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Can addressing family education improve outcomes of patients under home invasive mechanical ventilation? A randomized controlled clinical trial. 家庭教育能改善家庭有创机械通气患者的预后吗？随机对照临床试验。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-07-01 Epub Date: 2023-02-22 DOI: 10.1080/01621424.2023.2177223
Maryam Esmaeili, Nahid Dehghan Nayeri, Fatemeh Bahramnezhad, Samrand Fattah Ghazi, Parvaneh Asgari
{"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}
引用次数: 0
Perceived strategies for reducing staff-turnover and improving well-being and retention among professional caregivers in Alberta's continuing-care facilities: A qualitative study. 阿尔伯塔省持续护理机构中专业护理人员对减少人员流失、提高福利和留任率的策略认识：定性研究。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-07-01 Epub Date: 2023-01-16 DOI: 10.1080/01621424.2023.2166889
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}
引用次数: 0
‶You look really good, I don't know why you came here″: persons with multiple sclerosis´ perspectives on social support. ‶ You look really good, I don't know why you came here"：多发性硬化症患者对社会支持的看法。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-07-01 Epub Date: 2023-03-13 DOI: 10.1080/01621424.2023.2189645
Maja Liković, Marko Buljevac
{"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}
引用次数: 0
How client death impacts home care aides' workforce outcomes: an exploratory analysis of return to work and job retention. 客户死亡如何影响家庭护理助理的工作成果：对重返工作岗位和保住工作的探索性分析。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-07-01 Epub Date: 2023-02-05 DOI: 10.1080/01621424.2023.2175758
Emma K Tsui, Katarzyna Wyka, Latifa Beato, Jay Verkuilen, Sherry Baron
{"title":"How client death impacts home care aides' workforce outcomes: an exploratory analysis of return to work and job retention.","authors":"Emma K Tsui, Katarzyna Wyka, Latifa Beato, Jay Verkuilen, Sherry Baron","doi":"10.1080/01621424.2023.2175758","DOIUrl":"10.1080/01621424.2023.2175758","url":null,"abstract":"<p><p>Home health aides face a range of stressors that may result in departing the workforce. One stressor that has emerged in multiple qualitative studies as potentially influencing retention is client death. Using 2019 data from a single agency in New York City employing approximately 1700 aides, we used logistic and linear regression to explore case and aide factors associated with workforce outcomes after client death. We found that longer case length (Beta = 0.01, <i>p</i> < .001) was associated with longer return to work for aides experiencing client death and longer job tenure (Beta = -0.002, <i>p</i> = .002) was associated with shorter return to work (<i>n</i> = 67). We found no difference in retention between aides who experienced client death and those who did not (<i>n</i>  216). This analysis suggests the importance of research on the period of time following client death and of offering support to aides after clients die, particularly after longer cases.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 3","pages":"230-242"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9645415","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
An evaluation of the pilot scheme on community care service vouchers for the elderly in Hong Kong. 香港长者社区照顾服务券试验计划的评估。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-04-01 DOI: 10.1080/01621424.2022.2164542
Gigi Lam
{"title":"An evaluation of the pilot scheme on community care service vouchers for the elderly in Hong Kong.","authors":"Gigi Lam","doi":"10.1080/01621424.2022.2164542","DOIUrl":"https://doi.org/10.1080/01621424.2022.2164542","url":null,"abstract":"<p><p>The Pilot Scheme on Community Care Service Vouchers for the Elderly (CCSVs) from 2013 onward aims at empowering users with autonomy in choosing services and service providers, enhancing financial sustainability of community care services (CCSs) and encouraging participation by service providers. This article analyses the effectiveness of the CCSVs in terms of utilization rate, attrition rate and reasons for withdrawal, and provides sound short-, medium- and long-term recommendations for CCSs. Secondary data from the annual survey conducted by the Social Welfare Department with all voucher holders in the first (2013-2017) and second phases (2016-2020) were used. The utilization rate of the CCSVs in the first phase was satisfactory, but the second phase was constrained by a low utilization rate, as 17%-35% of the CCSV holders did not use their vouchers to purchase CCSs. Moreover, the high attrition rate of CCSV holders in both phases warrants special attention.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 2","pages":"142-153"},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9714257","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
A scoping review of virtual care in the health system: infrastructures, barriers, and facilitators. 卫生系统中虚拟医疗的范围审查：基础设施、障碍和促进因素。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-04-01 Epub Date: 2023-01-12 DOI: 10.1080/01621424.2023.2166888
Nasib Babaei, Vahid Zamanzadeh, Leila Valizadeh, Mojgan Lotfi, Taha Samad-Soltani, Ahmad Kousha, Marziyeh Avazeh
{"title":"A scoping review of virtual care in the health system: infrastructures, barriers, and facilitators.","authors":"Nasib Babaei, Vahid Zamanzadeh, Leila Valizadeh, Mojgan Lotfi, Taha Samad-Soltani, Ahmad Kousha, Marziyeh Avazeh","doi":"10.1080/01621424.2023.2166888","DOIUrl":"10.1080/01621424.2023.2166888","url":null,"abstract":"<p><p>For virtual care models to be able to improve the safety and quality of care, it is essential to identify the strengths and weaknesses of virtual care. In this Scoping review, literature published on virtual care was identified using international databases. The results of the included studies were summarized using a predefined taxonomy. In total, 20 studies were included in the present review. Extracting the findings of the articles showed four main topics, including \"virtual care delivery models,\" \"Video conference software platforms to provide virtual care,\" \"virtual care delivery challenges,\" and \"virtual care implementation facilitators.\" Therefore, with the development of emerging digital technologies, unique opportunities to provide virtual care and improve the provision of health services have been created in the health care system worldwide. Multifunctional video conference software platforms using specific models for each scope of care practice should be considered.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 2","pages":"69-97"},"PeriodicalIF":1.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9449877","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
Challenges of interprofessional geriatric practice in home care settings: an integrative review. 家庭护理环境中跨专业老年实践的挑战:一项综合综述。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-04-01 DOI: 10.1080/01621424.2022.2164541
