Elisabeth Kupka-Klepsch, Carina Hauser, Franz Werner, E. Haslinger-Baumann
{"title":"“Qualitative evaluation of a digital software solution for documentation and training in 24-hour home care”","authors":"Elisabeth Kupka-Klepsch, Carina Hauser, Franz Werner, E. Haslinger-Baumann","doi":"10.1080/01621424.2023.2290284","DOIUrl":"https://doi.org/10.1080/01621424.2023.2290284","url":null,"abstract":"","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"43 39","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138588703","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}
{"title":"Analysis of home care nurses' workload: A time-motion study.","authors":"Fatma Ezgi Alasalvar, Medine Yilmaz","doi":"10.1080/01621424.2023.2202149","DOIUrl":"10.1080/01621424.2023.2202149","url":null,"abstract":"<p><p>This observational-descriptive time and motion study was conducted to determine how heavy home care nurses' workload is and how they allocate their work time to home healthcare. It was carried out in the home health services of the district municipality.The Information form, Nursing Activities Report Form, Cheltenham Patient Classification Scale were used. The time-motion study method was implemented to perform the workload analysis. The nurses allocated 68.02 minutes to direct care, 61.02 minutes to indirect care, 53.26 minutes to their work unit-related activities, and 119.42 minutes to their personal activities.Among all the activities performed during the day, the longest time was allocated to educational activities. Another area that took a long time was the registration procedures. Performing workload analysis with different methods that will measure many concrete and intangible attempts of home care nurses will contribute to workforce planning in home care services, resolving of the unmet home care needs of patients and continuous quality improvement.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"311-327"},"PeriodicalIF":1.4,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9661271","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}
Allison K Hansell, Richard Olmstead, Eric López Maya, Sahar Banijamali
{"title":"Stress reduction for paid home care aides: A feasibility study of mindfulness meditation and Tai Chi interventions.","authors":"Allison K Hansell, Richard Olmstead, Eric López Maya, Sahar Banijamali","doi":"10.1080/01621424.2023.2214087","DOIUrl":"10.1080/01621424.2023.2214087","url":null,"abstract":"<p><p>Evidence of effective self-care strategies to support Home Care Aides' (HCAs) mental health is limited. This study compares the feasibility of implementing one of two non-clinical, evidence-based stress-reduction treatments: mindful awareness practices (MAPs) meditation versus Korean-style Tai Chi. Program effectiveness was assessed on a range of self-reported health and mental health quantitative outcomes at three time-points. Both groups showed statistically significant improvements in depression, insomnia, and negative affect during the six weeks (all p. <0.05), but only the MAPs group demonstrated a sustained improvement in negative affect at three-month follow-up (p. <0.05). At three-month follow-up, 55% of Tai Chi participants continued practicing learned techniques, compared to 75% of MAPs participants. MAPs were found to be more practical and amenable to integration in daily life compared to Tai Chi. Showing positive results on both feasibility and effectiveness assessment, MAPs were chosen over Tai Chi to be scaled as a benefit to HCAs.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"328-346"},"PeriodicalIF":1.4,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9530945","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}
Amol M Karmarkar, Indrakshi Roy, Taylor Lane, Stefany Shaibi, Julie A Baldwin, Amit Kumar
{"title":"Home health services for minorities in urban and rural areas with Alzheimer's and related dementia.","authors":"Amol M Karmarkar, Indrakshi Roy, Taylor Lane, Stefany Shaibi, Julie A Baldwin, Amit Kumar","doi":"10.1080/01621424.2023.2206368","DOIUrl":"10.1080/01621424.2023.2206368","url":null,"abstract":"<p><p>Timely access and continuum of care in older adults with Alzheimer's Disease and Related Dementia (ADRD) is critical. This is a retrospective study on Medicare fee-for-service beneficiaries with ADRD diagnosis discharged to home with home health care following an episode of acute hospitalization. Our sample included 262,525 patients. White patients in rural areas have significantly higher odds of delay (odds ratio [OR], 1.03; 95% CI, 1.01-1.06). Black patients in urban areas (OR, 1.15; 95% CI, 1.12-1.19) and Hispanic patients in urban areas also were more likely to have a delay (OR, 1.07; 95% CI, 1.03-1.11). Black and Hispanic patients residing in urban areas had a higher likelihood of delay in home healthcare initiation following hospitalization compared to Whites residing in urban areas.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"265-281"},"PeriodicalIF":1.2,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10717278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9400119","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}
