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Home Health Care Services Quarterly

Adrita Barooah, Kathrin Boerner, Hayley P Gleason, Isabelle van Riesenbeck
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 their work experience...
January 19, 2019: Home Health Care Services Quarterly
Yan Liang, Hong Liang, Kirsten N Corazzini
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...
January 8, 2019: Home Health Care Services Quarterly
Rebecca Johnson, Laura Diaz, Lara Boyken, Gustavo Saberbein, Beverly Rogers, Pauline Smith, Lillybeth Rodriguez, Margaret Danilovich
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...
December 20, 2018: Home Health Care Services Quarterly
Kaoru Kyota, Keiko Tsukasaki, Tomoya Itatani
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...
December 1, 2018: Home Health Care Services Quarterly
Kyungmi Woo, Jingjing Shang, Dawn W Dowding
Telehealth is an intervention that can assist patients with heart failure to manage their symptoms at home. However, it is reported that between 24-70% of eligible patients do not receive telehealth. 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...
November 27, 2018: Home Health Care Services Quarterly
Rachel Barken, Margaret Denton, Firat K Sayin, Catherine Brookman, Sharon Davies, Isik U Zeytinoglu
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 through their relationships with job satisfaction and capacity to care...
October 15, 2018: Home Health Care Services Quarterly
Ryuichi Ohta, Yoshinori Ryu, Takuji Katsube
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 influence relationships among multiprofessionals, leading to conflict and hierarchy...
October 9, 2018: Home Health Care Services Quarterly
Tracy M Mroz, C Holly A Andrilla, Lisa A Garberson, Susan M Skillman, Davis G Patterson, Eric H Larson
Multiple barriers exist to providing home health care in rural areas. 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...
July 2018: Home Health Care Services Quarterly
Danielle M Siclovan
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 for mediating variables...
July 2018: Home Health Care Services Quarterly
Karen J Magruder, Noelle L Fields, Ling Xu
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...
July 2018: Home Health Care Services Quarterly
Linda Mabry, Kelsey N Parker, Sharon V Thompson, Katrina M Bettencourt, Afsara Haque, Kristy Luther Rhoten, Rob R Wright, Jennifer A Hess, Ryan Olson
The Community of Practice and Safety Support (COMPASS) program is a peer-led group intervention for home care workers. 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 with a sample of participants (n = 28) in the program...
July 2018: Home Health Care Services Quarterly
Shanthi Johnson, Juanita Bacsu
In the context of an aging population, 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...
July 2018: Home Health Care Services Quarterly
Elliane Irani, Karen B Hirschman, Pamela Z Cacchione, Kathryn H Bowles
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 condition, engagement, and caregiver availability...
July 2018: Home Health Care Services Quarterly
Elizabeth Mann, Orlando Zepeda, Tacara Soones, Alex Federman, Bruce Leff, Albert Siu, Kenneth Boockvar
"Hospital at Home(HaH)" programs provide an alternative to traditional hospitalization. However, the incidence of adverse drug events in these programs is unknown. This study describes adverse drug events and potential adverse drug events in a new HaH program. We examined the charts of the first 50 patients admitted. We found 45 potential adverse drug events and 14 adverse drug events from admission to 30 days after HaH discharge. None of the adverse drug events were severe. Some events, like problems with medication administration, may be unique to the hospital at home setting...
July 2018: Home Health Care Services Quarterly
Insaf A Shaban, Khetam Al-Awamreh, Khitam Mohammad, Huda Gharaibeh
In Jordan, there is a deficiency in postnatal care provided to women and their newborns. 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...
July 2018: Home Health Care Services Quarterly
Lynn Ackerman, Lois Sheaffer
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 pretraining to posttraining. An objective core competency assessment confirmed posttraining knowledge in 10 core areas of respite. Family caregivers provided more favorable ratings on various measures of their well-being while receiving respite from a trained provider compared to before respite began and if respite were to end...
April 2018: Home Health Care Services Quarterly
Susan A Lavalley
Caregivers of the terminally ill face many complicated tasks including providing direct patient care, communicating with clinicians, and managing the logistical demands of daily activities. They require instructive information at all points in the illness process and across several settings where patients receive end-of-life care. 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...
April 2018: Home Health Care Services Quarterly
Debra Palesy, Samantha Jakimowicz, Carla Saunders, Joanne Lewis
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 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 analyzed to inform this review. Results suggest sector fragmentation and a home care workforce who, although well-placed to improve outcomes for care recipients, are in need of better training and employment support...
April 2018: Home Health Care Services Quarterly
Lisa M Lines, Wayne L Anderson, Brian D Blackmon, Cristalle R Pronier, Rachael W Allen, Anne E Kenyon
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)...
January 2018: Home Health Care Services Quarterly
Nicole Williams, Samantha Jamal, Dawn M Guthrie
The onset of depressive symptoms is common in home care clients and their caregivers. 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. The objectives of this article are to examine risk factors for the development of depressive symptoms. A longitudinal analysis design was completed for clients with 2+ assessments. The development of depressive symptoms was defined as a Depression Rating Scale score of 3+ on re-assessment...
January 2018: Home Health Care Services Quarterly
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