scholarly journals Facilitating holistic continuity of care for older patients: Home care nurses’ experiences using checklists

2019 ◽  
Vol 28 (19-20) ◽  
pp. 3478-3491
Author(s):  
Elin R. Nilsen ◽  
Ulrika Söderhamn ◽  
Bjørg Dale
Keyword(s):  
Home Care ◽  
Continuity Of Care ◽  
Older Patients ◽  
Home Care Nurses

Job Satisfaction and Burnout Levels of Home Care Nurses in Turkey

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Nilgun Yurtsever ◽  
Medine Yilmaz
Keyword(s):  
Job Satisfaction ◽  
Home Care ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Home Healthcare ◽  
Satisfaction Scale ◽  
Work Related ◽  
Related Stress ◽  
Home Care Nurses

Owing to the nature of their jobs, nurses all over the world experience burnout. The aim of this descriptive and correlational study was to describe the job characteristics, job satisfaction and burnout levels of home care nurses, and to predict what factors contributed to their job satisfaction and burnout levels. The study population consisted of 80 nurses working in home care units. Of them, 71 participated in the study. A socio-demographic questionnaire, the Minnesota Satisfaction Scale and the Maslach Burnout Inventory were used. Of the participants, 85.9 per cent were female, 56.4 per cent had a bachelor’s degree, and 46.5 per cent were employed in the public sector, 36.6 per cent in municipalities and 16.9 per cent in the private sector. The results revealed that their burnout levels for emotional exhaustion and personal accomplishment were high, and moderate for depersonalisation. Perceived work-related stress was more associated with emotional exhaustion and depersonalisation than with work satisfaction. Home healthcare nurses were suffering from high levels of burnout. Interventions are needed to improve job satisfaction, to reduce the burden of burnout among nurses, and to prevent them from leaving their jobs and retiring earlier.

The Social, Cultural and Behavioral Components of Information and Knowledge-Seeking Among Home Care Nurses

2013 ◽  
Author(s):  
Edmund J.Y. Pajarillo
Keyword(s):  
Home Care ◽  
Study Methods ◽  
Soins À Domicile ◽  
The Social ◽  
Knowledge Seeking ◽  
Case Study Methods ◽  
Home Care Nurses

Information and knowledge-seeking vary among users, including home care nurses. This research describes the social, cultural and behavioral dimensions of information and knowledge-seeking among home care nurses, using both survey and case study methods. Results provide better understanding and appreciation of nurses’ information behavior.La recherche d’information et de connaissances varie selon les usagers, y compris parmi les infirmiers et infirmières des soins à domicile. Cette recherche décrit les dimensions sociales, culturelles et comportementales de la recherche d’information et de connaissances parmi les infirmiers et infirmières des soins à domicile, en utilisant les méthodes de sondage et de l’étude de cas. Les résultats offrent une meilleure compréhension et connaissance du comportement informationnel des infirmiers et infirmières. 

scholarly journals Quality of life of caregivers of cancer patients in home palliative care: a non-interventional study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Faggian ◽  
S Favero ◽  
D Gregori ◽  
M Martinato
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Cancer Patient ◽  
Home Care ◽  
Continuity Of Care ◽  
Physical Stress ◽  
Private Life ◽  
Phone Call ◽  
Average Score

Abstract Background caregivers of home-cared cancer patient during palliative phase are often under psychological and physical pressure. This can lead to a low level quality of life (QoL). This study assesses the QoL of this type of caregiver, more specifically it aims to outline which factors (age, type of palliative care, amount of time spent daily with the patient) affect positively or negatively the QoL score. Methods The AC-QoL questionnaire has been completed by 25 caregivers of oncological patients in home care in north-eastern Italy. The questionnaire is made of 40 items divided into 8 subjects: support in care, choice of care, stress, economic issues, personal growth, sense of value, care skills and personal satisfaction. It has been administered during a home visit or during a follow-up phone call. Results The average score obtained is 71/120, which means a medium level of QoL. The factors which worsen the QoL are the psychological and physical stress (average score 5/15) and restrictions on caregivers' private life (average score 6/15). No significant differences in the QoL of the caregivers are related to social and personal variables (such as age, working condition, relationship with the patient, type of palliative care, amount of time spent daily with the patient). Conclusions These caregivers play a fundamental role in the management of an appropriate continuity of care and their health and QoL are important. Stress and restrictions on private life are the factors which worsen QoL, that's why nurses should evaluate the caregivers' wellbeing during home-visits. Caregivers usually feel able to offer adequate assistance if they have been adequately trained to by healthcare professionals: nurses should provide every useful tool to aloud the caregiver to feel able of and comfortable providing assistance to his/her relative trough an “empowerment process”. Key messages Caregiver of cancer patient in charge of home palliative care is fundamental for an appropriate continuity of care and his health and quality of life (QoL) are important to provide good assistance. Psycho-physical stress and restrictions on private life worsen QoL. Caregiver’s wellbeing should be assessed and useful tools should be provided by home care nurses to ease caregivers’ job.

