Might constraint be compatible with care? Home care as a situational ethics

2016 ◽  
Vol 39 (5) ◽  
pp. 741-758 ◽  
Author(s):  
Antoine Hennion ◽  
Pierre A. Vidal-Naquet
Keyword(s):  
Home Care ◽  
Care Home ◽  
Situational Ethics

Home Care Home

2017 ◽  
pp. 265-282
Author(s):  
Isabel Atzl ◽  
Anamaria Depner
Keyword(s):  
Home Care ◽  
Care Home

scholarly journals Home care workers caring for adults with heart failure need better access to training and technology: A role for implementation science

2020 ◽  
Vol 4 (3) ◽  
pp. 224-228 ◽  
Author(s):  
Madeline R. Sterling ◽  
Nicola Dell ◽  
Emily Tseng ◽  
Fabian Okeke ◽  
Jacklyn Cho ◽  
...  
Keyword(s):  
Heart Failure ◽  
Home Care ◽  
Implementation Science ◽  
Care Home ◽  
Healthcare Delivery ◽  
Home Healthcare ◽  
Healthcare Team ◽  
Key Stakeholders ◽  
Care Workers ◽  
Home Care Workers

AbstractAlthough highly involved in heart failure (HF) patients’ care, home care workers (HCWs) lack HF training and are poorly integrated into the healthcare team. For its potential to address these challenges, we examined the role of technology among HCWs caring for HF patients. We conducted 38 interviews with key stakeholders. Overall, four themes emerged. Participants reported that technology is critical for HF care, but existing systems are outdated and ineffective. HCWs also have limited access to electronic resources. Technology, training, and principles of implementation science can be leveraged to improve HCWs’ experience in caring for HF patients and home healthcare delivery.

scholarly journals Hospital@Home: a proof of concept

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
V Umans ◽  
J Van Ramshorst ◽  
S.P.M De Boer ◽  
A.J.C.M Bos-Schaap ◽  
S Walburg
Keyword(s):  
Patient Satisfaction ◽  
Home Care ◽  
Nurse Practitioners ◽  
Nursing Staff ◽  
Care Home ◽  
Care Group ◽  
Proof Of Concept ◽  
Patient Satisfaction Score ◽  
Home Care Nursing ◽  
Model Combining

Abstract Background Expenditure in healthcare in the Netherlands is so increasing that currently 1 in 7 employees are working in the health care/cure. Future expansion is under constrain given the 10% of GDP use and shortage of working force.Dutch healthcare consists of a cure section (mostly hospitals) and nursing care@home. Both entities have different national budgets (€25 + €20bln) Methods In a proof of concept, we explored a new Hospital@Home (H@H) model combining hospital cure and home-care budgets in a 800 mi2 district with 850,000 inhabitants. The objective comprises 4 proofs: (1)provide hospital care@home, (2) combine financial budgets (3) increasing working forces by combining teams, (4) increased satisfaction of pts and nursing staff. Results We proofed a joining budgets of the hospital and home-care group for cardiology. The homecare-budget was sufficient to hire 3 nurse practitioners who are trained by the cardiologists and work with 16 home-care cardiovascular nurses for H@H treatment. The hospital budget provided a virtual EHR cardiology ward and supplied the home care-nurses with a nursing app to assess the patients EHR. Budgets were sufficient to obtain the home-heartfailure monitoring application. The cardiology-group developed the H@H program for endocarditis treatment and heartfailure telemonitoring. Clinically, in the first 6 months, 50% of hospitalized endocarditis pts were treated with iv antibiotics@home with an average 16.5 days per pt shorter admission days without complications. 33% of eligible hospitalized heartfailure pts consented for telemonitoring@home while up-titrated on medication. Video-consulting reduced outpatient visits with 75%. Patient satisfaction was 75/100. Conclusion In this proof of concept, the H@H program provided hospital cure at home by merging hospital and home-care nursing staff and ICT budgets. Patient satisfaction score were driven by shorter admissions and less hospital visits. We call for further exploration of efforts to facilitate combined home-care and hospital-cure transmural budgets to confirm this proof of concept. Funding Acknowledgement Type of funding source: None

scholarly journals Study of Physical, Psychological, and Spiritual Impact of Family Caregiver In Home-Based Stroke Treatment: A Systematic Review

2021 ◽  
Vol 9 (T4) ◽  
pp. 236-239
Author(s):  
Anggi Stiexs ◽  
Nur Chayati
Keyword(s):  
Systematic Review ◽  
Home Care ◽  
Family Caregiver ◽  
Care Home ◽  
Stroke Patients ◽  
Term Care ◽  
Stroke Treatment ◽  
Home Based ◽  
The Family ◽  
Home Based Care

BACKGROUND: Family support during stroke treatment at home is crucial. However, post-stroke patients’ long-term care will be a problem for families, reducing the level of life satisfaction and physical burden for caregivers. Furthermore, families may experience depression. AIM: Analyzing family conditions related to physical, psychological, and spiritual conditions that receive home-based health worker interventions. METHODS: Study implemented systematic review design with Prisma guidelines, initially with the identification of article sources, following by article screening, checking the eligibility of studies then appraised the selected articles. Three databases were used, Ebsco, PubMed, and PROQUEST. Only studies using quasi-experimental, pre-experimental, and RCT designs were included in this study. Furthermore, those articles were published between 2014 until 2019, full type article and conducted anykind of home intervention for stroke patients and/or family member. Keywords that were employed “Stroke, Apoplexy, Cerebrovascular Accident, Vascular Accident, Home Care Services, home care, Home Health Care, Domiciliary Care, Physical, Physics, Psychological Factors, Psychological Side Effects, Psychosocial Factors, Spirituality.” Totally, 19,528 articles were obtained. Finally, only six eligible articles met review requirements. RESULTS: Implementation of home-based care lowered the physical fatigue of the family. In psychological responses showed that home-based care could reduce the incidence of depression and anxiety levels. Another impact was that the family felt helped because patients could more independently do their activities. Furthermore, the family always supported to motivate the patients to do their daily tasks. CONCLUSION: Home-based interventions for stroke patients can reduce depression, anxiety, and fatigue for the family caregiver.

