HOME HEALTH CARE SERVICES QUARTERLY最新文献_第5页

Healthcare support workers' lived experiences and adaptation strategies within the care sector during the COVID-19 pandemic. A meta-ethnography review. COVID-19大流行期间医疗保健支持工作者的亲身经历和护理部门的适应策略元民族志综述。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-10-01 Epub Date: 2022-07-27 DOI: 10.1080/01621424.2022.2105771

Pavlos Kasdovasilis, Neil Cook, Alexander Montasem, Gershan Davis

{"title":"Healthcare support workers' lived experiences and adaptation strategies within the care sector during the COVID-19 pandemic. A meta-ethnography review.","authors":"Pavlos Kasdovasilis, Neil Cook, Alexander Montasem, Gershan Davis","doi":"10.1080/01621424.2022.2105771","DOIUrl":"https://doi.org/10.1080/01621424.2022.2105771","url":null,"abstract":"Support workers are an \"invisible\" part of the health sector often working during pandemics to support clients. This meta-ethnography screened 167 articles out of 211 results identifying 4 qualitative studies that explored the support worker's experiences during the COVID-19 pandemic. \"Redundancy approach\" was used to map non-essential criteria and the analysis was informed by the interpretative meta-ethnography method. Eight key themes identified from studies in UK and USA. The themes identified are: (1) job role; (2) marginalized profession; (3) impact of work; (4) concerns surrounding PPE; (5) transportation challenges; (6) level of support and guidance; (7) a higher calling and self sacrifice; (8) adaptation strategies. Adaptation strategies include purchasing their own masks, to policy and agency adaptation, cleaning, talk walks, meetings with colleagues or within the company. The adaptation strategies aim at tackling emotional distress and raise the level of appreciation that society or organizations show to the support workers.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"267-290"},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40549926","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

Balancing the benefits of patient-clinician relationships with professional boundaries in Home-based Primary Care. 平衡以家庭为基础的初级保健的医患关系与专业界限的好处

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-10-01 Epub Date: 2022-03-29 DOI: 10.1080/01621424.2022.2056106

Elizabeth Hulen, Megan Lafferty, Avery Laliberte, Somnath Saha, Samuel T Edwards

{"title":"Balancing the benefits of patient-clinician relationships with professional boundaries in Home-based Primary Care.","authors":"Elizabeth Hulen, Megan Lafferty, Avery Laliberte, Somnath Saha, Samuel T Edwards","doi":"10.1080/01621424.2022.2056106","DOIUrl":"10.1080/01621424.2022.2056106","url":null,"abstract":"In the home care setting, boundaries may be difficult to identify when behavioral changes are made to accommodate the nature of care being delivered. In this secondary qualitative study, we examined how Home-based Primary Care (HBPC) clinicians understand role and relationship boundaries with patients and how these dynamics support patient care. The data set consisted of 14 semi-structured interviews with HBPC clinicians representing multiple disciplines and field observations of 6 HBPC team meetings. Using a directed approach to content analysis, we identified and described how HBPC clinicians worked to build relationships with patients, experienced challenges with emotional attachment, and negotiated boundaries in the patient-clinician relationship. Our findings illustrate how the home care setting is a site for which strong, therapeutic patient-clinician relationships can be developed while also highlighting the work that clinicians must do to balance addressing patient needs stemming from social isolation and adherence to their own professional boundaries.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"41 1","pages":"330-340"},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48876951","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

Characteristics of dementia family caregivers who use paid professional in-home respite care. 使用有偿专业家庭暂托护理的痴呆症家庭照顾者的特征。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-10-01 Epub Date: 2022-07-09 DOI: 10.1080/01621424.2022.2098083

Lakelyn Hogan, Julie Blaskewicz Boron, Julie Masters, Kelly MacArthur, Natalie Manley

{"title":"Characteristics of dementia family caregivers who use paid professional in-home respite care.","authors":"Lakelyn Hogan, Julie Blaskewicz Boron, Julie Masters, Kelly MacArthur, Natalie Manley","doi":"10.1080/01621424.2022.2098083","DOIUrl":"https://doi.org/10.1080/01621424.2022.2098083","url":null,"abstract":"Caring for a person living with dementia (PLWD) can be challenging, making support services like respite important. Of the types of respite, research on paid professional in-home care specific to family caregivers of PLWD is limited. This study aimed to identify characteristics of dementia caregivers using paid in-home respite. A self-administered online survey (N = 98) examined use of in-home respite. Measures assessed depressive symptoms, burden, and self-rated health. Analyses included descriptive statistics and qualitative coding. Most respondents utilized weekly schedules of in-home respite with a moderate correlation between dependency and hours of respite. Caregivers' self-reported average health, depressive symptoms, and mild-to-moderate burden. The majority of users had lowered perceived stress, were satisfied with services, and indicated the importance of in-home respite during a pandemic. Future research should assess changes in use of paid in-home respite services and overall landscape of respite options for dementia caregivers.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"310-329"},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40510447","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

