Home healthcare now最新文献

Home Healthcare is Highly Complex and Multifaceted. 家庭保健是高度复杂和多方面的。

Home healthcare now Pub Date : 2026-09-01 Epub Date: 2026-09-04 DOI: 10.1097/NHH.0000000000001468

Susan M Hinck

引用次数: 0

Improving Patient Care by Integrating Social Determinants of Health Into Home Care Nursing Practice. 通过将健康的社会决定因素整合到家庭护理实践中来改善患者护理。

Home healthcare now Pub Date : 2026-09-01 Epub Date: 2026-09-04 DOI: 10.1097/NHH.0000000000001464

Susan Burt, Kathleen Eid-Heberle, Mary Frances Stapleton

{"title":"Improving Patient Care by Integrating Social Determinants of Health Into Home Care Nursing Practice.","authors":"Susan Burt, Kathleen Eid-Heberle, Mary Frances Stapleton","doi":"10.1097/NHH.0000000000001464","DOIUrl":"10.1097/NHH.0000000000001464","url":null,"abstract":"Home care nurses occupy a unique position in the health care system, observing patients in their living environments and coordinating care across multiple delivery sites. Social determinants of health (SDoH), encompassing economic stability, education, health care access, neighborhood conditions, and social context, account for an estimated 30% to 90% of health outcomes, far exceeding the contribution of medical care alone. This article examines the historical, organizational, and clinical foundations of SDoH within the context of home care nursing, underscoring the critical need for systematic assessment in patient care to ensure positive health outcomes. Drawing on the upstream, midstream, and downstream framework, this article describes how home care nurses can intervene at multiple levels: advocating for systemic change, connecting patients to community resources, and managing individual clinical and behavioral needs. The article also examines evolving policy and documentation requirements, including mandatory SDoH screening and the underutilized ICD-10-CM Z-codes, while highlighting gaps in social work utilization. The article further explores emerging models such as social prescribing as promising multilevel approaches to meeting patients' social needs. Ultimately, addressing SDoH is both a professional and ethical obligation for nurses, one that demands interdisciplinary collaboration and sustained commitment across all levels of care.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 5","pages":"282-288"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892445","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

From Grassroots Meeting Place to Global Nursing Network: A History of the International Home Care Nurses Organization. 从基层会议场所到全球护理网络：国际家庭护理护士组织的历史。

Home healthcare now Pub Date : 2026-09-01 Epub Date: 2026-09-04 DOI: 10.1097/NHH.0000000000001467

Olga F Jarrín Montaner

{"title":"From Grassroots Meeting Place to Global Nursing Network: A History of the International Home Care Nurses Organization.","authors":"Olga F Jarrín Montaner","doi":"10.1097/NHH.0000000000001467","DOIUrl":"10.1097/NHH.0000000000001467","url":null,"abstract":"The International Home Care Nurses Organization (IHCNO) emerged in response to a recognized need for a dedicated international professional organization focused on nursing care in the home and community. This historical narrative review examines the organization's development from its early origins in 2008 through 2026. It analyzes how a volunteer-led specialty network contributed to the global advancement of home healthcare nursing. Archival records, peer-reviewed publications, conference materials, organizational documents, and oral-history feedback from founding and current leaders were reviewed and synthesized. Findings highlight IHCNO's progression from a journal-anchored grassroots initiative into an incorporated international professional association with five global conferences, international guidelines and standards, a research grant program, and strategic partnerships supporting education, research, and professional recognition. The organization's history illustrates how distributed volunteer leadership, strategic publication partnerships, and deliberate infrastructure development can strengthen specialty identity and foster international collaboration. As care increasingly shifts into homes and communities worldwide, IHCNO offers an example of how nursing organizations can support practice, research, and policy in evolving models of home-based care.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 5","pages":"313-321"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892465","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

Parent-to-Parent Coaching for Parents of Children Requiring Invasive Mechanical Ventilation with Incomplete Home Health Nursing Teams: A Pilot Support and Empowerment Model. 在不完整的家庭健康护理团队中对需要有创机械通气的儿童的父母进行家长间辅导：一个试点支持和授权模型。

Home healthcare now Pub Date : 2026-09-01 Epub Date: 2026-09-04 DOI: 10.1097/NHH.0000000000001462