scholarly journals PELAYANAN HOME CARE PADA PASIEN LANJUT USIA : LITERATURE REVIEW

2020 ◽  
Vol 11 (2) ◽  
pp. 216
Author(s):  
Razak Abdullah ◽  
Rosyidah Arafat ◽  
Syahrul Syahrul
Keyword(s):  
Home Care ◽  
Care Home ◽  
The Elderly ◽  
Home Care Services ◽  
Nursing Home Care ◽  
Google Scholar ◽  
Life Outcomes ◽  
Building Relationships ◽  
Care Services ◽  
Increasing Demand

Latar Belakang : Proses menua merupakan proses alami yang diikuti dengan terjadinya peurunan kondisi fisik, psikologis dan sosial yang saling berkaitan satu sama lain .Kondisi penurunan tersebut mempengaruhi kemampuan lanjut usia dalam melakukan aktifitas sehari – hari/ Activity daily livings yang memerlukan perhatian dan bantuan keluarga sehingga mengakibatkan permintaan untuk perawatan di rumah meningkat dengan cepat. Perawatan Home care menjadi arena perawtaan professional dan informal. Review ini bertujuan untuk mengetahui bagaimana pelayanan home care pada lanjut usia.Metode : Dalam mengumpulkan artikel menggunakan beberapa database Pubmed, Science Direct, Wiley, dan Google Scholar dengan strategi pencarian menggunakan metode PICO (population, intervention, comparison and outcome dengan batasan publikasi artikel dari tahun 2009-2019.Hasil : Hasil temuan diperoleh beberapa point yaitu perlunya perawat melakukan Analisis kehidupan lansia sebelum memberikan pelayanan home care, pelayanan tepat waktu, Ukuran pengalaman aspek interpersonal perawatan karena itu dapat menjadi indikator yang berguna dari hasil kualitas hidup, pentingnya partisipasi lanjut usia, berbagi sejarah dengan perawat dan lansia, terjaminnya privasi lansia, pemenuhan standar kebutuhan lansia, selanjutnya ada factor komunikasi, pembangunan hubungan perawat dan lanjut usia, kepercayaan, keamanan, perawat harus pandai dalam menilai kekahawatiran rasa depresi yang disembunyikan oleh lansia, dan siap dalam menerima perbadaan pandangan dalam hal perawatan home care dengan lansia. Kata kunci :  Home care, Lanjut Usia Abstract Background: The aging process is a natural process that is followed by a decline in physical, psychological and social conditions that are interrelated with each other. The condition of the decline affects the ability of the elderly in carrying out daily activities / Activity daily livings that require attention and assistance from family so resulting in a rapidly increasing demand for home care. Care Home care is an arena for professional and informal care. This review aims to determine the experience of nurses in providing home care services for the elderly.Method: Data was obtained from google scholar website database, Since direct and Proquest, and obtained 5 articles. The five articles were then carried out by the journal research critics using the appropriate CASP tools namely 5 articles with the Critical Appraisal of Qualitative Study.Results: The findings obtained by several points, namely Analysis of the lives of the elderly before giving home care services, timely services, measures of experience of interpersonal aspects of care because it can be a useful indicator of quality of life outcomes, the importance of elderly participation, sharing history with nurses and the elderly, ensuring privacy, fulfilling the standards of elderly needs, then there are factors of communication, building relationships between nurses and the elderly, trustworthiness, security, nurses must be clever in assessing the concerns of depression that are hidden by the elderly, and ready to accept improvements in terms of nursing home care with the elderly . Keywords: Experience, Nurse, Home care, Elderly

Making Care Work

2018 ◽  
pp. 88-125
Author(s):  
Elana D. Buch
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Care Home ◽  
Economic Value ◽  
The United States ◽  
Publicly Funded ◽  
Funding Sources ◽  
Experience Of Care ◽  
Democratic State ◽  
Management Staff

In making care into work, agencies justify their existence in the market as managing the predictable tensions that regularly arise in home care. Home care agencies build upon women’s familial experience of care while seeking to transform them into workers whose labor conforms to the ethical and temporal norms of American workplaces. Conflicts regularly arise between people’s moral ideologies about care, the economic pressures of capitalist markets, and the laws that govern labor and elder care in the United States. This chapter traces the transformation of moral values into economic value by focusing on the everyday ethics practiced by home care agency training and management staff as they mediate between national moralities, the needs of their agencies, the needs of clients, and their own ethics. Agencies’ different funding sources affect how they imagine and generate their clients’ independence. Publicly funded care policies view older adults as liberal persons in a democratic state in which rights and services are the result of citizenship and need rather than social position. In privately funded care, older adults’ independence was authorized by their privileged position as consumers whose subjective tastes and preferences determined the kinds and quantity of care they received. Their independence was not the result of fair treatment by an equitable state, but rather determined by their ability to wield economic power.

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