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Facilitators and challenges in the adoption of a virtual nurse visit in the home health setting. 在家庭健康环境中采用虚拟护士访问的促进因素和挑战。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-04-01 DOI: 10.1080/01621424.2021.1906374
Susan D Birkhoff, Julie McCulloh Nair, Kelly Bald, Tracey Frankum, Sophie R Sanchez, Alicia L Salvatore
{"title":"Facilitators and challenges in the adoption of a virtual nurse visit in the home health setting.","authors":"Susan D Birkhoff,&nbsp;Julie McCulloh Nair,&nbsp;Kelly Bald,&nbsp;Tracey Frankum,&nbsp;Sophie R Sanchez,&nbsp;Alicia L Salvatore","doi":"10.1080/01621424.2021.1906374","DOIUrl":"https://doi.org/10.1080/01621424.2021.1906374","url":null,"abstract":"<p><p>The COVID-19 pandemic created an opportunity to incorporate nurse-led virtual home care visits into heart failure patients' plan of care. As a supplemental nurse visit to traditional in-person home visits, the Virtual Nurse Visit (VNV) service was deployed using Zoom teleconferencing technology enabling telehealth nurses to remotely communicate, assess, and educate their patients. This mixed methods study explored heart failure patients' abilities, experience, and satisfaction to use and adopt a virtual nurse visit. Sociodemographic, semi-structured interview questions, and the System Usability Scale data were collected. Thirty-four participants completed the study. Over half of participants perceived the VNV usable and four qualitative themes emerged: perceived safety during COVID-19, preferences for care delivery, user experiences and challenges, and satisfaction with the VNV service. Findings from this study builds the science around telehealth that will inform future studies examining this type of nurse-led virtual visit and subsequent patient outcomes.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 2","pages":"105-120"},"PeriodicalIF":1.4,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2021.1906374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9446958","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: 10
Don't give up when communication is difficult: Online well-being advice for caregivers of people with Alzheimer's and dementia. 沟通困难时不要放弃:阿尔茨海默氏症和痴呆症患者护理人员的在线健康建议。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-04-01 Epub Date: 2021-04-02 DOI: 10.1080/01621424.2021.1907266
Olivia E Jones, Elizabeth S Parks
{"title":"Don't give up when communication is difficult: Online well-being advice for caregivers of people with Alzheimer's and dementia.","authors":"Olivia E Jones,&nbsp;Elizabeth S Parks","doi":"10.1080/01621424.2021.1907266","DOIUrl":"https://doi.org/10.1080/01621424.2021.1907266","url":null,"abstract":"<p><p>Sixteen million people in the United States are unpaid caregivers to people with Alzheimer's or dementia. Although caregiver investment is associated with personal and relational benefits, there are also emotional, mental, relational, and physical costs. This study explores online well-being advice for nonprofessional caregivers of people with Alzheimer's and dementia, resulting in 332 online resources that offer informational support for nonprofessional caregivers. Although competent communication directly impacts the well-being of caregiving relationships, only 39 of these texts offered advice related to communication strategies. Thematic analysis of these 39 sources resulted in 1,024 discrete pieces of caregiver advice related to three overarching themes: <i>Daily Routine, Care Recipient Well-Being</i>, and <i>Caregiver Self-Care</i>. We examine the <i>Caregiver Self-Care</i> theme to understand informational support available to caregivers. These self-care advice themes reveal a need for intentional focus on the home health quality of nonprofessional caregivers about ways that communication impacts their everyday lives.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"136-147"},"PeriodicalIF":1.4,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2021.1907266","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25539225","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 aides' experiences of their occupational health: a qualitative meta-synthesis. 家庭健康护理员的职业健康经验:一项质的综合研究。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-04-01 Epub Date: 2021-05-05 DOI: 10.1080/01621424.2021.1921650
Sunniva Grønoset Grasmo, Ingeborg Frostad Liaset, Skender Elez Redzovic
