Lived experiences of burn survivors regarding the challenges of home care follow-ups: a phenomenological study.
Authors: Heydarikhayat N, Ashktorab T, Rohani C Abstract Burn victims often require long-term treatments. Patients prefer to be at home while receiving care services but there are some deficiencies in conducting home care. To explore the challenges of nurse-led follow-up, 16 burn survivors who received home care for 6 months were interviewed. The theme, "barriers of care," was extracted. It included two subthemes entitled "Barriers related to implementation of home care and "Barriers of ideality." Providing home care for burn survivors encounters several barriers that were classified i...
Source: Home Health Care Services Quarterly - October 10, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Care managers in rural Japan: Challenges to interprofessional collaboration.
This study's aim was to inquire into the obstacles to interprofessional collaboration faced by care managers in rural areas of Japan. Forty-six care managers participated in group discussions and semi-structured interviews, and the qualitative data were analyzed using thematic analysis. Five themes related to obstacles emerged from the analysis regarding relationships with physicians, professional competency, relationships among other professionals, environmental constraints, and relationships with nonprofessionals. Other professionals' unfamiliarity with the care manager's role and a lack of mutual understanding, boundari...
Source: Home Health Care Services Quarterly - October 2, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

The effect of palliative care intervention program on the quality of life among Jordanian caregivers of cancer patients.
Authors: Bani Younis MK, Al-Rawashdeh A, Alnajadat RM Abstract The purpose of this study was to evaluate the effect of palliative care intervention on the quality of life among Jordanian caregivers of cancer patients. Repeated measures design was used in this study. Data were collected from 137 Jordanian caregivers of cancer patients utilizing a self-administered questionnaire. An intervention program called SHARE was implemented to the experimental groups and its effectiveness in improving the overall quality of life for caregivers of cancer patients was evaluated using repeated measure ANOVA test. The results sho...
Source: Home Health Care Services Quarterly - September 15, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Working in home healthcare and suggestions for development.
Authors: Vaartio-Rajalin H, Näsman Y, Santamäki-Fischer R, Hemberg J Abstract In order to describe nurses' experiences of working in home health care and their suggestions for the development of this public health-care sector, interviews with 18 home health-care nurses were analyzed with qualitative thematic content analysis. The nurses perceived the working shifts either affirmative or non-affirmative, depending on the contextual and organizational factors affecting nurses' workload. The more the nurses perceived they could influence their work, the more engaged they were in patient-related nursing activ...
Source: Home Health Care Services Quarterly - July 13, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Causal analysis of the impact of homecare services on patient discharge disposition.
This study uses observational causal inference to evaluate the impact of different combinations of home care services (nursing, therapies, social work, home aides) on end-of-episode disposition for individuals with chronic diseases associated with the circulatory, endocrine, and musculoskeletal systems. The potential to generate actionable recommendations for personalizing home care services, or treatment plans, from limited clinical and care needs data is demonstrated. For patients with chronic disease in the circulatory or musculoskeletal systems, a 2.91% and 3.38% decrease, respectively, in acute care hospitalization ra...
Source: Home Health Care Services Quarterly - May 29, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Written interprofessional communication in the context of home healthcare: A qualitative exploration of Swiss perceptions and practices.
Authors: Junod Perron N, Le Breton J, Perrier-Gros-Claude O, Schusselé Filliettaz S, Hudelson P, Pautex S Abstract The aim of this study was to explore the practices and perceptions of Swiss home care professionals with regards to written interprofessional communication. We analyzed 11 home care notebooks and conducted six focus groups with home health-care professionals in 2015-2016. Interprofessional written communication was rarely explicit. Health professionals reported a lack of clarity about what to document and for whom. They felt unsure how to reconcile the need for confidential information-sharing a...
Source: Home Health Care Services Quarterly - May 25, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

72-hour hospital readmission of older people after hospital discharge with home care services.