Nolwenn Lapierre, Dylane Labrie, François Routhier, W Ben Mortenson
{"title":"Service delivery and programing adaptations for individuals with disabilities by municipalities and non-profit organizations during the COVID pandemic.","authors":"Nolwenn Lapierre, Dylane Labrie, François Routhier, W Ben Mortenson","doi":"10.1080/01621424.2023.2193560","DOIUrl":"10.1080/01621424.2023.2193560","url":null,"abstract":"<p><p>Municipalities and nonprofit organizations play a major role in administrating services that support individuals with disabilities. The purpose of this study was to explore how these organizations responded to the COVID-19 pandemic in regards to service delivery and programming for people with disabilities. This qualitative interpretative description study used semi-structured individual interviews for data collection. Recordings of the interviews were transcribed. Then the transcripts were analyzed qualitatively for themes following an inductive approach. Twenty-six individuals working for nonprofit organization or municipalities participated in the study. Six themes were identified: doing more with less; adapting rather than creating new services; ongoing consultation with stakeholders; feeling successful at adapting the services; being innovative with fundraising and embracing radical change. Flexibility and iterative user-centered approach appeared to be common coping strategies. Remote services were privileged to adapt service delivery during the COVID-19 pandemic.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"347-362"},"PeriodicalIF":1.4,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9543181","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}
Laura Kane, Charlotte Leighton, Helen Limbrick, Stephanie Kilinc, Jonathan Ling, Judith Eberhardt
{"title":"You clapped, you cheered, but did anybody hear? A mixed-methods systematic review of dementia homecare workers' training and psychosocial needs.","authors":"Laura Kane, Charlotte Leighton, Helen Limbrick, Stephanie Kilinc, Jonathan Ling, Judith Eberhardt","doi":"10.1080/01621424.2023.2246415","DOIUrl":"10.1080/01621424.2023.2246415","url":null,"abstract":"<p><p>The homecare sector's high turnover rate is linked to poor working conditions and a lack of person-centered practice. Limited research exists on the training and psychosocial needs of homecare workers caring for people living with dementia (PLWD). This systematic review explored these needs and identified 285 studies, of which seven studies met the inclusion criteria. A narrative synthesis identified four themes: \"training and education challenges and facilitators;\" \"social isolation and the importance of peer support;\" \"emotional attachments and distress experienced by homecare workers;\" and \"working with families and its emotional impact on homecare workers.\" This review highlights the unmet educational and psychosocial needs of homecare workers and the negative impacts these unmet needs have. To improve person-centered practice in homecare, workers require dementia-specific training, and concurrent emotional and peer support, alongside support managing relationships with clients' families. Future research is required to implement an intervention to meet these needs.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"282-310"},"PeriodicalIF":1.2,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069460","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}
{"title":"Homecare patients' quality of life and the burden of family caregivers: a descriptive cross-sectional study.","authors":"Sumeyye Akçoban, Zehra Eskimez","doi":"10.1080/01621424.2023.2177224","DOIUrl":"10.1080/01621424.2023.2177224","url":null,"abstract":"<p><p>The aim of the present study is to evaluate the quality of life of homecare patients and the burden of their family caregivers. The study was conducted in the home health care unit of a state hospital using a descriptive cross-sectional design. The data were collected from patients (<i>n</i> = 105) who agreed to participate in the study and their family caregivers (<i>n</i> = 105). The mean quality of life score of homecare patients was 68.15 ± 9.90 (M ± SD). The mean caregiving burden score was estimated to be at a moderate/high level with a value of 53.72 ± 13.30. A significant moderate negative correlation was found between the homecare patients' quality of life and caregiver burden (<i>r</i> = -0.649; <i>p</i> < .05). The finding that higher family caregiver burden was associated with lower quality of life among homecare patients suggests that health professionals approach homecare patients together with their family caregivers.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 3","pages":"216-229"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9701794","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}