{"title":"Home health aides' experiences of their occupational health: a qualitative meta-synthesis.","authors":"Sunniva Grønoset Grasmo,&nbsp;Ingeborg Frostad Liaset,&nbsp;Skender Elez Redzovic","doi":"10.1080/01621424.2021.1921650","DOIUrl":"https://doi.org/10.1080/01621424.2021.1921650","url":null,"abstract":"<p><p>Home health aides (HHA) have high sickness absence while the need for home care services is rapidly growing. The aim of this study was to derive new conceptual understandings by identifying, describing and interpreting key concepts across qualitative studies on how HHA experience their occupational health related to their working conditions.A qualitative ethnographic meta-synthesis was used as a method to analyze 27 articles included from systematic searches in CINAHL, MEDLINE and PsycINFO.HHA experience <i>physical strenuous work task demands</i> in combination with unfortunate <i>organizational conditions</i> in an uncontrolled and ever-changing <i>psychosocial and physical working environment</i> as the main obstacle to their occupational health, although many positive presence factors with opposite effects were reported.More research is needed to investigate whether physical demanding work tasks can have positive effects on HHA's occupational health by reorganizing their work while preserving patients' empowerment at their home.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"148-176"},"PeriodicalIF":1.4,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2021.1921650","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38960994","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: 9
Using active information and communication technology for elderly homecare services: A scoping review. 利用主动资讯及通讯科技为长者提供家居照顾服务：范围检讨。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-01-01 Epub Date: 2020-09-29 DOI: 10.1080/01621424.2020.1826381
Kioumars Chelongar, Sima Ajami
{"title":"Using active information and communication technology for elderly homecare services: A scoping review.","authors":"Kioumars Chelongar, Sima Ajami","doi":"10.1080/01621424.2020.1826381","DOIUrl":"10.1080/01621424.2020.1826381","url":null,"abstract":"<p><p>Nowadays, as life expectancy grows, the healthcare industry faces growing challenges related to corresponding increases in chronic diseases. Home care services (HCS) are the solution to this growing problem. It's a general premise that information and communication technology (ICT) can address these health issues and enhances HCS. The scope of our study was the active managerial and supervisory roles of these technologies within HCS. The study aimed to extract, accumulate, and classify the challenges of using active ICT for elderly HCS. We employed the keywords, their synonyms, and their combinations into the searching areas of title, keywords, and abstract. More than 300 resources were collected, and found those 33 articles of those 33 articles were eligible for our study. Later, a team of experts provided their opinions on our gatherings, which were collected individually. According to the expert team's opinions, researchers classified challenges into; technology, human factors, and management.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 1","pages":"93-104"},"PeriodicalIF":1.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38431531","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
Exploring biopsychosocial correlates of pain, pain management strategies, and risk for opioid misuse among home care workers in Washington State. 探索疼痛的生物心理社会相关因素，疼痛管理策略，以及华盛顿州家庭护理人员滥用阿片类药物的风险。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-01-01 Epub Date: 2020-09-24 DOI: 10.1080/01621424.2020.1810191
Leah S Greenspan, Lindsey Alley, Sean P M Rice, Ryan Olson
{"title":"Exploring biopsychosocial correlates of pain, pain management strategies, and risk for opioid misuse among home care workers in Washington State.","authors":"Leah S Greenspan,&nbsp;Lindsey Alley,&nbsp;Sean P M Rice,&nbsp;Ryan Olson","doi":"10.1080/01621424.2020.1810191","DOIUrl":"https://doi.org/10.1080/01621424.2020.1810191","url":null,"abstract":"<p><p>Home care workers (HCWs) are at high risk for musculoskeletal pain and injury, and they are an important population for pain management research and intervention. The purpose of this study was to gather novel data on HCWs' work characteristics, pain experiences, pain management strategies, and risk for opioid misuse. A survey invitation was e-mailed to a random sub-sample of HCWs in Washington State, and 421 responded. Over half (54.2%) reported chronic or currently elevated pain. Pharmacological pain management strategies were used by 67.3% of all respondents with 4.8% reporting prescription opioid use. Biopsychosocial factors like injuries, interpersonal conflict, financial strain, and anxiety were associated with increased opioid misuse risk. Multimodal primary and secondary interventions are recommended to improve HCWs' pain management.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 1","pages":"54-74"},"PeriodicalIF":1.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1810191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38415366","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
