Home healthcare now最新文献

Multi-Chamber Bag Parenteral Nutrition (MCB-PN): Specialized Therapy Calls for Strong Systems and Specialized Expertise. 多腔袋肠外营养（MCB-PN）：专门治疗需要强大的系统和专业知识。

Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001431

Ann Shastay, Shannon Bertagnoli

引用次数: 0

Mitigating and Solving Infection Prevention and Control Challenges During the COVID-19 Pandemic: Results From Qualitative Interviews With U.S. Home Healthcare Staff. 缓解和解决COVID-19大流行期间的感染预防和控制挑战：对美国家庭医疗保健人员的定性访谈结果。

Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001433

Ashley M Chastain, Bridget Morse-Karzen, Alexandra Garcia, Tenzin Trinley, Patricia W Stone, Monika Pogorzelska-Maziarz, Zidu Xu, Elizabeth Madigan, Jingjing Shang

{"title":"Mitigating and Solving Infection Prevention and Control Challenges During the COVID-19 Pandemic: Results From Qualitative Interviews With U.S. Home Healthcare Staff.","authors":"Ashley M Chastain, Bridget Morse-Karzen, Alexandra Garcia, Tenzin Trinley, Patricia W Stone, Monika Pogorzelska-Maziarz, Zidu Xu, Elizabeth Madigan, Jingjing Shang","doi":"10.1097/NHH.0000000000001433","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001433","url":null,"abstract":"U.S. home healthcare agencies provide essential care to homebound patients, primarily older adults at high risk for infection. The COVID-19 pandemic intensified existing infection prevention and control challenges, particularly among marginalized communities. This qualitative study explored unique infection prevention and control challenges faced by agencies and differences in responses among those serving vulnerable populations. Ten agencies representing diverse geographic regions, ownership models, and patient characteristics participated; 25 staff across varied roles completed semi-structured interviews examining infection prevention and control policies, care coordination, and patient/caregiver communication during COVID-19. Thematic analysis identified four major themes: Into the Fray; Changing Relationships to Patients; Solutions Aimed at Care Provision Continuity; and Alleviating Fear and Providing Information. Staff experienced fear and stress from uncertainty and essential worker pressures, with urban infection prevention, quality, and education personnel particularly affected. Urban staff faced parking challenges and exposure risks in multi-generational homes; many rural staff contended with long drives and regional/county protocols that complicated patient access. Wearing full PPE in inclement weather further strained staff. Patient/caregiver hesitancy made trust building essential. Telehealth, education, remote work, and local partnerships supported care continuity, with corporately resourced agencies adapting more rapidly. Findings highlight the need for centralized guidance, telehealth investment, and stronger staff well-being supports in future public health crises.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 3","pages":"148-163"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844044","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

When Time Becomes a Transaction: Ethical Boundaries and Attachment in Pediatric Home Infusion Care∗. 当时间成为一种交易：儿科家庭输液护理的伦理界限和依恋*。

Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001427

引用次数: 0

Adverse Drug Reactions and Medication Management. 药物不良反应与用药管理。

Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001439

引用次数: 0

Enhancing Function and Development Through Pediatric Home-Based Care. 通过儿童家庭护理增强功能和发展。

Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001432

Alison Fritsch, Sara Arena

引用次数: 0

Integrating Heart Health Intervention Into Home Visitation: Qualitative Analysis of Home Visitation Staff Perspectives. 将心脏健康干预纳入家访：家访人员观点的定性分析。

Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001436

Edgardo Hernandez, Suzanne Phelan, Stephanie H Parade, Elle Largent, Elissa Jelalian, Angelica McHugh, Noemi Alarcon, Ronald Seifer, Monica Serrano-Gonzalez, Sarah M Lack, Sara Remington, Rena R Wing

{"title":"Integrating Heart Health Intervention Into Home Visitation: Qualitative Analysis of Home Visitation Staff Perspectives.","authors":"Edgardo Hernandez, Suzanne Phelan, Stephanie H Parade, Elle Largent, Elissa Jelalian, Angelica McHugh, Noemi Alarcon, Ronald Seifer, Monica Serrano-Gonzalez, Sarah M Lack, Sara Remington, Rena R Wing","doi":"10.1097/NHH.0000000000001436","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001436","url":null,"abstract":"Optimal cardiovascular health during pregnancy and postpartum is critical for reducing maternal morbidity and mortality. Although lifestyle interventions effectively promote cardiovascular health, strategies are needed to reach the maternal populations with the highest prevalence of cardiovascular disease risk factors. Evidence-based home visiting programs, though not initially developed to address cardiovascular health, offer a promising platform for reaching pregnant and postpartum women at high risk for later cardiovascular disease. This study explored home visitor perspectives on integrating cardiovascular health content into home visitation. Guided by the Social Ecological Model, semi-structured interviews (n = 10) and focus groups (n = 8) were conducted with home visitors, supervisors, and program managers (N = 33) from agencies in California and Rhode Island. Thematic analysis identified broad support for including heart health content, with participants emphasizing the value of culturally relevant, engaging, and flexible curricula that could be tailored to family needs. Organizational challenges included staff burden, training gaps, and funding for intervention sustainability. At the community level, strong relationships with healthcare providers and aligned messaging across systems were identified as key facilitators. Findings provide practical insights for the design and implementation of cardiovascular health interventions within home visiting and highlight the importance of addressing multi-level factors to support successful integration.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 3","pages":"184-192"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844041","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