Anne Hutchinson, Emma L Green, Sarah A Sobotka

{"title":"Parent-to-Parent Coaching for Parents of Children Requiring Invasive Mechanical Ventilation with Incomplete Home Health Nursing Teams: A Pilot Support and Empowerment Model.","authors":"Anne Hutchinson, Emma L Green, Sarah A Sobotka","doi":"10.1097/NHH.0000000000001462","DOIUrl":"10.1097/NHH.0000000000001462","url":null,"abstract":"Parents of children requiring invasive home mechanical ventilation (IMV) rely on, and are expected to manage, complex home health nursing care teams. However, ubiquitous shortages in the pediatric home healthcare workforce leave most families with incomplete nursing support, with negative impacts on child and family well-being. Parents report feeling stressed, overwhelmed, and unsupported by community healthcare services. Parent-to-parent support programs in other populations of children with disabilities have been shown to embolden parents with practical solutions, emotional support, and social connectedness. We designed a novel parent-to-parent coaching model for parents of children with IMV who did not have established home health nursing to empower parents to expand and manage new home health nursing teams. Ten mothers of children awaiting hospital discharge or home without complete nursing support were recruited through a state-wide program. Mothers participated in telephone coaching sessions with experienced family caregivers that included topics related to establishing and managing home health teams and preparing the home for home health nursing. Families were in the program on average 6 months with a median of 11.5 calls with their coach. At the study exit, the majority of families expanded nursing staff and had their child in the family home with the support of home health nursing. Two themes were identified in exit interviews: (1) mothers appreciated specific resources shared by coaches and (2) mothers felt grateful for the emotional support coaches provided, including sharing common experiences and feeling validated. Parents reported that coaches provided unique education and support not provided through existing systems. Parent-to-parent coaching for families of children with IMV may potentially help to reduce home health nursing gaps while also empowering and supporting socially-isolated parents.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 5","pages":"298-305"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892468","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

Improving Patient Care by Integrating Social Determinants of Health Into Home Care Nursing Practice. 通过将健康的社会决定因素整合到家庭护理实践中来改善患者护理。

Home healthcare now Pub Date : 2026-09-01 Epub Date: 2026-09-04 DOI: 10.1097/NHH.0000000000001469

引用次数: 0

Continuous Temperature Monitoring in Home Health: A Practitioner's Perspective. 连续温度监测在家庭健康：一个从业者的观点。

Home healthcare now Pub Date : 2026-09-01 Epub Date: 2026-09-04 DOI: 10.1097/NHH.0000000000001463

Ruth Phillips, Janvi Jani

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Nursing in Hospital at Home in Portugal: Recognizing an Indispensable Competency. 葡萄牙家庭医院护理：认识到不可或缺的能力。

Home healthcare now Pub Date : 2026-09-01 Epub Date: 2026-09-04 DOI: 10.1097/NHH.0000000000001442

Artur Jorge Dias Carvalhinho

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Fall Risk in Older Adult Caregivers. 老年护理人员的跌倒风险。

Home healthcare now Pub Date : 2026-09-01 Epub Date: 2026-09-04 DOI: 10.1097/NHH.0000000000001456

Megan Rousso

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Choosing the Best Statistical Test for Within-Groups Analysis for Home Health Practitioners: A Simulation Study. 为家庭健康从业者群体内分析选择最佳统计检验：一项模拟研究。

Home healthcare now Pub Date : 2026-09-01 Epub Date: 2026-09-04 DOI: 10.1097/NHH.0000000000001457

Daniel W Martin

{"title":"Choosing the Best Statistical Test for Within-Groups Analysis for Home Health Practitioners: A Simulation Study.","authors":"Daniel W Martin","doi":"10.1097/NHH.0000000000001457","DOIUrl":"10.1097/NHH.0000000000001457","url":null,"abstract":"Within-group (pre-post) designs are commonly employed in home healthcare research because patient and professional study populations present with heterogeneous characteristics, recruitment is often challenging, and well-matched control groups are often infeasible to assemble. However, these designs typically involve small sample sizes, outcomes measured in field settings, and data conditions marked by heteroskedasticity, non-normality, and outliers both unplanned and associated with the frequent use of ordinal scales to collect data. To address these issues, a Monte Carlo simulation study was conducted to evaluate the characteristics of four one-sided paired tests used in within-group analyses as to recommend the best baseline test for home healthcare researchers: the paired samples t test, the Wilcoxon signed-rank (WSR) test, and two Bayesian paired-samples t tests with default priors (Cauchy, Normal). The simulated data were designed specifically to reflect conditions commonly encountered in home health research, including small sample sizes (N = 10-50), heavy-tailed distributions, contamination by 5% extreme posttest outliers, and heteroskedasticity introduced by doubling posttest variance relative to pretest. Type I error rates were calibrated to 5% across all methods to ensure fair comparison. Results indicated that the WSR provided the most consistent performance across both normal and non-normal data environments, maintaining 5% Type I error and achieving higher average power under the heavy-tailed, contaminated, and heteroskedastic conditions most representative of home healthcare outcomes. Bayesian procedures outperformed the paired samples t-test in many conditions, but neither consistently exceeded the WSR. The paired samples t-test remained competitive only under clean normal, homoskedastic data with very small effects. Overall, findings support the WSR as the safest default test for small-sample within-group home health studies.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 5","pages":"322-329"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892490","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

Effect of Neighborhood Disadvantage on Home Health Quality Received by Older Adults: An Integrated Literature Review. 邻里劣势对老年人家庭健康质量的影响：一项综合文献综述。

Home healthcare now Pub Date : 2026-09-01 Epub Date: 2026-09-04 DOI: 10.1097/NHH.0000000000001465

Tracey L Collins, Courtney Zaic

引用次数: 0