{"title":"Can addressing family education improve outcomes of patients under home invasive mechanical ventilation? A randomized controlled clinical trial.","authors":"Maryam Esmaeili, Nahid Dehghan Nayeri, Fatemeh Bahramnezhad, Samrand Fattah Ghazi, Parvaneh Asgari","doi":"10.1080/01621424.2023.2177223","DOIUrl":"10.1080/01621424.2023.2177223","url":null,"abstract":"<p><p>The use of home mechanical ventilation is increasingly developing. The present study aimed to examine the effect of a family-centered training program on patients under home invasive mechanical ventilation. A total of 60 adult patients under invasive mechanical ventilation were selected and randomly allocated into two groups. The supportive home care program consisting of six training sessions using a teach-back technique and follow up training at home. The rate of hospital readmission and mortality in the intervention group was significantly lower than the control group(<i>P</i> = .02 and <i>P</i> = .03, respectively). Moreover, the home caregivers' level of knowledge in the intervention group was significantly higher than that of the control group(<i>P</i> = 0/000). In addition, implementing the intervention effectively increased home caregivers' ability of functional skills. Therefore, comprehensive preparation of the patient and family before discharge and coherent support and continuity of care after discharge with the effective presence of nurses.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 3","pages":"173-192"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9658969","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}
Oluwagbohunmi A Awosoga, Adesola Christiana Odole, Ogochukwu Kelechi Onyeso, Joshua O Ojo, Ezinne Chika Ekediegwu, Ifeoma Blessing Nwosu, Christina Nord, Claudia Steinke, Stephanie Varsanyi, Jon Doan
{"title":"Perceived strategies for reducing staff-turnover and improving well-being and retention among professional caregivers in Alberta's continuing-care facilities: A qualitative study.","authors":"Oluwagbohunmi A Awosoga, Adesola Christiana Odole, Ogochukwu Kelechi Onyeso, Joshua O Ojo, Ezinne Chika Ekediegwu, Ifeoma Blessing Nwosu, Christina Nord, Claudia Steinke, Stephanie Varsanyi, Jon Doan","doi":"10.1080/01621424.2023.2166889","DOIUrl":"10.1080/01621424.2023.2166889","url":null,"abstract":"<p><p>This qualitative study explored potential factors that lead to turnover and absenteeism and how to improve well-being and retention among professional older-adult-caregivers in Alberta's assisted living (AL) and long-term care (LTC) facilities. Four hundred and forty-seven participants aged 45-54 years were interviewed through a five-item, content-validated open-ended questionnaire. The questionnaire was self-administered in the English language and the soft copy of their responses was transferred into NVIVO version 12 software for coding. A thematic narrative analysis grounded in the \"happy productive worker\" theory was completed. The main themes were caregivers' perception of the factors affecting their well-being, absenteeism, and turnover, and caregivers' suggestions on ways to improve their well-being and retention. Participants reported that their professional well-being was suboptimal. They suggested that their employers should provide them with the needed social, psychological, and professional support, improve wages and hire more staff to ameliorate absenteeism and turnover rates.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 3","pages":"193-215"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9639148","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}
{"title":"‶You look really good, I don't know why you came here″: persons with multiple sclerosis´ perspectives on social support.","authors":"Maja Liković, Marko Buljevac","doi":"10.1080/01621424.2023.2189645","DOIUrl":"10.1080/01621424.2023.2189645","url":null,"abstract":"<p><p>The aim of this qualitative study is to gain insight into the perspectives of persons with multiple sclerosis on social support. Semi-structured interviews were conducted with eleven persons with multiple sclerosis. The results on informal support for persons with multiple sclerosis reveal perceived support and the lack of support from different persons. The results on formal support for persons with multiple sclerosis show perceived support from healthcare professionals, professionals working outside healthcare and social care systems, and associations of persons with MS, but also inadequate support from healthcare professionals and social workers. Close emotional relationship, empathy, knowledge and understanding are the basis for provision of all types of support from informal support system, while perceived support from formal support system is based on professionals´ empathy, their professionalism and knowledge. Persons with multiple sclerosis need accurate and timely emotional, informational, practical and financial support.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 3","pages":"243-264"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10004283","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}