Home Health Care Management and Practice最新文献_第10页

Nurses’ Experiences of Transitional Care in Multiple Chronic Conditions 多重慢性病护士过渡性护理的体会

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-03-14 DOI: 10.1177/10848223211002166

Alireza Nikbakht Nasrabadi, L. Mardanian Dehkordi, F. Taleghani

{"title":"Nurses’ Experiences of Transitional Care in Multiple Chronic Conditions","authors":"Alireza Nikbakht Nasrabadi, L. Mardanian Dehkordi, F. Taleghani","doi":"10.1177/10848223211002166","DOIUrl":"https://doi.org/10.1177/10848223211002166","url":null,"abstract":"Transitional care is a designed plan to ensure the continuity of care received by patients as they transfer between different locations or levels of care. The aim of this paper is to explore nurses’ experiences of transitional care in multiple chronic conditions. A qualitative method with a conventional content analysis approach was utilized. The study was conducted at university hospitals in 2 big cities (Isfahan and Tehran) of Iran. This study is performed from November 2018 to December 2019 using deep, semi-structured, and face-to-face interviews which are focused on nurses’ experiences of transitional care. Data collection continued until saturation was reached. Finally, 15 nurses take part in this study. Data collection and data analysis were conducted concurrently. Data were analyzed using Graneheim and Lundman’s techniques. Two main themes providing a descriptive summary of the major elements of transitional care identified: “threat to patient safety” and “Care breakdown”. Findings showed an exclusive image of unsafe transitional care which was done unplanned without appropriate delegating care to family and threat patient safety. There is still a gap in the transition from hospital to home. Nursing managers can address this issue by creating a culture of teamwork, training competent nurses by continuum education, and more supervision of nursing care. Policymakers can ensure continuity of care by developing policies and programs about transitional care.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"239 - 244"},"PeriodicalIF":1.1,"publicationDate":"2021-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10848223211002166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41485347","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: 4

Patient Engagement in Home Health: The Role of Health Literacy and “Ask Me Three®” 病人参与家庭健康:健康素养和“问我三个”的作用

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-03-06 DOI: 10.1177/1084822321996623

J. Lord, N. Borkowski, R. Weech-Maldonado

{"title":"Patient Engagement in Home Health: The Role of Health Literacy and “Ask Me Three®”","authors":"J. Lord, N. Borkowski, R. Weech-Maldonado","doi":"10.1177/1084822321996623","DOIUrl":"https://doi.org/10.1177/1084822321996623","url":null,"abstract":"Health literacy has been identified as a barrier to patient engagement among older adults, especially within the home health care setting. This systematic literature review explores patient engagement; the relationship between patient engagement and health literacy; and finally, best practices for improving patient engagement through health literacy. Various interventions were explored but the “Ask Me Three®” tool created by the Institute for Healthcare Improvement and the National Patient Safety Foundation, was a best practice for improving patient engagement through increased health literacy. This educational intervention is a high-touch, low-cost, process designed to engage patients, and their informal caregivers in their own care through increased communication by asking three important questions: (1) What is my main problem?, (2) What do I need to do?, and (3) Why is it important for me to do this? These questions make the patient engage with their provider to identify their main health problem; what actions need to be taken to improve their health, and why those actions are important. Providers can potentially influence patient’s behavior through engagement and increased health literacy. The “Ask Me Three®” intervention is an example of how increased patient engagement and health literacy can lead to better health outcomes. The “Ask Me Three®” intervention may improve the quality of home health care.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"202 - 209"},"PeriodicalIF":1.1,"publicationDate":"2021-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1084822321996623","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47608547","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: 2

Facilitators and Barriers to Accepting Long Term Care at Home: An Analysis of Licensed Home Care Service Agency Websites 接受居家长期照护的便利因素与障碍:持牌居家照护服务机构网站分析

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-02-11 DOI: 10.1177/1084822321994779

Tracy Chippendale, Patricia A Gentile

{"title":"Facilitators and Barriers to Accepting Long Term Care at Home: An Analysis of Licensed Home Care Service Agency Websites","authors":"Tracy Chippendale, Patricia A Gentile","doi":"10.1177/1084822321994779","DOIUrl":"https://doi.org/10.1177/1084822321994779","url":null,"abstract":"Most people prefer to age in place. However, there is a growing body of literature to suggest a reluctance to accept supportive services in the home due to concerns about trust, privacy, cost, and fear of being a burden. The purpose of this study was to examine potential facilitators and barriers to accepting home care services in the website content of Licensed Home Care Service Agencies (LHSCA). In this linguistic analysis study, the written content from 88 randomly selected LHCSA websites was examined. We used LIWC2015 and Microsoft® Word software to analyze websites for relevant word categories that reflect older adult identified facilitators and barriers to the acceptance of home care services. Results revealed that the summary score for clout (i.e., confidence and leadership reflected in the writing) was high. Some of the most commonly used word categories were positive emotions, present focused, and affiliation. The word category money was included, but to a lesser degree. However, Burden and related words were highly prevalent in the writing sample. In summary, LHCSA website content contains both facilitators and barriers to the acceptance of home care services. Given the importance of home care services in promoting the ability of older adults to age in place, greater attention may be needed regarding the way services are presented and advertised to consumers.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"245 - 249"},"PeriodicalIF":1.1,"publicationDate":"2021-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1084822321994779","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42732321","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: 1

Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review 慢性阻塞性肺疾病患者家中肺康复的维持效果:系统文献综述

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-02-01 DOI: 10.1177/1084822321990376

D. Pinto, L. Spencer, S. Pereira, P. Machado, P. Sousa, M. Padilha

{"title":"Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review","authors":"D. Pinto, L. Spencer, S. Pereira, P. Machado, P. Sousa, M. Padilha","doi":"10.1177/1084822321990376","DOIUrl":"https://doi.org/10.1177/1084822321990376","url":null,"abstract":"To systematize strategies that may support patients with Chronic Obstructive Pulmonary Disease to maintain the effects of pulmonary rehabilitation over time. This systematic literature review was conducted, and the evidence was electronically searched in the Web of Science, Scopus, and EBSCO databases. This review included randomized controlled clinical trials, published until September 2019, that addressed components of an unsupervised home-based pulmonary rehabilitation program, maintenance strategies following outpatient pulmonary rehabilitation programs, as well as data on outcomes for quality of life, exercise performance, and dyspnea. A final sample of 5 articles was obtained from a total of 1693 studies. Data for final synthesis were grouped into 2 categories: components of unsupervised home-based pulmonary rehabilitation programs and maintenance strategies. An unsupervised home-based pulmonary rehabilitation program should consist of an educational component, an endurance training component, and a strength training component. When patients are transferred to the home environment, it is important to include more functional exercises specifically adapted to the patient’s condition, goals, and needs.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"226 - 233"},"PeriodicalIF":1.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1084822321990376","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47009423","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: 2

Quality of Life of Older People Receiving Home Health Care Services: An Example From Turkey 接受家庭保健服务的老年人的生活质量:以土耳其为例

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-02-01 DOI: 10.1177/1084822320959319

Emin Rençber, O. Terzi

{"title":"Quality of Life of Older People Receiving Home Health Care Services: An Example From Turkey","authors":"Emin Rençber, O. Terzi","doi":"10.1177/1084822320959319","DOIUrl":"https://doi.org/10.1177/1084822320959319","url":null,"abstract":"Advanced age, restrictions on daily life activities, increased disability, and chronic diseases negatively affect the quality of life of older individuals. The aim of the present study was to investigate the quality of life of older patients receiving home health care services (HHCS) in Samsun province, Turkey. The population of this cross-sectional study comprised 489 individuals aged 65 years and older. Patient selection was performed using the stratified randomized sampling method. A total of 183 patients were included in the study. Data were collected using a questionnaire and face-to-face interviews. The Mann-Whitney U and Kruskal–Wallis tests were used in the statistical evaluation of data, and significance was regarded as p < .05 for all tests. Some 75.4% of the patients were women, and the average age was 82 years. Eighty-three percent of the participants were semi-dependent or completely dependent in the activities of daily living (ADL); however, in the instrumental activities of daily living (IADL), 96.0% were semi-dependent or completely dependent. The quality of life of the older people receiving HHCS was identified as low both in the physical and mental health components. However, physical quality of life was statistically higher in men, in graduates of primary school or above, and in patients with no decubitus ulcers compared with the others. We found that the older individuals receiving HHCS had a lower quality of life due to their chronic diseases and high dependency compared with the general population and their contemporaries.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"3 - 7"},"PeriodicalIF":1.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1084822320959319","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44704608","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: 5

Home Health Agencies: Empirical Evidence on the Patient-Driven Groupings Model’s Expected Effects on Agency Reimbursements 家庭健康机构:病人驱动分组模式对机构补偿预期效应的实证证据

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-02-01 DOI: 10.1177/1084822321990382

