Hospice Staff Comfort with Telehospice
Telehospice has been recognized as a way to meet the needs of hospice patients and their caregivers. The purpose of this study was to examine the comfort of hospice staff using telehospice to connect virtually with patients and caregivers. The hospice in this study uses Alpha Virtual Assist (AVA), which employs a commercial remote patient monitoring platform and a communication platform that focuses on holistic patient and caregiver comfort as well as interpersonal and interprofessional communication. A mixed methods research design was used. An online survey of hospice staff that included quantitative and qualitative item...
Source: Home Healthcare Nurse - November 1, 2021 Category: Nursing Tags: Feature Source Type: research

Experiences of Families with Adult Home Invasive Mechanical Ventilation Patients: A Meta-Synthesis
This study aimed to synthesize the existing qualitative research that examined family members' experiences of caring for adult patients using HMV. Medline, PubMed, CINAHL, Scopus, and Web of Science were searched for qualitative studies conducted with family caregivers of adult patients receiving HMV. Thematic synthesis was conducted to interpret the findings. The GRADE-CERQual approach was used to assess the level of confidence. After completion of the screening process, 11 studies were included. The main theme from the meta-synthesis was the Experience of changing as a person. Families' experiences were divided into thre...
Source: Home Healthcare Nurse - November 1, 2021 Category: Nursing Tags: Feature Source Type: research

Reducing Nurse Practitioner Turnover in Home Based Primary Care: A Department of Veterans Affairs Quality Improvement Project
Access to healthcare is challenging for both Veterans and the nation's general population. To keep up with national primary healthcare needs, the Department of Veteran Affairs (VA) implemented Home Based Primary Care (HBPC). After a structure remodel at a Texas VA medical center, 40% of nurse practitioners (NPs) left the HBPC department in one year. The Anticipated Turnover Scale and the Misener NP Job Satisfaction Scale were administered online (n = 7), and results were used to complete a program evaluation. Forty-three percent of participants indicated intent to leave, and 56% of answers indicated job dissatisfaction. Se...
Source: Home Healthcare Nurse - November 1, 2021 Category: Nursing Tags: Feature Source Type: research

Association of a Substance Use Disorder with Infectious Diseases among Adult Home Healthcare Patients with a Venous Access Device
This study examined the association of SUD with infectious diseases among adult home healthcare patients with a VAD. We identified adult patients with an existing VAD who were admitted to a home healthcare agency August 1, 2017–July 31, 2018 from the electronic health records of a large Medicare-certified agency. Four serious infectious diseases (endocarditis, epidural abscess, septic arthritis, and osteomyelitis) and SUD related to injectable drugs were identified using relevant ICD-10 codes. Multiple logistic regression was performed to examine the association. Of 416 patients with a VAD, 12% (n = 50) had at least one ...
Source: Home Healthcare Nurse - November 1, 2021 Category: Nursing Tags: Feature Source Type: research

Continuing Education for Home Care Nurses: An Integrative Literature Review
With the wide range of clinical skills and responsibilities that home care nurses (HCNs) are expected to perform, it is important they are supported with access to relevant continuing nursing education (CNE) to perform their job safely and effectively. An integrative literature review was conducted to explore the current evidence on CNE for HCNs. Medline and CINAHL were searched and 13 articles that met the criteria were reviewed. The analysis identified three themes: (1) learning strategies (simulation, virtual gaming, elearning, traditional learning); (2) challenges (staffing, time, access, skill) and opportunities (ince...
Source: Home Healthcare Nurse - November 1, 2021 Category: Nursing Tags: Feature Source Type: research

Indwelling Pleural Catheters for Malignant Pleural Effusion: A Time for Action
Malignant pleural effusion (MPE) resulting from metastatic spread to the pleura frequently occurs in patients with primary lung, breast, hematological, gastrointestinal, and gynecological cancers. These effusions tend to reaccumulate quickly, and the patient requires increasingly frequent thoracentesis. An indwelling pleural catheter allows for dramatic improvement in quality of life as the patient has the power to ease her/his own suffering by draining the effusion at home when shortness of breath and/or chest pain intensifies. Patients with MPE need home healthcare support to address symptom management related to complic...
Source: Home Healthcare Nurse - November 1, 2021 Category: Nursing Tags: Feature: NCPD Connection Source Type: research

Aging in Place
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - November 1, 2021 Category: Nursing Tags: EDITORIAL Source Type: research

Antimicrobial Resistance and Antimicrobial Stewardship in Home Healthcare
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - September 1, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

The Genesis of the Kansas State Nurses Association's Nightingale Tribute
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - September 1, 2021 Category: Nursing Tags: COMMENTARY Source Type: research

Implementing the Infusion Therapy Standards of Practice
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - September 1, 2021 Category: Nursing Tags: CONSULT PRN Source Type: research

A Day in the Life of a District Nurse
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - September 1, 2021 Category: Nursing Tags: A DAY IN THE LIFE OF... Source Type: research

Infection Prevention and Control Update
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - September 1, 2021 Category: Nursing Tags: INFECTION PREVENTION Source Type: research

Meet the International Board Members of IHCNO
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - September 1, 2021 Category: Nursing Tags: IHCNO Source Type: research

Call to Action: Longstanding Strategies to Prevent Accidental Daily Methotrexate Dosing Must Be Implemented
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - September 1, 2021 Category: Nursing Tags: ISMP MEDICATION SAFETY Source Type: research

Telerehabilitation: Safe and Effective Standing and Weight-Bearing Activities Following Stroke
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - September 1, 2021 Category: Nursing Tags: FOCUS ON THERAPY Source Type: research