Authors: Cunha Ferré MF, Gallo Acosta CM, Dawidowski AR, Senillosa MB, Scozzafava SM, Saimovici JM Abstract In this retrospective cohort study in Argentina, risk factors for hospital readmission of older adults, within 72 hours after hospital discharge with home care services, were analyzed. Fifty-three percent of unplanned emergency room visits within 72 hours after hospital discharge resulted in hospital readmissions, 65% of which were potentially avoidable. By multivariate logistic regression, low functionality, pressure ulcers, and age over 83 years predicted hospital readmission among eme...
Source: Home Health Care Services Quarterly - May 22, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Supporting older people with multimorbidity: The care burden of home health-care assistants in Ireland.
Authors: Smith S, Murphy E, Hannigan C, Dinsmore J, Doyle J Abstract The treatment burden inherent in self-managing multiple chronic conditions (multimorbidity) is recognized, but there has been little examination of the care burden experienced by paid home health-care assistants (HCAs) who support older people with multimorbidity. Focus groups were conducted with HCAs in Ireland and data were coded using a thematic analysis approach. Care burden of HCAs was linked with lack of knowledge and information, poor communication, insufficient time and resources, gaps in medication support and work-related stress. Strateg...
Source: Home Health Care Services Quarterly - May 22, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Supporting older adults' engagement in health-care programs and policies: Findings from a rural cognitive health study.
This article explores rural seniors' perspectives to support their engagement in patient-oriented research. Guided by lay theory and cultural schema theory, participant observation, concept maps, and semi-structured interviews were conducted with 42 rural seniors in Saskatchewan, Canada. Three themes were identified: community outreach through trust and partnership-building; using flexible data collection methods such as moving to open-ended interviews rather than closed-ended surveys; and developing community-relevant dissemination strategies such as local newspaper articles, posters, and community workshops. In moving fo...
Source: Home Health Care Services Quarterly - May 19, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Hospitalization risk factors of older cohorts of home health care patients: A systematic review.
Authors: Bick I, Dowding D Abstract Nearly one million Medicare home health care beneficiaries are hospitalized annually of which one-quarter are considered preventable. Older hospitalized patients are at risk for nosocomial complications and poorer outcomes and incur higher health care costs. This paper reports the results of a systematic review of 28 studies on hospitalization risk factors of older home health care patients. It found that males, Blacks, and non-Asian minorities are at greater hospitalization risk. Factors associated with higher risk included skin ulcers, psychiatric conditions, dyspnea/COPD, card...
Source: Home Health Care Services Quarterly - May 19, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Are community health workers more effective in identifying persons in need of home and community-based long-term services than standard-passive approaches.
We examined the use of community health workers (CHWs) to find and help Medicaid beneficiaries with unmet LTC needs access HCBS compared to standard HCBS outreach approaches. We found that CHWs were very effective at finding persons with greater needs and were better able to help them access a greater range of HCBS services. We also found that five times fewer HCBS beneficiaries helped by CHWs had to use nursing home care services than those not helped by the CHWs despite the fact that their health status was poorer than those not helped by the CHWs. Our study provides evidence of the effectiveness of CHWs for HCBS service...
Source: Home Health Care Services Quarterly - May 9, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Home care providers' experience of translating evidence-based fall prevention programs into practice.
Authors: Yang K, Colorito KM, Bowles KH, Woomer GR, Murtaugh CM Abstract The purpose of the study was to obtain exploratory, descriptive information that would provide insights into the barriers to and facilitators of the implementation of fall prevention programs in home care settings. The study employed a qualitative approach through a series of focus groups with home care providers who work with patients with diabetes (N = 29). The study identified teamwork, resistance to change, and patient's readiness as major factors in fall prevention practice at home care. Understanding health-care providers' experiences wi...
Source: Home Health Care Services Quarterly - April 27, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Multifactorial analysis to examine drivers of CMS summary star ratings in home health agencies.
