Home healthcare now最新文献

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Caregiving and More... 护理及更多...
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001307
Lisa A Gorski
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引用次数: 0
The Association between Home Health Nursing and 30-Day Hospital Readmission after Tracheotomy 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.0000000000001308
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引用次数: 0
Out of the Hospital, Out of the Box: Utilizing the CNS Role in Home Healthcare Settings. 走出医院,走出盒子:在家庭医疗机构中发挥 CNS 的作用。
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001301
Jennifer Manning, Jeannette Meyer, Nerina Girasol
{"title":"Out of the Hospital, Out of the Box: Utilizing the CNS Role in Home Healthcare Settings.","authors":"Jennifer Manning, Jeannette Meyer, Nerina Girasol","doi":"10.1097/NHH.0000000000001301","DOIUrl":"10.1097/NHH.0000000000001301","url":null,"abstract":"<p><p>The United States has poorer population health outcomes compared to similar developed nations despite higher healthcare spending. Multiple factors contribute to this problem, including high healthcare costs, insurance coverage limitations, and a lack of focus on preventive care and wellness. Clinical Nurse Specialists (CNSs), primarily known for their impact in acute care settings, increasingly demonstrate their value in outpatient settings like home healthcare. CNSs possess graduate-level training, equipping them with the skills and expertise to develop and implement strategies that improve population health outcomes in home health settings. CNSs provide clinical leadership and support to staff while remaining at the forefront of ensuring the organization delivers high-quality patient care. Understanding the specific skills and competencies of the CNS to support the patient, family, staff, and organization is necessary to improve outcomes for patients in outpatient settings. The CNS delivers care through direct patient care, supporting nurses and nursing practice, and improving organizational systems. This unique skill set allows CNSs to influence home healthcare outcomes across various levels of care positively. This article sheds light on how CNSs enhance patient outcomes in outpatient settings like home healthcare.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"331-336"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569763","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 Effects of Teach-Back and Blended Training on Self-Care and Care Burden Among Caregivers of Patients with Heart Failure Caregivers. 回授式培训和混合式培训对心衰患者护理人员自我护理和护理负担的影响。
Home healthcare now Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1097/NHH.0000000000001305
Elham Najafi, Hossein Rafiei, Farnoosh Rashvand, Ali Pazoki
{"title":"The Effects of Teach-Back and Blended Training on Self-Care and Care Burden Among Caregivers of Patients with Heart Failure Caregivers.","authors":"Elham Najafi, Hossein Rafiei, Farnoosh Rashvand, Ali Pazoki","doi":"10.1097/NHH.0000000000001305","DOIUrl":"10.1097/NHH.0000000000001305","url":null,"abstract":"<p><p>A quasi-experimental study aimed to investigate the effects of both teach-back and blended training methods on the contribution to self-care and perceived care burden among family caregivers of patients with heart failure. Seventy family caregivers of patients with heart failure were randomly allocated to two groups: one receiving the teach-back method and the other receiving the blended training method. Data were collected before, 1 month, and 3 months after the intervention. Data collection included demographic data and two tools: the Caregiver Contribution to Self-Care of Heart Failure Index and the Caregiver Burden Questionnaire for Heart Failure. Both teach-back and blended training methods were effective in educating family caregivers of patients with heart failure requiring home care. However, the teach-back method demonstrated better outcomes for the two concepts examined in this study.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"354-363"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569773","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
Celebrating Seven Decades as a Nurse. 庆祝担任护士七十年。
Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001287
Marilyn D Harris
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引用次数: 0
A Day in the Life of a Home Care Clinical Manager. 家庭护理临床经理的一天。
Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001277
Joanne M Saunders
{"title":"A Day in the Life of a Home Care Clinical Manager.","authors":"Joanne M Saunders","doi":"10.1097/NHH.0000000000001277","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001277","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 5","pages":"315"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297440","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 Case Study for Training Interprofessional Teams in Addressing the Social Determinants of Health in Older Adults. 培训跨专业团队应对老年人健康的社会决定因素的案例研究。
Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001286
Tammy Wynard, Mitchell Voss, Nicole McCann-Davis, Niaya McCleave