Improving the quality of community primary palliative care in COPD: A qualitative study of health-care providers. 改善慢性阻塞性肺病社区初级姑息治疗的质量:对卫生保健提供者的定性研究
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-01-01 Epub Date: 2020-11-06 DOI: 10.1080/01621424.2020.1845272
Yoshihisa Hirakawa, Satoshi Hirahara, Yasuhiro Yamaguchi, Takashi Yamanaka, Hidenori Arai, Hisayuki Miura
{"title":"Improving the quality of community primary palliative care in COPD: A qualitative study of health-care providers.","authors":"Yoshihisa Hirakawa,&nbsp;Satoshi Hirahara,&nbsp;Yasuhiro Yamaguchi,&nbsp;Takashi Yamanaka,&nbsp;Hidenori Arai,&nbsp;Hisayuki Miura","doi":"10.1080/01621424.2020.1845272","DOIUrl":"https://doi.org/10.1080/01621424.2020.1845272","url":null,"abstract":"<p><p>Primary palliative care is essential for the continuity of care in severe COPD. This study aimed to identify essential factors and aspects to enhance the quality of primary palliative care for adults with severe COPD living in the community. Interviews with medical professionals from six institutions located in two major metropolitan areas in Japan were conducted, and these interviews were analyzed by using a qualitative content analysis approach. Results indicate that effective collaborative communication among team members, long-term care insurance system and related services, and palliative care techniques were the primary themes.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 1","pages":"39-53"},"PeriodicalIF":1.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1845272","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38574895","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
VA Home Based Primary Care Teams: Partnering with and Acting as Caregivers for Veterans. 退伍军人事务部以家庭为基础的初级护理团队:与退伍军人合作并作为照顾者。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-01-01 Epub Date: 2021-01-07 DOI: 10.1080/01621424.2020.1869634
C Manheim, L Haverhals, C Gilman, J Karuza, T Olsan, S Edwards, C Levy, S Gillespie
{"title":"VA Home Based Primary Care Teams: Partnering with and Acting as Caregivers for Veterans.","authors":"C Manheim,&nbsp;L Haverhals,&nbsp;C Gilman,&nbsp;J Karuza,&nbsp;T Olsan,&nbsp;S Edwards,&nbsp;C Levy,&nbsp;S Gillespie","doi":"10.1080/01621424.2020.1869634","DOIUrl":"https://doi.org/10.1080/01621424.2020.1869634","url":null,"abstract":"<p><p>The U.S. Department of Veterans Affairs' Home-Based Primary Care (HBPC) Interdisciplinary Team (IDT) provides in-home, primary care for medically complex Veterans. This study explores how HBPC and Veterans' caregivers partner to provide care. Interviews, focus groups, and field observations were conducted during eight HBPC site visits. Qualitative thematic analysis was performed. Caregivers/IDT member partnerships are important to care. Effective partnerships include: ease of communication; caregiver-centered support; and when no caregiver is present, IDTs providing more monitoring/services to Veterans and connection to community services. As this model expands, understanding dynamics between IDT members and caregivers will optimize the success of HBPC programs.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 1","pages":"1-15"},"PeriodicalIF":1.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1869634","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38792362","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
The use of community advisory boards in pragmatic clinical trials: The case of the adult day services plus project. 在实用临床试验中使用社区咨询委员会:以成人日间服务加项目为例。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-01-01 Epub Date: 2020-08-31 DOI: 10.1080/01621424.2020.1816522
Keith A Anderson, Holly Dabelko-Schoeny, Sokha Koeuth, Katherine Marx, Laura N Gitlin, Joseph E Gaugler