Authors: Zikos D, Massaria K, Graziano M, DeLellis N Abstract This cross-sectional study examines factors associated with the CMS Summary Star Ratings in Home Health Agencies (HHA). Using Home Health Compare, medical claims, and census data, negative binomial regression analysis was conducted at the HHA level. Positive associations were found between Summary Star Ratings and beneficiary age, the number of claims, the proportion for specific diagnoses, the agency being hospital based, HHA age since establishment, patient retainment, improved walking/moving/bathing, and homeownership. Negative associations were found...
Source: Home Health Care Services Quarterly - April 25, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Supporting trust in home healthcare providers: insights into the care recipients' perspective.
Authors: Stuck RE, Rogers WA Abstract Successful care in home health for older adults is heavily dependent on the relationships between care recipients and care providers. A key component of that relationship is trust. To investigate trust in this context, we explored what older care recipients perceive as supporting trust in home care providers. Participants discussed three main categories that support trust in a care provider: professional skills (e.g., safety), personal traits (e.g., honesty), and communication (e.g., content). Insights from the care recipients' perspective are utilized to provide training recom...
Source: Home Health Care Services Quarterly - April 24, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Health literacy training for Australian home care workers: Enablers and barriers.
Authors: Palesy D, Jakimowicz S Abstract The rapidly expanding Australian home care workforce represents an untapped resource for improving health literacy (HL) and health outcomes of their clients. Nine home care workers (HCWs) were interviewed for this study to gain data around their experiences of providing HL support to their clients, key HL needs and priorities, and training that would best these needs. Findings indicate that HCWs are providing HL support, and identify a number of enablers and barriers to providing this support. Core inclusions for a HL training checklist are suggested. Implications for future...
Source: Home Health Care Services Quarterly - April 24, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

The subjective world of home care workers in dementia: an "order of worth" analysis.
The subjective world of home care workers in dementia: an "order of worth" analysis. Home Health Care Serv Q. 2019 Feb 22;:1-14 Authors: Schneider J, Pollock K, Wilkinson S, Perry-Young L, Travers C, Turner N Abstract The perspective of domiciliary workers is needed to recruit a high-quality workforce and meet growing demand. An English ethnographic study yielded extensive insights. To structure analysis of the study data, we apply a method developed by political theorists Boltanski and Thévenot that identifies key variables in different values systems. This "orders of worth"...
Source: Home Health Care Services Quarterly - February 23, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Immediate aftermath of a client's death: the experience of home health aides.
This study investigated Home Health Aides' (HHAs) experiences in the immediate aftermath of client death. Semi-structured in-person interviews with 80 HHAs explored how notification of death and reassignment to a new client were handled. Only 42.5% of HHAs were notified of the death; 40% had to notify the agency; 17.5% were not notified at all and had a negative experience. Reassignment preferences varied, but HHAs had a better experience when their preferences were taken into consideration. Study findings suggest that more mindful approaches to transitions following client death would be valued by HHAs and could improve t...
Source: Home Health Care Services Quarterly - January 23, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Predictors and patterns of home health care utilization among older adults in Shanghai, China.
The objective of this study is to explore the predictors and patterns of home health care among older adults in Shanghai, China. A cross-sectional survey was conducted in the Yangpu and Pudong Districts of Shanghai from August to September of 2015. A total of 982 eligible seniors were chosen for interviews based on a stratified random sampling. Four home health care patterns were identified through an exploratory factor analysis: daily living care, skilled nursing care, chronic care, and episodic care. Findings suggest that need factors have more influence on home health care use than predisposing factors. PMID: 306164...
Source: Home Health Care Services Quarterly - January 10, 2019 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Developing a health interview tool for Medicaid home and community-based services clients and home care aides through a community-engaged approach.
