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Understanding the home environment of older adults living with dementia: A scoping review of assessment tools. 了解老年痴呆症患者的家庭环境：评估工具范围综述。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-01-01 Epub Date: 2024-01-22 DOI: 10.1080/01621424.2023.2290708
Cindy Louis-Delsoin, Alicia Ruiz-Rodrigo, Jacqueline Rousseau
{"title":"Understanding the home environment of older adults living with dementia: A scoping review of assessment tools.","authors":"Cindy Louis-Delsoin, Alicia Ruiz-Rodrigo, Jacqueline Rousseau","doi":"10.1080/01621424.2023.2290708","DOIUrl":"10.1080/01621424.2023.2290708","url":null,"abstract":"<p><p>Rigorous assessments to better understand the person-environment interaction are essential to comprehend how neurocognitive disorders influence in-home functioning of older people living with dementia. No recent synthesis identifies validated instruments targeting the human (e.g. caregivers) and nonhuman (e.g. objects) elements of the home environment interacting with this population and used with the perspective of aging in place. Consequently, following Arksey and O'Malley's (2005) scoping review method, 2,182 articles were identified in six databases and in gray literature. Two reviewers independently selected 23 relevant articles describing 19 validated assessment tools targeting elements of the home interacting with older people with dementia, namely: nonhuman environment (<i>n</i> = 13), human environment (<i>n</i> = 3), and person-environment interaction (<i>n</i> = 3). This overview highlights the scarcity of tools addressing the human environment and the person-environment interaction to foster sustainable at-home living for older people with neurocognitive disorders, demonstrating the need to incorporate new evidence-based, holistic methods into dementia home care.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"54-86"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038052","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
Creating 'good' hospital to home transfers in the rural north of Sweden: informal workarounds and opportunities for improvement. 在瑞典北部农村地区创建“良好”的医院到家庭转移：非正式的变通办法和改进机会。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-01-01 Epub Date: 2023-07-13 DOI: 10.1080/01621424.2023.2235321
Dean Bradley Carson, Ronja Messmer, Emmy Leuf Fjällberg
{"title":"Creating 'good' hospital to home transfers in the rural north of Sweden: informal workarounds and opportunities for improvement.","authors":"Dean Bradley Carson, Ronja Messmer, Emmy Leuf Fjällberg","doi":"10.1080/01621424.2023.2235321","DOIUrl":"10.1080/01621424.2023.2235321","url":null,"abstract":"<p><p>Hospital to home transfers for older people require effective communication, coordination and collaboration across multiple service settings. Rural Nursing Theory and the Beyond Periphery model explain why this is particularly difficult in rural areas, but there are few examples of how rural services respond. This paper presents a case study of the district of Tärnaby in the inland north of Sweden. Data are drawn from interviews with health and care staff in Tärnaby, observations, and experiences of the researchers. Data were analyzed thematically, with four main themes emerging - role clarity, communication, geography, and understanding of the rural context. Responses to challenges included increasing opportunities for communication between service providers and improving documentation. The paper concludes that informal \"workarounds\" run the risk of further disconnecting rural service settings from \"the city\". Rather, the aim needs to be to improve contextual understanding through formally incorporating \"the rural\" in service design.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"18-38"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9764314","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 suggested mortality benefit with integrated health care versus conventional home health care in Taiwan. 在台湾，综合医疗保健与传统的家庭医疗保健相比，对死亡率有一定的益处。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-01-01 Epub Date: 2023-04-12 DOI: 10.1080/01621424.2023.2195810
Shao-Chang Ho, Chi-Jeng Hsieh, Lun-Chien Lo, Jaung-Geng Lin
{"title":"A suggested mortality benefit with integrated health care versus conventional home health care in Taiwan.","authors":"Shao-Chang Ho, Chi-Jeng Hsieh, Lun-Chien Lo, Jaung-Geng Lin","doi":"10.1080/01621424.2023.2195810","DOIUrl":"10.1080/01621424.2023.2195810","url":null,"abstract":"<p><p>In Taiwan, the Integrated Home Care (IHC) project was introduced for medically compromised patients living at home receiving Home Health Care (HHC) in 2016. The focus of the project was on organizing care teams and managing care for patients. The aim of this study was to investigate the benefits and impacts of IHC in Taiwan. The primary outcome measure was the mortality rate of patients who received IHC versus those who did not receive IHC (non-IHC). The secondary outcomes were medical utilization and expenditure. The results showed that IHC was associated with a statistically significant reduction in mortality compared to non-IHC for home-dwelling patients over 90-, 180-, and 365-days periods. Additionally, IHC users were less likely to be hospitalized and had shorter hospitalization times compared to non-IHC users. Furthermore, IHC was found to reduce medical expenditure compared to non-IHC.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"1-17"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9289160","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
“Qualitative evaluation of a digital software solution for documentation and training in 24-hour home care” "对用于 24 小时家庭护理记录和培训的数字软件解决方案进行定性评估"
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-12-08 DOI: 10.1080/01621424.2023.2290284
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}
引用次数: 0
Analysis of home care nurses' workload: A time-motion study. 家庭护理护士工作量分析：一项时间运动研究。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-10-02 Epub Date: 2023-04-16 DOI: 10.1080/01621424.2023.2202149
Fatma Ezgi Alasalvar, Medine Yilmaz
{"title":"Analysis of home care nurses' workload: A time-motion study.","authors":"Fatma Ezgi Alasalvar,&nbsp;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}
引用次数: 0
Stress reduction for paid home care aides: A feasibility study of mindfulness meditation and Tai Chi interventions. 付费家庭护理助理减压：正念冥想和太极干预的可行性研究。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-10-02 Epub Date: 2023-05-17 DOI: 10.1080/01621424.2023.2214087
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,&nbsp;Richard Olmstead,&nbsp;Eric López Maya,&nbsp;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}
引用次数: 0
Home health services for minorities in urban and rural areas with Alzheimer's and related dementia. 为城市和农村地区患有阿尔茨海默氏症和相关痴呆症的少数民族提供家庭保健服务。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-10-02 Epub Date: 2023-04-27 DOI: 10.1080/01621424.2023.2206368
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}
引用次数: 0
You clapped, you cheered, but did anybody hear? A mixed-methods systematic review of dementia homecare workers' training and psychosocial needs. 你鼓掌，你欢呼，但有人听到了吗？痴呆症家庭护理人员培训和心理社会需求的混合方法系统综述。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-10-02 Epub Date: 2023-08-16 DOI: 10.1080/01621424.2023.2246415
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}
引用次数: 0
Service delivery and programing adaptations for individuals with disabilities by municipalities and non-profit organizations during the COVID pandemic. 在新冠肺炎疫情期间，市政当局和非营利组织为残疾人提供服务和改编节目。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-10-02 Epub Date: 2023-03-26 DOI: 10.1080/01621424.2023.2193560
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,&nbsp;Dylane Labrie,&nbsp;François Routhier,&nbsp;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}
引用次数: 0
Homecare patients' quality of life and the burden of family caregivers: a descriptive cross-sectional study. 家庭护理患者的生活质量与家庭护理人员的负担：一项描述性横断面研究。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-07-01 Epub Date: 2023-02-12 DOI: 10.1080/01621424.2023.2177224
Sumeyye Akçoban, Zehra Eskimez
{"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}
引用次数: 0
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