AI NEXUS From Hazards to Help: AI Needs Safety Details. AI从危险到帮助：AI需要安全细节

Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001437

Linda Krulish

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Feasibility and Acceptability of a Virtual Home Assessment for Supporting People with Dementia to Live at Home. 支持痴呆症患者在家生活的虚拟家庭评估的可行性和可接受性。

Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001429

Linda Lee, Lissa Kuzych, Loretta M Hillier, Jen McKay, Joey Champigny, Michael Lee

{"title":"Feasibility and Acceptability of a Virtual Home Assessment for Supporting People with Dementia to Live at Home.","authors":"Linda Lee, Lissa Kuzych, Loretta M Hillier, Jen McKay, Joey Champigny, Michael Lee","doi":"10.1097/NHH.0000000000001429","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001429","url":null,"abstract":"This study aimed to examine the satisfaction with, and feasibility and acceptability of, a virtual home safety assessment implemented for people living with dementia and their caregivers by a trained Occupational Therapist (OT). Seventeen assessments were conducted. Nine caregivers and one patient completed a satisfaction survey. Ten caregivers and the OT assessor completed semi-structured interviews, which were analyzed using qualitative content analysis. Survey respondents reported high levels of satisfaction with the virtual assessment; the majority (90%) reported being comfortable with the virtual modality. Caregivers perceived that their assistance was required to conduct the assessment virtually, and care recipients responded well to technology. In comparison to in-person visits, the virtual assessment was considered easier for people living with dementia, easier to access, and equivalent to an in-person visit. Virtual home assessments are easy to implement, feasible, acceptable, and an effective way to identify and manage safety risks. Given the health system pressures that have led to long wait times for in-home safety assessments, virtual administration can build capacity for home safety assessments, allowing more patients to be assessed sooner, particularly in rural and underserviced areas where travel distances impede timely access to assessment.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 3","pages":"164-175"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843989","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 Teach-Back Training on the Knowledge Level of Family Caregivers of Patients at Risk of Pressure Injury Requiring Home Care. 背教培训对压力性损伤患者家庭护理人员知识水平的影响

Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001435

Omid Taherkhani, Mina Mollaei, Mobin Nasrollahi, Masoumeh Rashidi, Hossein Rafiei

{"title":"Effect of Teach-Back Training on the Knowledge Level of Family Caregivers of Patients at Risk of Pressure Injury Requiring Home Care.","authors":"Omid Taherkhani, Mina Mollaei, Mobin Nasrollahi, Masoumeh Rashidi, Hossein Rafiei","doi":"10.1097/NHH.0000000000001435","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001435","url":null,"abstract":"Family caregivers play a critical role in preventing pressure injuries among patients receiving home care. This quasi-experimental pre- and post-test study evaluated the effect of teach-back training on caregivers' knowledge of pressure injury prevention in 2024 within the neurology department of a teaching hospital in Iran. A total of 110 family caregivers of patients requiring home care participated. A specialized wound care research nurse delivered structured education using the teach-back method. Caregivers' knowledge was measured before the intervention and 1 month after hospital discharge using a 23-item Family Caregivers' Knowledge Regarding Pressure Injuries Questionnaire. There was a statistically significant improvement in the mean knowledge score after the intervention. Findings indicate that teach-back is a practical, low-cost, and effective educational strategy for improving caregiver knowledge related to pressure injury prevention in home care settings. The results support integrating teach-back into caregiver education programs and highlight the need for additional studies to further evaluate its impact on caregiver competence and patient outcomes.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 3","pages":"193-198"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844013","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

Community Nurse in Cyprus: Suprapubic Catheterization as a Potentially Fatal Procedure? 塞浦路斯社区护士：耻骨上导尿是一种潜在的致命手术？

Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001434

Maria Tsoukka

引用次数: 0