Elizabeth Plummer, William F. Wempe

{"title":"Home Health Agencies: Empirical Evidence on the Patient-Driven Groupings Model’s Expected Effects on Agency Reimbursements","authors":"Elizabeth Plummer, William F. Wempe","doi":"10.1177/1084822321990382","DOIUrl":"https://doi.org/10.1177/1084822321990382","url":null,"abstract":"Beginning January 1, 2020, Medicare’s Patient-Driven Groupings Model (PDGM) eliminated therapy as a direct determinant of Home Health Agencies’ (HHAs’) reimbursements. Instead, PDGM advances Medicare’s shift toward value-based payment models by directly linking HHAs’ reimbursements to patients’ medical conditions. We use 3 publicly-available datasets and ordered logistic regression to examine the associations between HHAs’ pre-PDGM provision of therapy and their other agency, patient, and quality characteristics. Our study therefore provides evidence on PDGM’s likely effects on HHA reimbursements assuming current patient populations and service levels do not change. We find that PDGM will likely increase payments to rural and facility-based HHAs, as well as HHAs serving greater proportions of non-white, dual-eligible, and seriously ill patients. Payments will also increase for HHAs scoring higher on quality surveys, but decrease for HHAs with higher outcome and process quality scores. We also use ordinary least squares regression to examine residual variation in HHAs’ expected reimbursement changes under PDGM, after accounting for any expected changes related to their pre-PDGM levels of therapy provision. We find that larger and rural HHAs will likely experience residual payment increases under PDGM, as will HHAs with greater numbers of seriously ill, younger, and non-white patients. HHAs with higher process quality, but lower outcome quality, will similarly benefit from PDGM. Understanding how PDGM affects HHAs is crucial as policymakers seek ways to increase equitable access to safe and affordable non-facility-provided healthcare that provides appropriate levels of therapy, nursing, and other care.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"183 - 192"},"PeriodicalIF":1.1,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1084822321990382","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48257861","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: 4

Infective Endocarditis in a Hospital-at-Home Setting: A Retrospective Analysis in a Peripheral Spanish Hospital 感染性心内膜炎在医院的家庭设置:回顾性分析在外围西班牙医院

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-01-20 DOI: 10.1177/1084822320988513

R. García-Carretero, Óscar Vázquez-Gómez, Belen Rodriguez-Maya, Gema Naranjo-Mansilla, Esther Luna-Heredia

{"title":"Infective Endocarditis in a Hospital-at-Home Setting: A Retrospective Analysis in a Peripheral Spanish Hospital","authors":"R. García-Carretero, Óscar Vázquez-Gómez, Belen Rodriguez-Maya, Gema Naranjo-Mansilla, Esther Luna-Heredia","doi":"10.1177/1084822320988513","DOIUrl":"https://doi.org/10.1177/1084822320988513","url":null,"abstract":"Infective endocarditis (IE) is a severe condition with high morbidity and mortality, and it requires long-term suppressive antibiotic therapy. Outpatient parenteral antimicrobial therapy (OPAT) has been used for a range of infectious diseases for more than 30 years, and in Spain it is used in hospital-at-home (HaH) settings. Our objectives were to describe and characterize the demographic, clinical, and microbiological features of patients admitted to an HaH setting and to assess the safety and effectiveness of OPAT. We conducted a retrospective study that included patients diagnosed with IE over a period of 8 years (2011-2018). We collected demographic and clinical features, length of hospital stay, antimicrobial treatment, microbiological profiles, and outcomes. We included 26 patients during the observation period. Their mean age was 66.5 years, and 88.5% were male. The mean hospital stay was 10.5 days, and the mean stay in the HaH setting was 31 days. A total of 6 patients required readmission due to deterioration, of whom 3 had severe mitral insufficiency. The 8 patients had symptoms of heart failure, but they were treated at home and did not require readmission. Ultimately, 12 patients recovered and were referred to a surgical unit for valvular repair and replacement on a scheduled basis. OPAT is a useful and effective tool for the management of patients diagnosed with IE in HaH settings.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"177 - 182"},"PeriodicalIF":1.1,"publicationDate":"2021-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1084822320988513","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45858998","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: 1

Depression and Rehospitalization in Patients With Heart Failure After Discharge From Hospital to Home: An Integrative Review 心力衰竭患者出院回家后的抑郁和再住院:一项综合综述

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-01-19 DOI: 10.1177/1084822320986965

Wanich Suksatan, T. Tankumpuan

{"title":"Depression and Rehospitalization in Patients With Heart Failure After Discharge From Hospital to Home: An Integrative Review","authors":"Wanich Suksatan, T. Tankumpuan","doi":"10.1177/1084822320986965","DOIUrl":"https://doi.org/10.1177/1084822320986965","url":null,"abstract":"Patients with heart failure are known to be particularly vulnerable to depression resulting in adverse health outcomes. However, there has been no literature review on current evidence regarding the relationship between depression and rehospitalization. This review aims to explore the relationship between depression and rehospitalization in patients with heart failure. A systematic review employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines included articles published between 2001 and 2019 taken from Scopus, PubMed, CINAHL, and PsycINFO databases. We identified 12 relevant studies with participants ranging from 115 to 160,169 patients. Heart failure patients with depression were more likely to be rehospitalized than those without. To explain this, few reasons have been proposed. First, depression could disrupt the regulation of autonomic nervous system, neurohormonal activation, and body’s natural rhythm. Second, depressed patients tend to have poor adherence to medication. Healthcare providers should not only focus on drug and dietary management but also on implementing effective interventions to manage depression, in order to reduce the risk of rehospitalization. Moreover, palliative care should start at the stage of heart failure diagnosis to improve quality of life, better outcomes, and lower cost of care for the patients.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"217 - 225"},"PeriodicalIF":1.1,"publicationDate":"2021-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1084822320986965","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41942223","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: 16