We describe a community-engaged approach to develop and pilot a home care aide (HCA) administered health interview with Medicaid Home and Community-based Services clients. Stakeholders identified five priority health topics and selected a card sorting methodology for interviews. A barrier to interviewing clients was decreased communication skills among HCAs, and we modified health interview training to include communication training. Stakeholders reported the interview methodology was feasible within usual care, acceptable to clients, and contributed to increased knowledge on providing person-centered care. Stakeholder eng...
Source: Home Health Care Services Quarterly - December 22, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Disaster preparedness among families of older adults taking oral medications.
This study aimed to examine factors influencing disaster preparedness among families caring for older adults who take oral medications. Fifty-eight family caregivers completed anonymous self-administered questionnaires. Binomial logistic regression analysis with the storage of the care recipient's medications as the dependent variable revealed that caregivers' disaster-related information-seeking behavior (e.g., considering appropriate methods to collect such information), and recognition of disaster risks in their communities strongly influenced their storage of emergency medication. PMID: 30501572 [PubMed - as suppli...
Source: Home Health Care Services Quarterly - December 8, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Patient factors associated with the initiation of telehealth services among heart failure patients at home.
This study aimed to explore factors associated with the initiation of telehealth among home care patients with heart failure using the Outcome and Assessment Information Set data (N = 2,832). The findings indicate patients who received high-risk drugs education by visiting nurses had an 80% increase in the odds of receiving telehealth, and patients who received no assistance from caregivers had a 46% decrease in odds compared to those who were assisted at least daily. PMID: 30482130 [PubMed - as supplied by publisher] (Source: Home Health Care Services Quarterly)
Source: Home Health Care Services Quarterly - December 1, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

The influence of autonomy on personal support workers' job satisfaction, capacity to care, and intention to stay.
Authors: Barken R, Denton M, Sayin FK, Brookman C, Davies S, Zeytinoglu IU Abstract Using survey data collected in Ontario, Canada, we explore the impacts of autonomy on community-based Personal Support Workers' intrinsic job satisfaction, capacity to care for and about clients, and intention to continue working in home care. Autonomy was measured as "freedom to decide how to do your job" and "working on your own." Findings show that freedom to do your job and working on your own are both positively associated with job satisfaction and capacity to care, and indirectly increase intention to stay ...
Source: Home Health Care Services Quarterly - October 16, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Challenges for Japanese rural home care workers in interprofessional collaboration: a qualitative study.
Authors: Ohta R, Ryu Y, Katsube T Abstract Among medical professionals, the role of home care workers is crucial in the care of patients in their homes. In Japan, however, research on the difficulties home care workers face while working in rural zones is limited. Using thematic analysis, a qualitative study was conducted with 57 home care workers in a rural area of Japan. Findings revealed the difficulties they experienced regarding the medical problems of their patients and in their relationships with other professionals. The old customs of rural medicine and the system of long-term care insurance strongly influe...
Source: Home Health Care Services Quarterly - October 11, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Service provision and quality outcomes in home health for rural Medicare beneficiaries at high risk for unplanned care.
This study examined relationships between service provision and quality outcomes among rural, fee-for-service Medicare beneficiaries who received home health care between 2011 and 2013 for conditions associated with high-risk for unplanned care. More skilled nursing visits, visits by more types of providers, more timely care, and shorter lengths of stay were associated with significantly higher odds of hospital readmission and emergency department use and significantly lower odds of community discharge. Results may indicate unmeasured clinical severity and care needs among this population. Additional research regarding the...
Source: Home Health Care Services Quarterly - June 13, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

The effectiveness of home health care for reducing readmissions: an integrative review.
Authors: Siclovan DM Abstract This integrative review analyzes research on the relationship of Home Health Care (HHC) to readmissions, specifically, identifying moderating and mediating factors and measurement constraints influencing effectiveness evaluations of HHC in reducing readmissions. HHC patients' readmission rates are higher than patients not receiving home health services but measurement of effectiveness is confounded by both practice variation and comparisons using noncomparable control groups. Effectiveness evaluations of HHC in reducing readmission requires attention to sample comparability and control...