Youngkwan Song, Min Young Jung, Sungwon Park, Memoona Hasnain, Valerie Gruss
{"title":"Challenges of interprofessional geriatric practice in home care settings: an integrative review.","authors":"Youngkwan Song,&nbsp;Min Young Jung,&nbsp;Sungwon Park,&nbsp;Memoona Hasnain,&nbsp;Valerie Gruss","doi":"10.1080/01621424.2022.2164541","DOIUrl":"https://doi.org/10.1080/01621424.2022.2164541","url":null,"abstract":"<p><p>This integrative review identified challenges for interprofessional home care and provided recommendations for improving geriatric home care. A search of six databases identified 982 articles; 11 of them met the review's eligibility criteria and were included in the review. Quality appraisal of the included studies was performed using two tools (Critical Appraisal Skills Program for Qualitative Research and Mixed Methods Appraisal Tool), and their overall methodological quality was found to be satisfactory. After applying D'Amour et al.'s framework, four \"challenge\" themes emerged: (1) lack of sharing, (2) lack of partnership, (3) limited resources and interdependency, and (4) power issues. Recommendations included providing practical multidisciplinary training guided by a standardized model, establishing streamlined communication protocols and a communication platform reflecting the actual needs of users by involving them in its design, and asking interprofessional team members to commit to home care planning and to cultivate a collaborative culture and organizational support.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 2","pages":"98-123"},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9714256","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
A qualitative study of dementia caregivers' lived experiences in Singapore. 新加坡痴呆症护理人员生活经历的定性研究。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-04-01 DOI: 10.1080/01621424.2022.2164540
Chin-Siang Ang, Anthony Zheng-Da Yuen
{"title":"A qualitative study of dementia caregivers' lived experiences in Singapore.","authors":"Chin-Siang Ang,&nbsp;Anthony Zheng-Da Yuen","doi":"10.1080/01621424.2022.2164540","DOIUrl":"https://doi.org/10.1080/01621424.2022.2164540","url":null,"abstract":"<p><p>Globally, the number of people living with dementia is expected to triple by 2050 owing primarily to the aging population. Dementia is a chronic and progressive disease that affects an estimated 5-8% of the general population aged 60 and above at any given time. This qualitative study aimed to investigate caregivers' overall perceptions, challenges, and coping strategies in dementia care in Singapore. Purposive sampling was used to select the study's sample. Eight Singaporeans were interviewed in semi-structured, in-depth interviews. Three themes emerged from the data analysis for each research question: overall perceptions (i.e. less freedom, strained family relationships, and improved self-competency), challenges (i.e. managing dementia symptoms, emotional drain, and decision-making), and coping mechanisms (i.e. making time for myself, religious belief, and seeking external support). Knowing about these challenges and coping mechanisms allows practitioners to help caregivers to reduce personal struggles, thus improving the patient's and caregiver's quality of life.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 2","pages":"124-141"},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9728950","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
Caregiver experiences in administering subcutaneous medications to community palliative care patients: Integrative review. 护理人员给社区姑息治疗患者皮下用药的经验:综合评价。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-04-01 DOI: 10.1080/01621424.2022.2164539
JoAnna Pitts, Georgia Geller, Amanda Muller
{"title":"Caregiver experiences in administering subcutaneous medications to community palliative care patients: Integrative review.","authors":"JoAnna Pitts,&nbsp;Georgia Geller,&nbsp;Amanda Muller","doi":"10.1080/01621424.2022.2164539","DOIUrl":"https://doi.org/10.1080/01621424.2022.2164539","url":null,"abstract":"<p><p>As many as 70% of Australian patients report they would prefer to die at home, yet only 14% achieve this goal and this hospitalization adds to overall healthcare expenditure. Providing caregivers with practical means for managing symptoms at home facilitates home deaths for palliative care patients and reduces the financial healthcare burden. The aim of this paper is to understand the experience of caregivers administering subcutaneous medications at home to palliative care patients. An integrative review search of the literature revealed five common themes: positive caregiver experiences and caregiver concerns, symptom management, specialist palliative care support needs, educational requirements, and supporting patients to remain at home. Evidence strongly suggests that with support and education from a palliative care team, caregivers find their experience is empowering and positive. Without support and education, patients are more likely to present to hospital leading to admission and subsequent death not in their place of preference.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 2","pages":"154-172"},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9364609","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
How are successful matches made between homecare workers and older care receivers of different cultural backgrounds? 家庭护理员和来自不同文化背景的老人是如何成功配对的?
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-01-01 DOI: 10.1080/01621424.2022.2144580
Nancy Kelley
{"title":"How are successful matches made between homecare workers and older care receivers of different cultural backgrounds?","authors":"Nancy Kelley","doi":"10.1080/01621424.2022.2144580","DOIUrl":"https://doi.org/10.1080/01621424.2022.2144580","url":null,"abstract":"<p><p>Understanding the process as well as the challenges and successes of matching homecare workers with older care receivers from differing cultural backgrounds may enhance practices that maximize quality-of-care outcomes and perceptions of quality of life for older adults, especially those \"aging in place.\" Guided by a person-centered, consumer directed care model, this paper outlines the need for research that specifically aims to describe the matching process used by care coordinators when assigning homecare workers to older care receivers of different cultural backgrounds and how the needs and preferences of care receivers are balanced with the characteristics, skills, and capacities of the available pool of homecare workers.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"42 1","pages":"40-53"},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10735926","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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