{"title":"A Case Study for Training Interprofessional Teams in Addressing the Social Determinants of Health in Older Adults.","authors":"Tammy Wynard, Mitchell Voss, Nicole McCann-Davis, Niaya McCleave","doi":"10.1097/NHH.0000000000001286","DOIUrl":"10.1097/NHH.0000000000001286","url":null,"abstract":"<p><p>This case study addresses the interwoven nature of the social determinants of health, fall prevention, older adults, and home healthcare as a topic for teaching interprofessional education across professional development or academic settings. The case study challenges interprofessional learners to dissect and discuss the profile of the patient and other stakeholders, care team decisions, evidence-based research, and the considerations of significant variables on the implications for clinical reasoning and practice. Interprofessional education that includes case studies leads to the development of better skills related to clinical assessments and problem-solving. Sample facilitation questions and extensive research and resources are provided to assist those preparing to implement and facilitate the case study during an interprofessional education training session. We concluded our article by encouraging practitioners to share teaching strategies through publication so we can strengthen interprofessional education learning, as this contributes to stronger, more effective interprofessional education experiences, a need highlighted in the literature.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 5","pages":"277-284"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297439","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
Wound Management in the Older Adult. 老年人的伤口管理。
Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001291
Deborah Hale, Katherine Marshall
{"title":"Wound Management in the Older Adult.","authors":"Deborah Hale, Katherine Marshall","doi":"10.1097/NHH.0000000000001291","DOIUrl":"10.1097/NHH.0000000000001291","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 5","pages":"308-309"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297506","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 Effect of Footwear on Balance and Stability among Older Adults. 鞋对老年人平衡性和稳定性的影响
Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001285
Brian Hernandez
{"title":"The Effect of Footwear on Balance and Stability among Older Adults.","authors":"Brian Hernandez","doi":"10.1097/NHH.0000000000001285","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001285","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 5","pages":"310-311"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297502","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
Falls among Pediatric Patients Receiving Home Care. 接受家庭护理的儿科患者的跌倒情况。
Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001282
Ben Reader, Thomas Javens, Jaimie Albert, Abigail Nelson, David Wessells
{"title":"Falls among Pediatric Patients Receiving Home Care.","authors":"Ben Reader, Thomas Javens, Jaimie Albert, Abigail Nelson, David Wessells","doi":"10.1097/NHH.0000000000001282","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001282","url":null,"abstract":"<p><p>Children with medical complexity (CMC) often require home healthcare services to manage chronic health conditions. Evaluation of home safety is recommended when children transition from hospital to home care, though despite best efforts, safety events, such as falls, still occur. Understanding the prevalence and causal factors of falls in CMC is critical for the development of fall prevention interventions and protocols. This study aims to describe demographics and reasons for falls reported in CMC receiving home healthcare services. A retrospective analysis was performed using data from an incident reporting database from January 2019 to March 2023. Participants included CMC who received home healthcare services from a single institution and had at least one documented fall. A total of 43 falls were experienced by 31 unique participants. The participants were predominantly male (58.1%), White (71.0%), and non-Hispanic/Latino (96.8%), with a median age of 10 years at the time of the fall. Primary diagnoses of CMC with falls included neurological disorders (41.9%), congenital chromosomal abnormalities (25.8%), and oncological conditions (16.1%). The most common reasons for falls were loss of balance (32.6%), unknown factors (19.6%), and trip/slips (17.4%). Half of falls were deemed to be potentially preventable. This study provides valuable insight into falls among CMC receiving home healthcare services and emphasizes the multifactorial nature of fall risks in this population. Understanding demographic characteristics, diagnoses, and causal factors of falls is critical in the development of proactive fall prevention strategies. Responding proactively to mitigate fall risks is an important step in enhancing the safety and quality of life for CMC. Future collaborative research efforts are warranted to validate findings and evaluate potentially successful fall prevention interventions.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 5","pages":"295-300"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297498","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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