Home healthcare now最新文献_第7页

Behind the Front Door: Staying Safe at Home: Recognizing and Preventing Workplace Violence. 前门后面：在家保持安全：认识和预防工作场所暴力。

Home healthcare now Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1097/NHH.0000000000001410

Marvin Siegel, LaDawna Goering

引用次数: 0

Saving Lives with Words-Communication for Vaccination. 用语言拯救生命——疫苗接种的交流。

Home healthcare now Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1097/NHH.0000000000001406

Rena S Zody

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Supporting People with Swallowing Problems in Home Care. 在家庭护理中支持有吞咽问题的人。

Home healthcare now Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1097/NHH.0000000000001398

Ed M Bice, Christine Brandel, Debra Suiter, Kristine E Galek

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Home-Based Care Type II Workplace Violence Nurse Provider Experience: A Literature Review. 家庭护理II型工作场所暴力护理提供者经验：文献回顾。

Home healthcare now Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1097/NHH.0000000000001407

LaDawna Goering, Tracy Ashby

{"title":"Home-Based Care Type II Workplace Violence Nurse Provider Experience: A Literature Review.","authors":"LaDawna Goering, Tracy Ashby","doi":"10.1097/NHH.0000000000001407","DOIUrl":"10.1097/NHH.0000000000001407","url":null,"abstract":"Type II workplace violence (WPV)-violence committed against healthcare workers by patients, clients, or visitors-poses a significant threat to home-based care providers. Due to the unique, isolated nature of home care, these providers are particularly vulnerable, often lacking home-specific training and safety resources. A systematic review of literature published between 2014 and 2024 was conducted to examine qualitative and quantitative studies addressing Type II WPV in U.S. home health settings. Eight studies met the inclusion criteria. The review revealed that WPV in home care is frequently underreported, with existing training programs primarily designed for hospital environments rather than private homes. As a result, home care providers face heightened risks of both physical and psychological harm. The studies consistently called for specialized, home-based WPV prevention training emphasizing patient screening, situational awareness, and de-escalation strategies for high-risk clients. Future research should focus on developing and implementing comprehensive, home-specific WPV prevention and reporting protocols, alongside supportive organizational policies that promote a culture of safety and accountability for home healthcare workers.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 1","pages":"23-33"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12771974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913277","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

Updating Interventions to Enhance Medication Adherence among Community-Dwelling Older Adults with Chronic Diseases: A Systematic Review. 更新干预措施以提高社区居住的老年慢性病患者的药物依从性：一项系统综述。

Home healthcare now Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1097/NHH.0000000000001405

Luu Thi Thuy, Nguyen Thi Yen Hoai, Diep Thi Tieu Mai

{"title":"Updating Interventions to Enhance Medication Adherence among Community-Dwelling Older Adults with Chronic Diseases: A Systematic Review.","authors":"Luu Thi Thuy, Nguyen Thi Yen Hoai, Diep Thi Tieu Mai","doi":"10.1097/NHH.0000000000001405","DOIUrl":"10.1097/NHH.0000000000001405","url":null,"abstract":"Medication adherence poses a significant challenge for older adults with chronic diseases. However, the evidence regarding the effectiveness of medication adherence interventions remains inconsistent. This review examined interventions designed to help this population adhere to their prescribed medications. PubMed, ProQuest, Ovid, Wiley Online Library, and the Cochrane databases were searched to identify full-text articles in English published between 2012 and 2022. Fifteen studies were included in the final analysis, encompassing a total of 7,093 older adults, of whom 3,793 were assigned to intervention groups and 3,300 to control groups. Various interventions were implemented, including health education, counseling, medication reminders, and assistive devices. Nurses or multidisciplinary teams administered most interventions. All studies demonstrated an improvement in medication adherence following the interventions. Notably, combining multiple interventions-particularly education and counseling with reminders and devices-proved to be more effective than a single intervention alone. Findings also suggest that strategies to improve adherence at home should emphasize practical aspects, including simplified medication regimens, the use of reminders or digital health tools, caregiver education, and regular follow-up from healthcare providers. Tailoring interventions to the realities of the home environment is crucial for enhancing treatment adherence and achieving better health outcomes for older adult patients with chronic diseases.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 1","pages":"40-51"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913184","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

