Measuring the spatial accessibility to home care services: A case study of Hirosaki-shi, Aomori

2015 ◽  
Vol 50 (2) ◽  
pp. 210-220
Author(s):  
Atsushi Masuyama
Keyword(s):  
Home Care ◽  
Home Care Services ◽  
Spatial Accessibility ◽  
Care Services

scholarly journals STANDARDS OF KNOWLEDGE THAT FOUND NURSING PERFORMANCE IN HOME CARE

2020 ◽  
Vol 29 ◽  
Author(s):  
Angélica Mônica Andrade ◽  
Patrícia Pinto Braga ◽  
Maria Ribeiro Lacerda ◽  
Elysangela Dittz Duarte ◽  
Laerte Honorato Borges Junior ◽  
...  
Keyword(s):  
Home Care ◽  
Critical Discourse Analysis ◽  
Participant Observation ◽  
Single Case ◽  
Home Care Services ◽  
Care Services ◽  
The Family ◽  
The Individual ◽  
Care Innovation

ABSTRACT Objective: to analyze the knowledge standards that found nursing practices in the home care setting. Method: qualitative study using a single case study strategy, supported by the dialectical methodological framework. Thirteen nurses who work in home care services from two municipalities in Minas Gerais, Brazil, participated. The data were obtained in 266.5 hours of participant observation and 8 hours and 58 minutes of interview and submitted to Critical Discourse Analysis. Results: empirical knowledge was revealed to be fundamental for clinical, managerial and educational care at home. The adaptations specific to this environment require aesthetic knowledge. The relational and educational actions, the decisions responsible for benefiting the individual and his family, the doubt and willingness to learn when dealing with unpredictable cases and the assessment of the socioeconomic conditions of the family, represent, respectively, personal, ethical, lack of knowledge and sociopolitical aspects present in the practice of nurses in home care. Conclusion: the particularities of home care trigger different patterns of knowledge to ensure creative, sensitive, human and responsible care. Innovation and availability to learn are part of nurses' performance in home care. The need for differentiated training is reinforced in order to respond to the increasing complexity in this field.

Redesign of Home Care Service Delivery

2017 ◽  
Vol 8 (2) ◽  
pp. 1-24 ◽  
Author(s):  
Martti Mäkimattila ◽  
Helinä Melkas ◽  
Tuomo Uotila
Keyword(s):  
Home Care ◽  
Care Service ◽  
Home Care Services ◽  
System Perspective ◽  
Care Services ◽  
Innovation Activities ◽  
It Systems ◽  
Services Innovation ◽  
Management Alternatives

This paper delineates how systemic innovations coevolve with organisations in the context of home care and describes the dynamics in shared innovation activities when information technology (IT) systems are developed for such services. Innovation literature is presented from the system perspective to highlight non-technological characteristics. The case study of home-care services in Finland in 2010–2014 shows that systemic innovations result from collaborative actions because the complexity of these innovations requires knowledge and skills from different fields, which no single entity possesses. The multi-level dynamics challenges the management alternatives that focus either on larger development platforms for transitions, or product-based diffusion – then facing later obstacles related to fragmented solutions when merging IT systems and processes. This study contributes by exploring the complexity of developing innovative solutions under dynamic conditions, when actors have different focuses, interests and interdependencies.

scholarly journals The Impact of Nurse Delegation Regulations on the Provision of Home Care Services: A Four-State Case Study

2020 ◽  
pp. 107755872096090
Author(s):  
Nancy Dudley ◽  
Jacqueline Miller ◽  
Mary Lou Breslin ◽  
Susan A. Chapman ◽  
Joanne Spetz
Keyword(s):  
Home Care ◽  
Home Care Services ◽  
Health Maintenance ◽  
Study Approach ◽  
Care Services ◽  
Care Workers ◽  
Evidence Based Guidelines ◽  
Home Care Workers ◽  
The Impact

The objective of this study was to explore how home care workers and the agencies that employ them interact with their state’s nurse practice act in the provision of care. Using a qualitative case study approach, we selected four states with varying levels of restrictiveness in their nurse delegation regulations. We conducted interviews ( N = 45) with state leaders, agency leaders, and home care workers to learn how these policies affect the home care workforce’s ability to perform care tasks for their clients in order to allow clients to remain in their own homes. We found that increased training and input from registered nurses is needed to identify appropriate health maintenance tasks to delegate to home care workers and support development of training strategies. The federal government could support the development of evidence-based guidelines for training and competency testing as well as for appropriate delegation of health maintenance tasks.