Demographic Characteristics and Functional Levels of Patients With Fragility Fractures Who Accept Tele-rehabilitation as an Alternative to Face-to-face Home Rehabilitation 接受远程康复替代面对面家庭康复的脆性骨折患者的人口学特征和功能水平

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-01-19 DOI: 10.1177/1084822320983314

C. Morris, M. van den Berg, C. Barr, Stacey George, M. Crotty

{"title":"Demographic Characteristics and Functional Levels of Patients With Fragility Fractures Who Accept Tele-rehabilitation as an Alternative to Face-to-face Home Rehabilitation","authors":"C. Morris, M. van den Berg, C. Barr, Stacey George, M. Crotty","doi":"10.1177/1084822320983314","DOIUrl":"https://doi.org/10.1177/1084822320983314","url":null,"abstract":"There is a gap in the evidence on telerehabilitation (TR) for people with fragility fractures. It is unclear whether this group with recent falls who are often frail with cognitive changes will accept tele-rehabilitation and functional gains can be achieved using this approach. Prospective observational study of consecutive patients admitted with femoral or pelvic fracture to a hospital-based home rehabilitation service (HRS) between January and November 2017. Using tablets, multidisciplinary rehabilitation was provided via videoconferencing and use of exercise apps. Patients chose a face-to-face visit or TR. Information on demographic characteristics, functional levels, the total number of therapy sessions, TR episodes, reasons for non-acceptance of TR, and patient-reported experience using TR was collected. Fifty-two patients with hip and pelvic fractures were admitted to the HRS and 35 (67.3%) received TR. Patients who did not accept TR were older, frailer and more likely to be female than those who received TR. Of the 17 who did not receive TR, 6 were deemed unsuitable by staff due to hearing, vision or cognitive problems and 3 refused. The TR group achieved acceptable functional gains. In the TR group on average, participants had 13.63 (± 7.29) home visits however they only elected to have 3.43 (± 2.48) sessions delivered via TR. TR was acceptable to a subset of hip fracture patients but face-to-face was the preferred mode of delivery. More research is needed to understand patients’ preferences and beliefs, and the influence of clinician attitudes on uptake of TR.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"171 - 176"},"PeriodicalIF":1.1,"publicationDate":"2021-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1084822320983314","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45344382","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: 3

Occupational Exposures in the Homecare Environment: Piloting an Observation Tool 家庭护理环境中的职业暴露:一种观察工具

IF 1.1

Home Health Care Management and Practice Pub Date : 2021-01-16 DOI: 10.1177/1084822320986917

Elizabeth Bien, K. Davis, Susan Reutman, G. Gillespie

{"title":"Occupational Exposures in the Homecare Environment: Piloting an Observation Tool","authors":"Elizabeth Bien, K. Davis, Susan Reutman, G. Gillespie","doi":"10.1177/1084822320986917","DOIUrl":"https://doi.org/10.1177/1084822320986917","url":null,"abstract":"The population of home healthcare workers (HHCWs) is rapidly expanding. Worker tasks and the unique home care environments place the worker at increased risks of occupational exposures, injury, and illness. Previous studies focusing on occupational exposures of HHCWs are limited to self-reports and would benefit from direct observations. The purpose of this study is to describe the occupational hazards observed in the unique work environment of home healthcare. HHCWs and home care patient participants were recruited from one home care agency in the Midwest to be observed during a routine home visit. This cross-sectional study used a trained occupational health nurse for direct observation of the occupational setting. Standardized observations and data collection were completed using the Home Healthcare Worker Observation Tool. The observer followed a registered nurse and occupational therapist into 9 patient homes observing visits ranging from 22 to 58 minutes. Hazards observed outside of and within the home include uneven pavements (n = 6, 67%), stairs without railings (n = 2, 22%), throw rugs (n = 7, 78%), unrestrained animals (n = 2, 22%), dust (n = 5, 56%), and mold (n = 2, 22%). Hand hygiene was observed prior to patient care 2 times (22%) and after patient care during 5 visits (56%). Observations have identified hazards that have the potential to impact workers’ and patients’ health. The direct observations of HHCWs provided opportunities for occupational safety professionals to understand the occupational exposures and challenges HHCWs encounter in the home care environment and begin to identify ways to mitigate occupational hazards.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"33 1","pages":"162 - 170"},"PeriodicalIF":1.1,"publicationDate":"2021-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1084822320986917","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65854841","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: 5