Comparisons of the cost-effectiveness among hospital chronic care, nursing home placement, home nursing care and family care for severe stroke patients

<p>It is disconcerting that until today there are no agencies or research to recommend the appropriate indicators of home nursing care of stroke patients according to Indonesian conditions. Hence, this research aimed to verify the validity and reliability of quality indicators of home nursing care for stroke patient that resulted from Delphy process. Confirmatory factor analysis was carried out for validity and reliability testing with data collected from 350 respondents. Based on the value of loading factors, 62 indicators were declared valid and five indicators were invalid. This study successfully proved the validity of 62 indicators of quality home care for stroke patients. Further research is needed to pilot project this indicator in a larger area.</p>

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Malnutrition Is Associated With Impaired Functional Status in Older People Receiving Home Care Nursing Service

Frontiers in Nutrition ◽

10.3389/fnut.2021.684438 ◽

2021 ◽

Vol 8 ◽

Author(s):

Luana Lemos Leão ◽

Knut Engedal ◽

Renato Sobral Monteiro-Junior ◽

Gro Gujord Tangen ◽

Maria Krogseth

Keyword(s):

Older Adults ◽

Nutritional Status ◽

Functional Status ◽

Nursing Care ◽

Care Service ◽

Home Nursing ◽

Nursing Service ◽

Home Care Nursing ◽

Home Nursing Care ◽

Care Nursing

Objective: This study aimed to explore the magnitude and significance of associations among nutritional status, functional status, comorbidities, age, and gender in older adults receiving assistance from the in-home nursing care service.Method: In this cross-sectional study, 210 home-dwelling persons 65 years or older who received in-home nursing care service were evaluated. Demographic variables, nutritional status, comorbidities, and the dependency levels of activities of daily living were analyzed. To assess the correlation among the factors that influence nutritional status, a theoretical model was developed and adjusted using the path analysis model.Results: The primary finding is that functional status is directly associated with nutritional status (β = 0.32; p < 0.001) and severity of comorbidities is indirectly associated with nutritional status (β = −0.07; p < 0.017).Conclusion: The elicited outcomes in this study reinforce the concept that nutritional status is linked with functional status in older adults receiving in-home care nursing service.

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Work system analysis of home nursing care and implications for medication errors

PsycEXTRA Dataset ◽

10.1037/e577352012-022 ◽

2005 ◽

Author(s):

K. L. Calvin ◽

Gail R. Casper ◽

Ben-Tzion Karsh ◽

Patricia F. Brennan ◽

Laura J. Burke ◽

...

Keyword(s):

Medication Errors ◽

Nursing Care ◽

System Analysis ◽

Home Nursing ◽

Work System ◽

Home Nursing Care

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Smart technology-assisted Home Nursing Care Program for Persons with Dementia or Hip Fracture: Implementation Difficulties: Thematic Analysis (Preprint)

10.2196/preprints.26338 ◽

2020 ◽

Author(s):

Yea-Ing Shyu ◽

Chung-Chih Lin ◽

Ching-Tzu Yang ◽

Pei-Ling Su ◽

Jung-Ling Hsu

Keyword(s):

Hip Fracture ◽

Family Caregivers ◽

Nursing Care ◽

Care Program ◽

Wearable Devices ◽

Elderly Persons ◽

Home Nursing ◽

Smart Technology ◽

Smart Clothing ◽

Home Nursing Care

BACKGROUND Wearable devices have been developed and implemented to improve data collection in remote health care and smart care. Wearable devices have the advantage of always being with individuals, enabling easy detection of their movements. In this study, we developed and implemented a smart-care system using smart clothing for persons with dementia and with hip fracture. We conducted a preliminary study to understand family caregivers’ and care receivers’ experiences of receiving a smart technology-assisted (STA) home-nursing care program. OBJECTIVE This paper reports the difficulties we encountered and strategies we developed during the feasibility phase of studies on the effectiveness of our STA home-nursing care program for persons with dementia and hip fracture. METHODS Our care model, a STA home-nursing care program for persons with dementia and those with hip fracture included a remote-monitoring system for elderly persons wearing smart clothing was used to facilitate family caregivers’ detection of elderly persons’ movements. These movements included getting up at night, staying in the bathroom for more than 30 minutes, not moving more than 2 hours during the day, leaving the house, and daily activities. Participants included 13 families with 5 patients with hip fracture and 7 with dementia. Research nurses documented the difficulties they encountered during the process. RESULTS Difficulties encountered in this smart-care study were categorized into problems setting up the smart-care environment, problems running the system, and problems with participant acceptance/adherence. These difficulties caused participants to drop out, the system to not function or delayed function, inability to collect data, extra costs of manpower, and financial burden. Strategies to deal with these problems are also reported. CONCLUSIONS During the implementation of smart care at home for persons with dementia or hip fracture, different aspects of difficulties were found and strategies were taken. The findings of this study can provide a reference for future implementation of similar smart-home devices.

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