Source: Home Health Care Services Quarterly - June 7, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Sizing up assisted living: an examination of long-term care ombudsman complaint data.
Authors: Magruder KJ, Fields NL, Xu L Abstract Long-term care ombudsmen are resident advocates who receive, investigate, and resolve complaints relating to quality of care and violations of resident rights in assisted living (AL). More research is needed to understand systemic differences in source, type, and number of ombudsman complaints in AL. Ombudsman complaint data (n = 5,705 complaints) in small, medium, and large ALs in Dallas, Texas were analyzed using proportion Z tests. Findings suggest that all facilities had a high number of environmental complaints. Compared to larger facilities, small ALs h...
Source: Home Health Care Services Quarterly - June 3, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Protecting workers in the home care industry: workers' experienced job demands, resource gaps, and benefits following a socially supportive intervention.
Authors: Mabry L, Parker KN, Thompson SV, Bettencourt KM, Haque A, Luther Rhoten K, Wright RR, Hess JA, Olson R Abstract The COMmunity of Practice And Safety Support (COMPASS) program is a peer-led group intervention for home care workers (HCWs). In a randomized controlled trial COMPASS significantly improved workers' professional support networks and safety and health behaviors. However, quantitative findings failed to capture workers' complex emotional, physical, and social experiences with job demands, resource limitations, and the intervention itself. Therefore, we conducted qualitative follow-up interviews wit...
Source: Home Health Care Services Quarterly - May 4, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Adverse drug events and medication problems in hospital at home patients.
This study describes adverse drug events and potential adverse drug events in a new hospital at home program. We examined the charts of the first 50 patients admitted. We found 45 potential adverse drug events and 14 adverse drug events. None of the adverse drug events were severe. Some events, like problems with medication administration, may be unique to the hospital at home setting. Monitoring for adverse drug events is feasible and important for hospital at home programs. PMID: 29578834 [PubMed - as supplied by publisher] (Source: Home Health Care Services Quarterly)
Source: Home Health Care Services Quarterly - March 28, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Home health nurse decision-making regarding visit intensity planning for newly admitted patients: a qualitative descriptive study.
Authors: Irani E, Hirschman KB, Cacchione PZ, Bowles KH Abstract Despite patients referred to home health having diverse and complex needs, it is unknown how nurses develop personalized visit plans. In this qualitative descriptive study, we interviewed 26 nurses from three agencies about their decision-making process to determine visit intensity and analyzed data using directed content analysis. Following a multifactorial assessment of the patient, nurses relied on their experience and their agency's protocols to develop the personalized visit plan. They revised the plan based on changes in the patient's clinical c...
Source: Home Health Care Services Quarterly - March 28, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Understanding complex care for older adults within canadian home care: a systematic literature review.
Authors: Johnson S, Bacsu J Abstract In the context of population aging, both the need for home care services and its complexity of care have increased in many high-income countries. Yet, the definition of what constitutes complex care is largely elusive. This systematic review examined the conceptual definition of complex care within the home care environment using several social and health science databases for research published from 2000 to 2017. Of the 25 articles and reports identified, only 16 addressed complex care specifically and included older adults, aging, and/or home care. The results showed that comp...
Source: Home Health Care Services Quarterly - March 28, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Postnatal women's perspectives on the feasibility of introducing postpartum home visits: a Jordanian study.
This study investigated the feasibility of initiating postnatal home visits in Jordan. Thirty Jordanian mothers who had recently given birth were recruited from two governmental hospitals in the northern region of Jordan to participate in a qualitative study through face-to-face, voice-recorded interviews. The findings revealed that initiating postnatal home visits as part of postnatal care was well-received by the participants. Mothers' views and perceptions regarding postpartum home visits play an integral role in finding areas to improve postnatal services. PMID: 29558322 [PubMed - as supplied by publisher] (Source:...
