Implementation of an Evidence-Based and Content Validated Standardized Ostomy Algorithm Tool in Home Care

Summary Objectives: To develop evidence-based standardized care plans (EB-SCP) for use internationally to improve home care practice and population health. Methods: A clinical-expert and scholarly method consisting of clinical experts recruitment, identification of health concerns, literature reviews, development of EB-SCPs using the Omaha System, a public comment period, revisions and consensus. Results: Clinical experts from Canada, the Netherlands, New Zealand, and the United States participated in the project, together with University of Minnesota School of Nursing graduate students and faculty researchers. Twelve Omaha System problems were selected by the participating agencies as a basic home care assessment that should be used for all elderly and disabled patients. Interventions based on the literature and clinical expertise were compiled into EB-SCPs, and reviewed by the group. The EB-SCPs were revised and posted on-line for public comment; revised again, then approved in a public meeting by the participants. The EB-SCPs are posted on-line for international dissemination. Conclusions: Home care EB-SCPs were successfully developed and published on-line. They provide a shared standard for use in practice and future home care research. This process is an exemplar for development of evidence-based practice standards to be used for assessment and documentation to support global population health and research.

Download Full-text

Home care providers’ experience of translating evidence-based fall prevention programs into practice

Home Health Care Services Quarterly ◽

10.1080/01621424.2019.1604460 ◽

2019 ◽

Vol 38 (3) ◽

pp. 182-193

Author(s):

Kyeongra Yang ◽

Kimberly M. Colorito ◽

Kathryn H. Bowles ◽

Gail R. Woomer ◽

Christopher M. Murtaugh

Keyword(s):

Home Care ◽

Fall Prevention ◽

Prevention Programs ◽

Evidence Based ◽

Care Providers ◽

Home Care Providers

Download Full-text

Unit-Based Specialty Vascular Transitional Home Care Program: An Example of Evidence-Based Nursing Practice

Worldviews on Evidence-Based Nursing ◽

10.1111/j.1524-475x.2002.00057.x ◽

2002 ◽

Vol E9 (1) ◽

pp. 57-59

Author(s):

Virginia Capasso ◽

Debra Burke ◽

Diane Stanley ◽

William Abbott

Keyword(s):

Home Care ◽

Nursing Practice ◽

Care Program ◽

Evidence Based ◽

Evidence Based Nursing ◽

Transitional Home

Download Full-text

Is Home Care PPS Ready for Evidence-Based Practice?

Home Health Care Management & Practice ◽

10.1177/1084822308325436 ◽

2008 ◽

Vol 21 (2) ◽

pp. 135-136 ◽

Cited By ~ 2

Author(s):

William D. Cabin

Keyword(s):

Home Care ◽

Evidence Based Practice ◽

Evidence Based

Download Full-text

Are Home Care Programs Cost-Effective? A Systematic Review of the Literature

Care Management Journals ◽

10.1891/cmaj.4.4.198.63696 ◽

2003 ◽

Vol 4 (4) ◽

pp. 198-201 ◽

Cited By ~ 8

Author(s):

Kimberly D. Fraser

Keyword(s):

Health Care ◽

Decision Making ◽

Cost Effectiveness ◽

Home Care ◽

Home Health Care ◽

Research Question ◽

Policy Implications ◽

Evidence Based ◽

The Cost ◽

Evidence Based Decision Making

The cost-effectiveness of home care programs and services is an important area of health care research given the recent growth and continuing trend in home health care, the current state of health care reform in Canada, and changing demographics in Canada. Home care programs often proceed with little evidence-based decision-making. Increased demand for evidence-based decision-making is apparent in not only clinical settings, but also in policy environments thus creating a need for more research in this area. There are presently very few rigorous studies on the cost-effectiveness of home care programs. This systematic literature review addresses the research question, “What is the relationship between cost-consequence evidence and policy implications within the home care context?” The findings are not surprising. They include mixed results and indicate that cost-effectiveness of home care programs is an important area to study in spite of the many challenges. The challenges presented must be acknowledged and addressed in order to produce better research designs in future studies.

Download Full-text