scholarly journals New collaborations in daily emergency response

2015 ◽  
Vol 4 (2) ◽  
pp. 177-193 ◽  
Author(s):  
Åsa Weinholt ◽  
Tobias Andersson Granberg
Keyword(s):  
Home Care ◽  
Emergency Response ◽  
Situational Awareness ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Content Type ◽  
Rescue Service ◽  
Security Officers ◽  
Important Benefit ◽  
Home Care Nurses

Purpose – The purpose of this paper is to analyse costs and benefits from new collaborations in daily emergency response and to demonstrate how cost-benefit analysis (CBA) can be used for evaluating effects from these kinds of collaborations. Design/methodology/approach – CBA is used to evaluate two collaborations. The cases are: security officers that respond to fire and rescue service (FRS) calls; and home care nurses that assist the FRSs when they respond to urgent medical calls. Interviews, public documents and incident reports have been used as sources of data. Findings – Most costs are relatively straightforward to estimate. More difficult to estimate are the turn-out costs, including the services that cannot be performed when the new actors take on new assignments. One important benefit from these kinds of collaborations is reduced response time. Other benefits include increased situational awareness and improved preventive work in Case 1, as well as improved working conditions for the traditional resources and increased medical competence in Case 2. The analysis indicate that the case with the security officers most likely was socially beneficial, while the case with the home care nurses at the time of the study was not. Originality/value – The authors provide a thorough description and analysis of two interesting new ways of performing daily emergency response. Furthermore, the authors depict how CBA can be used to structure the analysis and evaluation of new initiatives in emergence services and how it can be used for identifying improvement potential. The authors also identify and discuss what is needed in terms of documentation as well as research, for it to be possible to improve the quantitative analysis of these kinds of initiatives.

scholarly journals Using the Multidimensional Prognostic Index to Predict Clinical Outcomes of Hospitalized Older Persons: A Prospective, Multicenter, International Study

2018 ◽  
Vol 74 (10) ◽  
pp. 1643-1649 ◽  
Author(s):  
Alberto Pilotto ◽  
Nicola Veronese ◽  
Julia Daragjati ◽  
Alfonso J Cruz-Jentoft ◽  
Maria Cristina Polidori ◽  
...  
Keyword(s):  
Home Care ◽  
Older Patients ◽  
Risk Group ◽  
Prognostic Index ◽  
Home Care Services ◽  
Cognitive Status ◽  
Public Hospitals ◽  
Mortality Data ◽  
Care Services ◽  
Overall Mortality

Abstract Background Multidimensional Prognostic Index (MPI) is useful as a prognostic tool in hospitalized older patients, but our knowledge is derived from retrospective studies. We therefore aimed to evaluate in a multicenter, longitudinal, cohort study whether the MPI at hospital admission is useful to identify groups with different mortality risk and whether MPI at discharge may predict institutionalization, rehospitalization, and use of home care services during 12 months. Methods This longitudinal study, carried out between February 2015 and August 2017, included nine public hospitals in Europe and Australia. A standardized comprehensive geriatric assessment including information on functional, nutritional, cognitive status, risk of pressure sores, comorbidities, medications, and cohabitation status was used to calculate the MPI and to categorize participants in low, moderate, and severe risk of mortality. Data regarding mortality, institutionalization, rehospitalization, and use of home care services were recorded through administrative information. Results Altogether, 1,140 hospitalized patients (mean age 84.1 years, women = 60.8%) were included. In the multivariable analysis, compared to patients with low risk group at admission, patients in moderate (odds ratio [OR] = 3.32; 95% CI: 1.79–6.17; p < .001) and severe risk (OR = 10.72, 95% CI: 5.70–20.18, p < .0001) groups were at higher risk of overall mortality. Among the 984 older patients with follow-up data available, those in the severe-risk group experienced a higher risk of overall mortality, institutionalization, rehospitalization, and access to home care services. Conclusions In this cohort of hospitalized older adults, higher MPI values are associated with higher mortality and other negative outcomes. Multidimensional assessment of older people admitted to hospital may facilitate appropriate clinical and postdischarge management.

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