Source: Home Health Care Services Quarterly - March 22, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Australian home care work: an integrative review.
Authors: Palesy D, Jakimowicz S, Saunders C, Lewis J Abstract The home care sector comprises one of Australia's fastest growing workforces, yet few papers capture the overall landscape of Australian home care. This integrative review investigates home care work with the aim of better understanding care recipients and their needs, funding and regulation, care worker skills, tasks, demographics, employment conditions and training needs. Over 2,700 pieces of literature were analysed to inform this review. Results suggest sector fragmentation and a home care workforce who, although well placed to improve outcomes for c...
Source: Home Health Care Services Quarterly - February 10, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Caregiver informational support in different patient care settings at end of life.
This study examines how the setting where a patient receives end of life care affects caregivers' informational support needs by thematically analyzing data from caregiver interviews and clinical observations. Caregivers providing care for patients at home received informational support related to meeting patients' mobility, medication, and nutritional needs. Caregivers who provided care remotely received informational support to navigate transitions between patient care settings or long-term care arrangements, including financial considerations and insurance logistics. The findings document that interventions designed to ...
Source: Home Health Care Services Quarterly - February 10, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Effects of respite care training on respite provider knowledge and confidence, and outcomes for family caregivers receiving respite services.
Authors: Ackerman L, Sheaffer L Abstract Respite services are vital in supporting informal caregivers in need of a break from their caregiving duties. A respite training program aimed at developing respite provider competence and improving caregiver well-being was evaluated. Trainees experienced significant growth in their perceived respite knowledge and confidence to deliver respite from pre-training to post-training. An objective core competency assessment confirmed post-training knowledge in ten core areas of respite. Family caregivers provided more favorable ratings on various measures of their well-being while...
Source: Home Health Care Services Quarterly - February 10, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Qualitative analysis and conceptual mapping of patient experiences in home health care.
This study explored patient experiences in home health care through a literature review, focus groups, and interviews. Our goal was to develop a conceptual map of home health care patient experience domains. The conceptual map identifies technical and personal spheres of care, relating prior studies to new focus group and interview findings and identifying the most important domains of care. Study participants (n = 35) most frequently reported the most important domain as staff who are caring, supportive, patient, empathetic, respectful, and considerate (endorsed by 29% of participants). The conceptual map includ...
Source: Home Health Care Services Quarterly - January 18, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Availability of medicaid home and community-based services for older americans and people with physical disabilities.
Authors: Meucci MR, Kurth NK, Shireman TI, Hall JP Abstract This paper provides an overview of Medicaid home and community-based services (HCBS) for older adults and individuals with physical disabilities by describing eligibility criteria, availability, and types of services. All 50 state Medicaid programs provide supplementary HCBS in addition to mandatory services. The amount, type, and eligibility for HCBS varied widely between states. Variation in service provision and eligibility rules has led to a patchwork of services from state to state, with the same person eligible for services in one state but not anoth...
Source: Home Health Care Services Quarterly - January 11, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

The relationship between caregiver burden and depressive symptoms in ontario home care clients.
DISCUSSION: The onset of depressive symptoms is common in home care. Understanding the experience of the informal caregiver can assist clinicians in providing services to maximize the well-being of both the client and their caregivers. PMID: 29319428 [PubMed - as supplied by publisher] (Source: Home Health Care Services Quarterly)
Source: Home Health Care Services Quarterly - January 11, 2018 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

A qualitative exploration of veteran and family perspectives on medical foster homes.
Authors: Gilman C, Haverhals L, Manheim C, Levy C Abstract Since 2008, the Veterans Health Administration Medical Foster Home (MFH) program has served as an alternative to nursing home care for Veterans. As part of a larger national research study, 55 in-person interviews with 62 Veterans and/or their families were conducted to identify reasons for selecting or declining MFH placement. Enrollment was attributed to: a need for increased care and a preference for highly-individualized care oversight and family-oriented settings. Reasons for declining placement included: costs, location of MFHs, lack of readiness of f...