{"title":"The use of community advisory boards in pragmatic clinical trials: The case of the adult day services plus project.","authors":"Keith A Anderson,&nbsp;Holly Dabelko-Schoeny,&nbsp;Sokha Koeuth,&nbsp;Katherine Marx,&nbsp;Laura N Gitlin,&nbsp;Joseph E Gaugler","doi":"10.1080/01621424.2020.1816522","DOIUrl":"https://doi.org/10.1080/01621424.2020.1816522","url":null,"abstract":"<p><p>Community advisory boards (CABs) have become increasingly common and important in translational research in health care including studies focusing on home and community-based services. CABs are composed of stakeholders who share interest in research projects and typically include patients/clients, practitioners, community members, policymakers, and researchers. CABs advise researchers on issues ranging from research design and recruitment to implementation and dissemination. In this article, the researchers detail their experiences with the CAB for a pragmatic clinical trail of Adult Day Services (ADS) Plus, an education and support intervention for family caregivers of older adults with dementia using adult day services. Lessons learned, guidelines, and best practices are then presented for developing and working with a CAB in healthcare research.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 1","pages":"16-26"},"PeriodicalIF":1.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1816522","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38327063","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: 3
Determinants of Discretionary and Non-Discretionary Service Utilization among Caregivers of People with Dementia: Focusing on the Race/Ethnic Differences. 痴呆症患者照顾者酌情和非酌情使用服务的决定因素：关注种族/族裔差异。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-01-01 Epub Date: 2020-08-17 DOI: 10.1080/01621424.2020.1805083
Ling Xu, Yura Lee, Bum Jung Kim, Lin Chen
{"title":"Determinants of Discretionary and Non-Discretionary Service Utilization among Caregivers of People with Dementia: Focusing on the Race/Ethnic Differences.","authors":"Ling Xu, Yura Lee, Bum Jung Kim, Lin Chen","doi":"10.1080/01621424.2020.1805083","DOIUrl":"10.1080/01621424.2020.1805083","url":null,"abstract":"<p><p>Using Andersen's behavioral model of service utilization, this study aimed to understand how predisposing, enabling, and need factors were associated with two types of service utilization among caregivers of people with dementia. Caregiver participants (<i>N</i> = 637) were from the Resources for Enhancing Alzheimer's Caregivers Health (REACH II) study. Binary logistic and linear regression analyses were conducted to predict whether participants used services and the frequency of such service utilization. Results showed that some enabling and need factors were significantly associated with both discretionary and non-discretionary service utilization. Results also indicated some need factors were significant factors of the frequency of use for both discretionary and non-discretionary services. In addition, being Hispanic or African American moderated the association between some enabling or needs factors and service utilization. Practice attention needs to be paid on several enabling and needs factors among Hispanic and African American caregivers of people with dementia.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 1","pages":"75-92"},"PeriodicalIF":1.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38276861","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
The impact of severe obesity on home health care agency admission: An organizational perspective. 重度肥胖对家庭保健机构入院的影响:组织视角。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-01-01 Epub Date: 2020-12-17 DOI: 10.1080/01621424.2020.1856747
Robert F Schuldt, Holly C Felix, Christine K Bradway
{"title":"The impact of severe obesity on home health care agency admission: An organizational perspective.","authors":"Robert F Schuldt,&nbsp;Holly C Felix,&nbsp;Christine K Bradway","doi":"10.1080/01621424.2020.1856747","DOIUrl":"https://doi.org/10.1080/01621424.2020.1856747","url":null,"abstract":"<p><p>Home health care is a growing treatment option for older adults who wish to remain in their homes and communities. However, the growing number of older adults with severe obesity presents a challenge for home health professionals. This study utilizes survey data from 128 home health care agencies in Arkansas and Pennsylvania to explore home health care agencies' decision-making in admitting patients with severe obesity. The responding agencies indicated that concerns about adequate staffing levels were the primary barriers to entry for severe obesity patients. Existing research on the intersection of obesity and home health care is sparse, and this study adds an organizational perspective to the scant literature on the topic. Additional research on this topic is advised to accommodate the expected growth in home health care utilization and rising obesity rates among older adults.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 1","pages":"27-38"},"PeriodicalIF":1.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1856747","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38380083","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
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