At the Heart of Home Care: Communication, Safety, and Innovation. 居家护理的核心：沟通、安全与创新。

Home healthcare now Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1097/NHH.0000000000001412

引用次数: 0

Meet the 2025 IHCNO-DAISY Honorees. 见见2025年IHCNO-DAISY获奖者。

Home healthcare now Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1097/NHH.0000000000001403

Marilyn D Harris

引用次数: 0

"Can We Talk?": A Community-Based Training to Improve Serious Illness Communication. “我们能谈谈吗？”：以社区为基础的培训，以改善严重疾病的沟通。

Home healthcare now Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1097/NHH.0000000000001402

Ashley Kaminski Petkis, Eric Hackenson

{"title":"\"Can We Talk?\": A Community-Based Training to Improve Serious Illness Communication.","authors":"Ashley Kaminski Petkis, Eric Hackenson","doi":"10.1097/NHH.0000000000001402","DOIUrl":"10.1097/NHH.0000000000001402","url":null,"abstract":"Serious illness conversations (SICs) are often delayed or avoided in community-based healthcare due to clinician discomfort and lack of training. Given that many patients wish to die at home, yet often do not, there is a need for structured communication training in home care and hospice settings to ensure the care we provide aligns with patient and family preferences. This quality improvement project aimed to assess whether a brief, structured, in-person training session could improve clinician confidence in conducting SICs. A pre-test/post-test design was used. Clinicians participated in a 1.5-hour in-person educational session that included a PowerPoint presentation. Surveys assessing clinician confidence were administered before and after the session. Subjects included 77 clinicians: registered nurses, licensed practical nurses, physical therapists, physical therapy assistants, occupational therapists, occupational therapy assistants, and social workers. Clinician confidence was measured using the End-of-Life Professional Caregiver Survey (EPCS), a validated 28-item Likert-style survey tool. Of 77 participants, 45 complete survey pairs were analyzed. Mean EPCS scores improved significantly from 2.4329±0.3959 pre-training to 2.6593±0.2979 post-training (p < .001). A 63% increase in palliative bridge patient identification was also observed. A brief, structured SIC training significantly improved clinician confidence and increased identification of palliative care bridge patients. By embedding SIC training within a community-based organization, this work demonstrated how modest interventions can catalyze a change in practice, reinforcing the idea that SICs are a standard of quality care rather than an optional enhancement.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 1","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913255","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

What Matters Most? Qualitative Findings from the Home Health Heart Failure Nurse Navigator Study. 什么最重要？家庭健康心力衰竭护士导航员研究的定性结果。

Home healthcare now Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1097/NHH.0000000000001409

Mary Ann Leavitt, Debra Hain

{"title":"What Matters Most? Qualitative Findings from the Home Health Heart Failure Nurse Navigator Study.","authors":"Mary Ann Leavitt, Debra Hain","doi":"10.1097/NHH.0000000000001409","DOIUrl":"10.1097/NHH.0000000000001409","url":null,"abstract":"HF is the most common reason for hospital admission and readmission of older adults and those readmitted within 30 days have a higher mortality rate at 6 months. The transition from hospital to community has been identified as a vulnerable time when patients must assume responsibility for their own care. No one strategy has been found to reduce 30-day readmissions or 6-month mortality rates. The Heart Failure Nurse Navigator (HFNN) is a home health registered nurse with specialized training in HF care. In this IRB-approved study, an HFNN visited intervention group participants once in the hospital, followed by weekly home visits for 1 month. Control group participants received usual care, with discharge teaching by nursing and follow-up with their provider. The qualitative research question was \"What are the perceptions of older adults (≥65) with a diagnosis of HF who transition from hospital to home regarding care received from a Heart Failure Nurse Navigator?\" Qualitative data were transcribed verbatim, then key thoughts and concepts were identified and organized into similar categories. Two main categories emerged: Personal Clarification of Patient Education, especially related to diet, exercise, and medications, and Feelings of Support, Reassurance, and Safety. Meeting the HFNN in the hospital was the beginning of the caring relationship that continued through the home visits. As the caring relationship developed, the HFNN, patient, and family determined together what mattered most during this crucial transition. Providing specialized HF instruction to home health nurses may give them a stronger base from which to offer comprehensive education, support, and reassurance to patients with HF.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 1","pages":"34-39"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913373","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

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