"It helps me find balance": older adult perspectives on the intersection of caregiving and volunteering. “它帮助我找到平衡”:老年人对照顾和志愿服务交集的看法。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-10-01 Epub Date: 2022-01-30 DOI: 10.1080/01621424.2022.2034700

Jennifer A Crittenden, Rachel L Coleman, Sandra S Butler

引用次数: 3

Differences in Home-Care Services in Finland for Older Adults between 2012 and 2019 - A Developmental Evaluation Study. 2012年至2019年芬兰老年人家庭护理服务的差异——一项发展评估研究。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-10-01 Epub Date: 2022-06-24 DOI: 10.1080/01621424.2022.2091500

Päivi Sanerma, Eija Paavilainen, Päivi Åstedt-Kurki

{"title":"Differences in Home-Care Services in Finland for Older Adults between 2012 and 2019 - A Developmental Evaluation Study.","authors":"Päivi Sanerma, Eija Paavilainen, Päivi Åstedt-Kurki","doi":"10.1080/01621424.2022.2091500","DOIUrl":"https://doi.org/10.1080/01621424.2022.2091500","url":null,"abstract":"This study aimed to evaluate differences in client-centered approaches to home-care services for older adults from the perspectives of nurses and service managers in Finland. The research method used developmental evaluation. Developmental activities for client-centered services were implemented in three home-care organizations between 2012 and 2019. Home care nurses and service managers were interviewed individually and in groups at the beginning and end of the development process. Then, four categories of differences enabling operating models in client-centered care were identified: modernized client-centered service patterns, comprehensive service coordination, digital service environments technology utilization, and changing human resources. This study found a positive trend in adopting a client-centered approach and technology in home care services. In the implementation of home care practices, innovations for client-centered implementation of homecare should consider the renewal of service models, development of case management, and development and utilization of technology in homecare operating environments.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"341-356"},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40395796","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

Relationships between daily physical activity combinations and psychophysical health status of Italian breast cancer survivors. 意大利乳腺癌幸存者日常身体活动组合与心理生理健康状况的关系

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-07-01 Epub Date: 2022-02-19 DOI: 10.1080/01621424.2022.2041524

Andrea Di Blasio, Giulia Di Dalmazi, Teresa Morano, Ines Bucci, Sara Verrocchio, Simona Grossi, Ettore Cianchetti, Pasquale Valentini, Lucia Cugusi, Stefano Gobbo, Marco Bergamin, Antonino Grassadonia, Giorgio Napolitano

{"title":"Relationships between daily physical activity combinations and psychophysical health status of Italian breast cancer survivors.","authors":"Andrea Di Blasio, Giulia Di Dalmazi, Teresa Morano, Ines Bucci, Sara Verrocchio, Simona Grossi, Ettore Cianchetti, Pasquale Valentini, Lucia Cugusi, Stefano Gobbo, Marco Bergamin, Antonino Grassadonia, Giorgio Napolitano","doi":"10.1080/01621424.2022.2041524","DOIUrl":"https://doi.org/10.1080/01621424.2022.2041524","url":null,"abstract":"In breast cancer survivors (BCS), the contemporaneous increase of sedentary time and reduction of physical activity (PA) requires early attention because it has negative consequences for their health. Aims of the study were to investigate: a) the correlations between PA, sedentarism, and health-related measures; b) the association between different patterns of daily activity and health-related outcomes. Two hundred and nineteen BCS (50.98 ± 6.28) were selected for this study. Psychological, anthropometric, endocrine, sleeping, and both daily sedentary time and PA variables were considered. Sedentarism and PA have opposite correlations with anthropometric variables, anxiety, depression, morning salivary cortisol, and sleeping characteristics. The first favors pathological values and the latter favors normal values. Regression tree analysis showed the impact of different daily sedentary time and PA combinations on the investigated variables and allowed the individualization of their optimal combination for health. Our results could be useful to healthcare providers and BCS.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"200-218"},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39647482","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

TILE-12 index: an interpretable instrument for identifying older adults at risk for transitions in living environment within the next 12-months. TILE-12指数:一种可解释的工具，用于识别未来12个月内生活环境有转变风险的老年人。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-07-01 DOI: 10.1080/01621424.2022.2052220