Confidence in Home Care Services Questionnaire

2006 ◽  
Author(s):  
Janice D. Crist ◽  
Humberto Velazquez ◽  
Ian Durnan ◽  
Diana Ramirez Figueroa
Keyword(s):  
Home Care ◽  
Home Care Services ◽  
Care Services

scholarly journals Differences in the Effectiveness of Long-Acting Injection and Orally Administered Antipsychotics in Reducing Rehospitalization among Patients with Schizophrenia Receiving Home Care Services

2019 ◽  
Vol 8 (6) ◽  
pp. 823
Author(s):  
Hsiao-Fen Hsu ◽  
Chia-Chan Kao ◽  
Ti Lu ◽  
Jeremy C. Ying ◽  
Sheng-Yu Lee
Keyword(s):  
Treatment Group ◽  
Home Care ◽  
Second Generation ◽  
Home Care Services ◽  
Rehospitalization Rate ◽  
Treatment Groups ◽  
Psychiatric Rehospitalization ◽  
Care Services ◽  
Long Acting

The current study explored the differences in the effectiveness of first and second generation long-acting injections and orally administered antipsychotics in reducing the rehospitalization rate among patients with schizophrenia receiving home care services in a medical center in Southern Taiwan. Longitudinal data between 1 January 2006, and 31 December 2015, were collected retrospectively. Patients were classified into three treatment groups: First generation antipsychotic (FGA) long-acting injection (LAI), second generation antipsychotic long-acting injection (SGA) (LAI), and oral antipsychotics. The primary outcomes were the rehospitalization rate and the follow-up time (duration of receiving home care services) until psychiatric rehospitalization. A total of 78 patients with schizophrenia were recruited. The average observation time was about 40 months. The oral treatment group tended to be older with a higher number of female patients and a lower level of education. The FGA treatment group tended to have a higher frequency and duration of hospitalization before receiving home care services. We found no significant differences in the follow-up time or psychiatric rehospitalization rate after receiving home care services among the three treatment groups. We propose that oral and LAI antipsychotics were equally effective when patients received home care services. Our results can serve as a reference for the choice of treatment for patients with schizophrenia in a home care program.

scholarly journals ‘They just came with the medication dispenser’- a qualitative study of elderly service users’ involvement and welfare technology in public home care services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Heidi Snoen Glomsås ◽  
Ingrid Ruud Knutsen ◽  
Mariann Fossum ◽  
Kristin Halvorsen
Keyword(s):  
Qualitative Study ◽  
Home Care ◽  
Health Care Quality ◽  
Care Service ◽  
User Involvement ◽  
Home Care Services ◽  
Care Quality ◽  
Service Users ◽  
Care Services ◽  
Welfare Technology

Abstract Background Public home care for the elderly is a key area in relation to improving health care quality. It is an important political goal to increase elderly people’s involvement in their care and in the use of welfare technology. The aim of this study was to explore elderly service users’ experience of user involvement in the implementation and everyday use of welfare technology in public home care services. Method This qualitative study has an explorative and descriptive design. Sixteen interviews of service users were conducted in five different municipalities over a period of six months. The data were analysed using reflexive thematic analysis. Results Service users receiving public home care service are not a homogenous group, and the participants had different wishes and needs as regards user involvement and the use of welfare technology. The analysis led to four main themes: 1) diverse preferences as regards user involvement, 2) individual differences as regards information, knowledge and training, 3) feeling safe and getting help, and 4) a wish to stay at home for as long as possible. Conclusion The results indicated that user involvement was only to a limited extent an integral part of public home care services. Participants had varying insight into and interest in welfare technology, which was a challenge for user involvement. User involvement must be facilitated and implemented in a gentle way, highlighting autonomy and collaboration, and with the focus on respect, reciprocity and dialogue.

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