Home healthcare now最新文献_第3页

Evaluating AI-Generated OASIS Outputs. 评估ai生成的OASIS输出。

Home healthcare now Pub Date : 2026-07-01 Epub Date: 2026-07-06 DOI: 10.1097/NHH.0000000000001454

Linda Krulish

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Identify-Assess-Support: Serving Veterans and their Caregivers in Home Care. 识别-评估-支持：在家庭护理中为退伍军人和他们的照顾者服务。

Home healthcare now Pub Date : 2026-07-01 Epub Date: 2026-07-06 DOI: 10.1097/NHH.0000000000001459

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Well-Being in Home Healthcare Nurses: A Quality Improvement Project. 家庭护理护士的福祉：一个质量改进项目。

Home healthcare now Pub Date : 2026-07-01 Epub Date: 2026-07-06 DOI: 10.1097/NHH.0000000000001450

Merly Chirayil, Shalini Shrikanth

{"title":"Well-Being in Home Healthcare Nurses: A Quality Improvement Project.","authors":"Merly Chirayil, Shalini Shrikanth","doi":"10.1097/NHH.0000000000001450","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001450","url":null,"abstract":"Home healthcare agencies, like other healthcare organizations, continue to face challenges with nurse burnout. Improved well-being has been shown to reduce burnout and support nurse retention. The purpose of this quality improvement project was to enhance nurse well-being through the introduction of a structured well-being bundle. The bundle included three low-cost, evidence-based strategies: breathing exercises, gratitude training, and a self-selected spiritual reading or practice. Sixteen home health nurses participated in this 6-week pre- and post-intervention project. The World Health Organization-Five Well-Being Index (WHO-5), a validated and reliable tool, was used to measure changes in well-being. Nurses attended a virtual training session on how to use the three interventions. Weekly reminders and a mid-point check-in email were sent to support continued engagement. Results showed a statistically significant improvement in well-being scores following the intervention. Qualitative feedback from three participants indicated plans to continue using the strategies beyond the project period. Participants described the interventions as simple, practical, and easy to incorporate into their workday. Findings suggest that a well-being bundle with simple, evidence-based strategies may support nurse well-being in home healthcare. Given the ongoing challenges of burnout, especially in independent care settings, this approach offers a practical way to support nurses. Future projects with larger samples are recommended.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 4","pages":"241-248"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391989","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}

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Bipolar Spectrum Disorder: Life on a Roller Coaster for Older Adults. 双相情感障碍：老年人过山车上的生活。

Home healthcare now Pub Date : 2026-07-01 Epub Date: 2026-07-06 DOI: 10.1097/NHH.0000000000001449

Karen Hellwig

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The Home Health Virtual Simulation Training System Facilitates Home Hazard Identification and Mitigation Strategies. 家庭健康虚拟模拟培训系统促进家庭危害识别和缓解策略。

Home healthcare now Pub Date : 2026-07-01 Epub Date: 2026-07-06 DOI: 10.1097/NHH.0000000000001451

Barbara J Polivka, Carolyn M Sommerich, Steven A Lavender, Sarah E Anderson, Amy R Darragh

{"title":"The Home Health Virtual Simulation Training System Facilitates Home Hazard Identification and Mitigation Strategies.","authors":"Barbara J Polivka, Carolyn M Sommerich, Steven A Lavender, Sarah E Anderson, Amy R Darragh","doi":"10.1097/NHH.0000000000001451","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001451","url":null,"abstract":"Home healthcare workers (HHWs) are frequently exposed to occupational safety hazards when servicing clients in their homes. These hazards may take different forms, many of which could be broadly categorized as \"Electric, Fire and Burn,\" \"Environmental,\" or \"Slip, Trip, and Lift\" hazards. To address this issue, a home healthcare virtual simulation training system (HH-VSTS) was developed. Although prior studies have assessed the usability, usefulness, and desirability of the system, there was a need to determine if the knowledge gained through this training process generalizes to a real-world setting. Sixteen study participants completed one of the three training modules in the HH-VSTS consistent with the hazard categories listed above. Participants were then asked to walk through a one-bedroom apartment with 15 simulated hazards (5 electric/fire/burn, 5 environmental, and 5 slip/trip/lift) that are addressed in the HH-VSTS. Each participant served as a control for the two hazard categories for which they were not trained. Participants were asked what they would do about the hazards they identified in the simulated apartment during their walk through. Hazard mitigation strategies were categorized as successful, partially successful, or failed. Overall, participants identified 85% of the hazards that were included in the one module in which they trained versus identifying only 46% of the hazards in the two modules in which they were not trained. When they identified hazards on which they were trained, participants were more likely to voice successful mitigation strategies than for hazards upon which they had not been trained. Thus, the data indicate the HH-VSTS training facilitated hazard identification and hazard mitigation strategies in a non-virtual, simulated home setting, suggesting that this training approach should be effective for real home care settings.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 4","pages":"229-240"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391996","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}

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Risk Factors for 60-Day Rehospitalization Among Home Healthcare Patients With Heart Failure and Diabetes. 心衰合并糖尿病家庭保健患者60天再住院的危险因素

Home healthcare now Pub Date : 2026-07-01 Epub Date: 2026-07-06 DOI: 10.1097/NHH.0000000000001453

Youjeong Kang, Xiaoming Sheng, Jenny Alderden, Matthew A Reyna, Hyunjung Gloria Kwak, Stephanie Alisha Griggs, Michelle Litchman, Sandra B Dunbar

{"title":"Risk Factors for 60-Day Rehospitalization Among Home Healthcare Patients With Heart Failure and Diabetes.","authors":"Youjeong Kang, Xiaoming Sheng, Jenny Alderden, Matthew A Reyna, Hyunjung Gloria Kwak, Stephanie Alisha Griggs, Michelle Litchman, Sandra B Dunbar","doi":"10.1097/NHH.0000000000001453","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001453","url":null,"abstract":"Heart failure (HF) is a complex chronic disease with multiple comorbidities, including diabetes. Patients with diabetes are at an increased risk of developing HF-a major adverse cardiovascular outcome-and the comorbidity of HF and diabetes is associated with worse outcomes than HF alone. Some HF studies show that diabetes contributed to increased risk for rehospitalizations, but there is limited evidence about risk factors for rehospitalization in home healthcare patients with both HF and diabetes. The purpose of this study was to identify risk factors for 60-day rehospitalization in home healthcare HF patients with diabetes. This study is a secondary data analysis of a retrospective cohort study conducted using the Outcome and Assessment Information Set (OASIS-C) version. In the final multivariable logistic regression model, the frequency of pain interfering with the patient's activity or movement and the patient's overall status were statistically significant. Patients with minimal pain interference (less often than daily) had about 60% lower odds of 60-day rehospitalization than those without pain interference (OR = 0.394), and patients facing temporary high health risk(s) had about 86% higher odds of rehospitalization than patients in stable conditions (OR = 1.861). Identifying risk factors for HF patients with diabetes in this study helps define their care needs in the home healthcare setting. However, future studies are warranted to use larger sample sizes to further assess which hidden factors drive rehospitalization among home healthcare HF patients with diabetes.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 4","pages":"249-257"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391968","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

Aging in Place: Designing Independence That Lasts. 原地老化：设计持久的独立性。

Home healthcare now Pub Date : 2026-07-01 Epub Date: 2026-07-06 DOI: 10.1097/NHH.0000000000001447

Jill Poser

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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

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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

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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13249002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844044","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