Makayla Roma, Suzanne S Sullivan, Sabrina Casucci

{"title":"TILE-12 index: an interpretable instrument for identifying older adults at risk for transitions in living environment within the next 12-months.","authors":"Makayla Roma, Suzanne S Sullivan, Sabrina Casucci","doi":"10.1080/01621424.2022.2052220","DOIUrl":"https://doi.org/10.1080/01621424.2022.2052220","url":null,"abstract":"Few evidence-based tools exist to support identification of older community dwelling adults at risk for unwanted transitions in living environment leading to missed opportunities to modify care plans to support aging-in-place and/or establish end-of-life care goals. An interpretable and actionable tool for assessing a person's risk of experiencing a transition is introduced. Logistic regression analysis of 14,772 transition opportunities (i.e. 12-month periods) for 4,431 respondents to the National Health and Aging Trends Study (NHATS) rounds 1-7. Results were visualized in a nomogram. Unmarried males of increasing age with chronic disease, greater functional dependence, overnight hospitalizations, not living in a single-family home, and limited social network, have elevated risk of experiencing a transition in living environment in a 12-month period. Homecare nurses are uniquely qualified to identify social determinants of health and can use this evidence-based tool to identify individuals who may benefit from transitional care assistance.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"41 3","pages":"236-254"},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247023/pdf/nihms-1812424.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9730874","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

Measuring Organizational Readiness for Change in Michigan’s Home and Community-based Services Program: Instrument Adaptation and Psychometric Testing 测量密歇根州家庭和社区服务项目的组织变革准备:工具适应和心理测量测试

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-05-18 DOI: 10.1080/01621424.2022.2077161

S. Spoelstra, Monica Schueller, Emily Dorn, A. Sikorskii

{"title":"Measuring Organizational Readiness for Change in Michigan’s Home and Community-based Services Program: Instrument Adaptation and Psychometric Testing","authors":"S. Spoelstra, Monica Schueller, Emily Dorn, A. Sikorskii","doi":"10.1080/01621424.2022.2077161","DOIUrl":"https://doi.org/10.1080/01621424.2022.2077161","url":null,"abstract":"ABSTRACT Short, valid, and reliable tools that measure organizational readiness are needed in practice. This study adapted and tested a previously developed instrument for measuring organizational readiness in a Medicaid Home and Community-Based Services (HCBS) program. The Texas Christian University Organizational Readiness for Change (TCU-ORC) scale was adapted and tested for validity and reliability in a sample of 522 registered nurses and social workers employed at 18 program sites. Structural validity was established using the exploratory factor analysis. Convergent validity was evaluated via correlations with the Implementation Leadership Scale (ILS) score. The adapted ORC scale consisted of 23 items. Cronbach’s alphas for 5 subscales, Climate, Culture, Training, Motivation, and Pressure to Change exceeded .70. Convergent validity was supported by significant moderate correlations with the ILS. The adapted 23-item TCU-ORC scale is a valid and reliable instrument for measuring the organizational readiness for change in the Medicaid Home and Community-Based Services programs.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"41 1","pages":"255 - 266"},"PeriodicalIF":1.4,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48279138","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

Behavioral activation for live-in migrant home care workers and care recipients in Israel: a pilot study 以色列移民家庭护理人员和护理对象的行为激活：一项试点研究

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-04-06 DOI: 10.1080/01621424.2022.2054393

A. Gum, O. Green, Ayelet Dassa, Keren Klausner, Ateret Gewirtz-Meydan, L. Ayalon

引用次数: 1

Supporting Veterans with dementia to remain in the community: strategies used in 12 Veterans Health Administration programs. 支持患有痴呆症的退伍军人留在社区：12个退伍军人健康管理项目中使用的策略。

IF 1.2

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-04-01 Epub Date: 2022-01-24 DOI: 10.1080/01621424.2022.2027315

Heather Davila, Kelly A O'Malley, Marlena H Shin, Ryann L Engle, Omonyêlé L Adjognon, Jennifer L Sullivan

{"title":"Supporting Veterans with dementia to remain in the community: strategies used in 12 Veterans Health Administration programs.","authors":"Heather Davila, Kelly A O'Malley, Marlena H Shin, Ryann L Engle, Omonyêlé L Adjognon, Jennifer L Sullivan","doi":"10.1080/01621424.2022.2027315","DOIUrl":"10.1080/01621424.2022.2027315","url":null,"abstract":"The Veterans Health Administration (VA) provides services to growing numbers of Veterans with dementIa, individuals at heightened risk for hospitalizations and nursing home placement. Beginning in 2010, the VA funded 12 innovative pilot programs to improve dementia care and help Veterans remain at home. We conducted a retrospective qualitative analysis of program materials and interviews with physicians, nurses, social workers, and other personnel (n = 33) to understand the strategies these programs adopted. Interviews were conducted every 6 months between 2010-2013 (4-5 interviews per program) and focused on factors affecting program design and implementation, challenges, and strategies to reduce hospitalizations and nursing home placements. Programs varied considerably yet shared three overarching strategies to improve dementia care: involving and supporting family caregivers; engaging interdisciplinary teams; and improving coordination with other healthcare providers. Our results highlight the importance of adapting common dementia care strategies based on the local context and needs of individuals served.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"149-164"},"PeriodicalIF":1.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9729013/pdf/nihms-1853996.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39851799","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