Source: Home Health Care Services Quarterly - December 22, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Editorial Board : EOV.
Authors: PMID: 29236599 [PubMed - in process] (Source: Home Health Care Services Quarterly)
Source: Home Health Care Services Quarterly - December 15, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Personal emergency alarms: do health outcomes differ for purchasers and nonpurchasers?
The objective of this study was to assess whether purchasing a personal alarm service makes a difference in a range of health outcomes for community dwelling older adults. The prospective cohort study involved 295 individuals for whom data on emergencies experienced at home were collected over a period of 12 months. Purchasers of alarms, compared to nonpurchasers, benefitted in terms of feeling more safe and secure and being more active around their home. Outcomes experienced after an emergency were similar for both groups with no differences found in terms of time spent on floor, or hospitalizations. PMID: 292206...
Source: Home Health Care Services Quarterly - December 9, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Home-Based care: barriers and facilitators to expanded personal support worker roles in Ontario, Canada.
Authors: Saari M, Patterson E, Killackey T, Raffaghello J, Rowe A, Tourangeau AE Abstract To accommodate increasing demand for homecare in Ontario, Canada, some care tasks traditionally performed by regulated health professionals are being transferred to personal support workers (PSW). However, this expansion of PSW roles is not uniform across the province. Between December 2014 and April 2015, barriers and facilitators to expansion of PSW roles in homecare were explored in a series of thirteen focus groups. Homecare staff identified seven categories of factors affecting the expansion of PSW roles in homecare inclu...
Source: Home Health Care Services Quarterly - October 20, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Rationale and development of a patient-tailored complex intervention of case management for patients suffering from chronic obstructive pulmonary disease.
Authors: Sørensen SS, Weinreich UM, Ehlers L Abstract This paper describes the rationale, considerations and choices made in developing a complex intervention evaluating the effectiveness and cost-effectiveness of community-based case management for chronic obstructive pulmonary disease patients in a Danish setting. Inspired by existing research methods for designing complex interventions, the intervention was developed using mixed methods entailing systematic review of available literature, interviews with key stakeholders and discussions in a specialist-comprised project group. The rigorous process helped ...
Source: Home Health Care Services Quarterly - October 20, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Nursing Facility and Home and Community Based Service Need Criteria in the United States.
This study examined variations in need criteria, methods for determining need, and assessment forms for NF and HCBS across the states, and identified whether these procedures were more stringent for HCBS than for NFs. The NF minimum need criteria was most often (31 states) based on a combination of nursing, medical, functional, or other psychosocial criteria, 10 states used nursing criteria, and 10 states used limitations in functional activities criteria. The method used for determining need for NF was based on explicit criteria in 25 states, point systems in seven states, and 19 states used guidelines that allowed for ju...
Source: Home Health Care Services Quarterly - October 13, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

'You Need Them to Know Your Ways': Service Users' Views About Valued Dimensions of Home Care.
Authors: Aronson J Abstract Dominant approaches to evaluating supportive home care tend to be 'top-down,' undertaken from the vantage points of funding bodies and professionals, rather than from the perspectives of service users. A longitudinal, qualitative study of women receiving home care in Ontario, Canada explored their accounts of what constitutes good and responsive care. Participants identified four dimensions of care that they particularly valued: Minimized exposure, being known, staying in charge, and being able to speak. The implications of their perspectives for home care practice, evaluation and organi...
Source: Home Health Care Services Quarterly - October 13, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Using a Focus Group Methodology to Gain Input from People Who Use Home and Community Based Services.
