knowledge gaps hinder its implementation in home healthcare (HHC). This study developed and pilot-tested HHC-specific questionnaires to measure palliative care knowledge, attitudes, and confidence (PC-KAC) among clinicians, patients, and caregivers. Using literature reviews, expert input, and cognitive interviews, the questionnaires were refined to ensure clarity, practical relevance, and content validity. Pilot testing revealed widespread confusion about palliative care, with patients and caregivers often conflating it with hospice care and holding misconceptions about opioid use for pain and symptom management. While clinicians demonstrated adequate knowledge, gaps in pain management and confidence in handling emergencies were evident. These findings highlight the need for targeted education and training to integrate palliative care effectively into HHC, improving patient outcomes and supporting interdisciplinary collaboration.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 1","pages":"21-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Promoting the Development of Home Care Services in the Greater Bay Area. 促进大湾区家庭护理服务的发展。
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001298
Marilyn D Harris, Florence Van Iat Kio
{"title":"Promoting the Development of Home Care Services in the Greater Bay Area.","authors":"Marilyn D Harris, Florence Van Iat Kio","doi":"10.1097/NHH.0000000000001298","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001298","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"371"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Day in the Life of a Home Infusion Accreditation Surveyor Nurse. 家庭输液认证调查护士的一天。
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001303
Marvin Siegel
{"title":"A Day in the Life of a Home Infusion Accreditation Surveyor Nurse.","authors":"Marvin Siegel","doi":"10.1097/NHH.0000000000001303","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001303","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"372-373"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mirror Therapy for Phantom Limb Pain. 镜像疗法治疗幻肢痛
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001296
Corinne Vukasovich, Sara Arena
{"title":"Mirror Therapy for Phantom Limb Pain.","authors":"Corinne Vukasovich, Sara Arena","doi":"10.1097/NHH.0000000000001296","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001296","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"366-367"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reducing Violence Risk: Home Healthcare Nurses and Early Identification of Informal Caregiver Burden. 降低暴力风险：家庭保健护士和非正规护理人员负担的早期识别。
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001302
Paula Lambert
{"title":"Reducing Violence Risk: Home Healthcare Nurses and Early Identification of Informal Caregiver Burden.","authors":"Paula Lambert","doi":"10.1097/NHH.0000000000001302","DOIUrl":"10.1097/NHH.0000000000001302","url":null,"abstract":"<p><p>An expanding body of literature suggests that informal caregiver burden is a growing issue that negatively impacts care recipients, informal caregivers, and formal care providers. Costs associated with informal caregiver burden include risk to the informal caregiver's physical, emotional, and psychological well-being and increased potential to perpetrate violence. By identifying interventions to support informal caregivers, home healthcare nurses can help decrease the risk of negative outcomes and reduce the burden on informal caregivers. This paper examines home healthcare nurses' role in helping reduce the impact of informal caregiver burden, thereby reducing the risk for violence. By prioritizing caregiver burden as a critical area of focus in reducing violence risk, home healthcare organizations and the nurses who work for them can help address gaps in care while also recognizing the informal caregivers' critical role in caring for their loved ones.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"337-346"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
10 Nursing 'interventions for Family Caregivers. Guide to Best Practices in Adult Gerontology Patient Care. 为家庭护理人员提供 10 项护理 "干预措施"。成人老年病患者护理最佳实践指南》。
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001299
Maureen Anthony
{"title":"10 Nursing 'interventions for Family Caregivers. Guide to Best Practices in Adult Gerontology Patient Care.","authors":"Maureen Anthony","doi":"10.1097/NHH.0000000000001299","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001299","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"376"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Association between Home Health Nursing and 30-Day Hospital Readmission after Tracheostomy in Children: A Single-Center Prospective Cohort Study. 家庭健康护理与儿童气管切开术后 30 天再入院之间的关系：单中心前瞻性队列研究。
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001294
Madison Lodge, Sowgand Bashiri, Ramon Durazo-Arvizu, Christopher J Russell
{"title":"The Association between Home Health Nursing and 30-Day Hospital Readmission after Tracheostomy in Children: A Single-Center Prospective Cohort Study.","authors":"Madison Lodge, Sowgand Bashiri, Ramon Durazo-Arvizu, Christopher J Russell","doi":"10.1097/NHH.0000000000001294","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001294","url":null,"abstract":"<p><p>To identify the association between home health nursing (HHN) and hospital readmissions for patients discharged after tracheostomy placement, we conducted a single-center prospective cohort study of children ages 0 to 21 years who underwent tracheostomy placement at Children's Hospital Los Angeles between 12/2016 and 2/2023 and were discharged to home. We collected demographic, clinical, and discharge variables for the index hospitalization to test the association between our primary exposure, HHN after discharge, and 30-day same-hospital all-cause, adjusting for potential confounders. Our population of 130 children was primarily male, of Hispanic/Latino ethnicity, and on public insurance. The majority of patients (57%) received HHN on discharge and the 30-day readmission rate was 14.6%. On multivariable analysis, HHN was not associated with readmission for children discharged on home mechanical ventilation [HMV; adjusted OR (aOR = 1.11; 95% CI: 0.30-4.02)] but was associated with lower odds of all-cause 30-day readmission in children discharged without HMV (aOR = 0.12; 95% CI: 0.02-0.81). Our findings support consideration for HHN as a hospital-to-home bridge for children after tracheostomy placement to decrease hospital readmissions and support parents and caregivers during this transition period.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"323-330"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peripheral Neuropathy and Foot Care in Persons with Diabetes. 糖尿病患者的周围神经病变和足部护理。
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001297
Joanne Archer
{"title":"Peripheral Neuropathy and Foot Care in Persons with Diabetes.","authors":"Joanne Archer","doi":"10.1097/NHH.0000000000001297","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001297","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"364-365"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital-Level Care at Home Patients Remain at Home Longer Following Acute Illness: A Literature Review. 医院级别的居家护理使急性病患者在家中停留的时间更长：文献综述。
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001304
Julianne M Lally
{"title":"Hospital-Level Care at Home Patients Remain at Home Longer Following Acute Illness: A Literature Review.","authors":"Julianne M Lally","doi":"10.1097/NHH.0000000000001304","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001304","url":null,"abstract":"<p><p>Hospital-level care at home (HCaH) is a modern alternative to traditional inpatient hospitalization (TIH) for acutely ill adults which is cost-effective without impacting patient mortality. Additional outcomes comparing HCaH and TIH have been studied including hospital readmission and post-acute care admission. There is convincing evidence that suggests a trend in the reduction of readmissions following acute hospitalization in the home. Additionally, post-acute care admissions have been significantly reduced following HCaH compared to TIH. The concept of a home hospital allows patients to remain home during acute illness and stay at home longer following discharge, thereby avoiding the need for hospital readmission and post-acute care placement. This research is increasingly important to the aging population in the United States that seeks a safe and beneficial alternative to overwhelmed medical facilities.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"347-353"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Day I Earned My Home Care Stripes. 我获得家庭护理条纹的那一天
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001300
Diana R Mager
{"title":"The Day I Earned My Home Care Stripes.","authors":"Diana R Mager","doi":"10.1097/NHH.0000000000001300","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001300","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"374-375"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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