Home healthcare now最新文献

Nursing care of adults with a peripherally inserted central catheter (PICC) or midline catheter in the home: Clinical management and health consumer support. 在家中使用外周插入中心导管（PICC）或中线导管的成人护理：临床管理和健康消费者支持

Home healthcare now Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/NHH.0000000000001382

引用次数: 0

A Pharmacist-Led Quality Improvement Project to Optimize Medication Evaluation and Reconciliation in Home Healthcare. 药剂师主导的质量改进项目，以优化家庭医疗中的药物评估和协调。

Home healthcare now Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/NHH.0000000000001377

Jeffrey A Clark, Kimberly C McKeirnan, Brian J Gates

{"title":"A Pharmacist-Led Quality Improvement Project to Optimize Medication Evaluation and Reconciliation in Home Healthcare.","authors":"Jeffrey A Clark, Kimberly C McKeirnan, Brian J Gates","doi":"10.1097/NHH.0000000000001377","DOIUrl":"10.1097/NHH.0000000000001377","url":null,"abstract":"Medication reconciliation was adopted as a National Patient Safety Goal by the Joint Commission in 2005 and is now standard practice across care settings. More recently, the concept of medication optimization has gained attention, recognizing that safe medication use requires more than reconciliation alone. Home healthcare (HHC) is one setting with a critical need for medication optimization. This work describes a pharmacist-led interdisciplinary team (IDT) effort to reduce hospitalization rates at Providence VNA Home Health by improving medication reconciliation, evaluation, and prescriber communication. The IDT developed a tool and a 1-hour training with operational definitions and scenarios for reconciliation and documentation, along with a separate training focused on medication evaluation. To assess training effectiveness, the primary outcome was to reduce 30-day hospitalizations among high-risk heart failure patients to below 12%. This outcome was met and sustained for 8 weeks post-implementation. A secondary goal-reducing 30-day rehospitalizations per Strategic Healthcare Programs (SHP)-was also met and sustained from April to December 2020. This quality improvement project demonstrated that enhancing medication reconciliation and evaluation in high-risk patients reduces hospitalizations. Reconciliation may be especially important in patients with two or more self-reported unreconciled medications in the EHR, which may signal suboptimal medication evaluation. Addressing the challenges HHC clinicians face in optimizing medications and reinforcing best practices can improve outcomes. Pharmacists play a key role in interdisciplinary teams in HHC, given the complexity of medications and their impact on quality measures.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 5","pages":"294-305"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016489","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

Implementing a New Graduate Registered Nurse Residency Program for Home Health in California. 在加州实施一项新的研究生注册护士家庭保健住院医师计划。

Home healthcare now Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/NHH.0000000000001372

Michelle S Harris

{"title":"Implementing a New Graduate Registered Nurse Residency Program for Home Health in California.","authors":"Michelle S Harris","doi":"10.1097/NHH.0000000000001372","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001372","url":null,"abstract":"Sutter Care at Home (SCAH), part of the not-for-profit Sutter Health integrated system, serves Northern California's Valley and Bay Areas through 14 licensed home health and nine hospice agencies, many of which reach rural communities. Like many home health organizations, SCAH has faced a persistent registered nurse (RN) shortage, challenging its ability to maintain care delivery standards. In response, executive leadership launched a 12-month Registered Nurse New Graduate Residency Program to recruit and support newly graduated RNs. This innovative program blends simulation and field-based learning to develop the clinical competence, confidence, and independence required for effective home health practice. The initiative addresses a critical regulatory challenge: California Department of Public Health requirements mandate 1 year of experience for home health nurses, historically limiting hiring to experienced RNs. Prior to the residency, administrators had to submit individual program flexibility requests for each new RN. This residency model demonstrates a sustainable and scalable solution to the home health nursing shortage. It allows organizations to safely integrate new graduates into the workforce while meeting state regulatory requirements. Other home health agencies facing similar workforce pressures may benefit from adopting structured residency programs and engaging with regulatory bodies to establish pathways for new graduate integration. By investing in new nurses early, organizations can build a more stable, prepared, and loyal home health workforce equipped to meet the growing demand for community-based care.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 5","pages":"289-293"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016437","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

Home Alone Without Wound Care Supplies? Cost-Effective Strategies Home Health Nurses Can Teach When Resources are Limited. 没有伤口护理用品独自在家？在资源有限的情况下，家庭保健护士可以教授的具有成本效益的策略。

Home healthcare now Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/NHH.0000000000001380

Kylie McMath, Elizabeth Johnston Taylor

{"title":"Home Alone Without Wound Care Supplies? Cost-Effective Strategies Home Health Nurses Can Teach When Resources are Limited.","authors":"Kylie McMath, Elizabeth Johnston Taylor","doi":"10.1097/NHH.0000000000001380","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001380","url":null,"abstract":"Managing wounds at home after hospital discharge is challenging when patients lack adequate wound care supplies. Many patients leave with only a limited supply, and navigating the complex process of acquiring additional materials through insurance often leads to delays. This disruption can impede healing and increase the risk of complications and hospital readmissions. Financial constraints, limited provider knowledge about insurance procedures, and rushed discharge processes further exacerbate this issue. Home health nurses are uniquely positioned to provide practical guidance on accessing affordable wound care supplies. This paper identifies evidence-based strategies that nurses can teach patients and caregivers to minimize costs while maintaining effective wound care. Key approaches include proactive advocacy for insurance-covered supplies, distinguishing between essential and non-essential products, reusing non-sterile items when appropriate, and purchasing affordable alternatives from low-cost retailers or online marketplaces. Additionally, practical case studies are presented to demonstrate how patients can optimize supply usage by substituting expensive products with cost-effective options, ensuring continuity of care without financial strain. By empowering patients with resourceful strategies and encouraging informed decision-making, home health nurses can play a pivotal role in reducing healthcare expenses and enhancing patient outcomes. Implementing these strategies can promote equitable access to essential wound care supplies, ultimately supporting successful home-based wound management. Further research, however, is needed to expand the evidence base on cost-effective wound care practices, particularly in resource-limited settings.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 5","pages":"306-310"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016503","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

Finding Peace Where You Are. 在你所在的地方找到平静。

Home healthcare now Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/NHH.0000000000001381

Susan M Hinck

引用次数: 0

The Future of Physical Therapy: Impact of AI in Home Health Physical Therapy. 物理治疗的未来：人工智能对家庭健康物理治疗的影响。

Home healthcare now Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/NHH.0000000000001378

Zeeshan Bhimani

引用次数: 0

Awareness and Working Intentions Toward Home-Based Care Among Macau Nurses. 澳门护士对居家护理的认知及工作意向

Home healthcare now Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/NHH.0000000000001373

Ion Hong Wong, Kumsun Lee

引用次数: 0

Safeguarding Older Adults-Sepsis, Infusion Therapy, and the Role of Home Care Professionals. 保护老年人——败血症、输液治疗和家庭护理专业人员的作用。

Home healthcare now Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/NHH.0000000000001383

引用次数: 0

Supporting Home Care Professionals in the Fight Against Sepsis. 支持家庭护理专业人员对抗败血症。

Home healthcare now Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/NHH.0000000000001375

Stephanie Hernandez-Avina

引用次数: 0

Preventing Errors When Preparing and Administering Medications Via Enteral Feeding Tubes. 预防通过肠内喂养管制备和给药时的错误。

Home healthcare now Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/NHH.0000000000001374

Ann Shastay, Shannon Bertagnoli

引用次数: 0