Authors: Wituk S, Bomhoff K, Commer A, Warren M, Meissen G Abstract Gaining input from people who use home and community based services is important for determining the usefulness of services and clarifying future direction. Many of the commonly used methods have drawbacks when gaining input from people served. The current paper describes a focus group process that has been used to gain input from people who use home and community based services. The focus group process included designing the focus groups, their implementation, and feedback to stakeholders. Insights are presented and have implications for home and ...
Source: Home Health Care Services Quarterly - October 13, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

A Study of Reliability and Burden of Home Health Assessment Using OASIS.
Authors: Hittle DF, Shaughnessy PW, Crisler KS, Powell MC, Richard AA, Conway KS, Stearns PM, Engle K Abstract The Outcome and Assessment Information Set (OASIS) is used for outcome reporting, quality improvement, and case mix adjustment of per-episode payment for home health care. The research described here addresses interrater reliability of OASIS items and compares clinician time required to complete patient assessment with and without OASIS. Interrater reliability for OASIS data items was estimated using independent assessments by two clinicians for a sample of 66 patients. Incremental assessment time due to O...
Source: Home Health Care Services Quarterly - October 13, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

The Impact of the Senior Companion Program on Quality of Life Outcomes for Frail Older Adults and Their Families.
Authors: Rabiner DJ, Scheffler S, Koetse E, Palermo J, Ponzi E, Burt S, Hampton L Abstract The Senior Companion Quality of Care Evaluation assessed the impact of a federally funded senior volunteer program on quality of life outcomes for frail clients and their families. Telephone interviews were conducted with national samples of frail Senior Companion Program (SCP) clients, family members, and comparison group participants. Multivariate procedures were used to examine study outcomes. SCP clients benefited significantly from the program at 3 months, though fewer positive effects were reported at 9 months. SCP fami...
Source: Home Health Care Services Quarterly - October 13, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Design and development of a mobile exercise application for home care aides and older adult medicaid home and community-based clients.
We describe a community-engaged approach with Medicaid Home and Community-Based Services (HCBS) home care aide (HCA), client, and physical therapist stakeholders to develop a mobile application (app) exercise intervention through focus groups and interviews. Participants desired a short exercise program with modification capabilities, goal setting, and mechanisms to track progress. Concerns regarding participation were training needs and feasibility within usual care services. Technological preferences were for simple, easy-to-use, and engaging content. The app was piloted with HCA-client dyads (n = 5) to refine ...
Source: Home Health Care Services Quarterly - September 23, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Trend and predictors of unplanned hospitalization of older patients during the first year after admission into a home medical service.
Authors: Mittal R, Tan CS, Tham WY, Seong LPS, Tan T, Choon-Huat Koh G Abstract The primary aim was to determine the trend and predictors of unplanned hospitalization of home medical patients. Records of 1,069 patients were obtained from the medical records. Out of 1069, we analyzed 512 patients who had utilized services across all four quarters in the first year of admission. There was a significant decline in unplanned hospitalization between the first two quarters. The potential risk factors were male sex [IRR (95% CI), 1.29 (0.99-1.67)], chronic pulmonary disease [1.53 (1.08-2.16)], dementia [1.29 (1.00-1.66)],...
Source: Home Health Care Services Quarterly - September 23, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

VA Staff Perceptions of the Role of the Extended Care Referral Process in Home and Community-Based Services versus Nursing Home Use Post-Hospital Discharge.
This study thus characterizes the extended care referral process within the VHA and its impact on HCBS versus nursing home use at hospital discharge. Data derive from 35 semi-structured interviews at 12 Veterans Affairs Medical Centers (VAMCs). Findings indicate that the referral process is characterized by a commitment by care teams to consider HCBS if possible, varied practice depending on the clinician that most heavily influences care team recommendations, and care team emphasis on respecting Veteran/family preferences even when they are contrary to care team recommendations. Potential modifications include adopting sy...
Source: Home Health Care Services Quarterly - June 14, 2017 Category: Nursing Tags: Home Health Care Serv Q Source Type: research