scholarly journals Registered nurses’ experiences of information technology use in home health care - from a sustainable development perspective

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Vicki Koltsida ◽  
Lise-Lotte Jonasson
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Sustainable Development ◽  
Registered Nurses ◽  
Home Health Care ◽  
Technology Use ◽  
Qualitative Content Analysis ◽  
Well Being ◽  
Home Health ◽  
It Use

Abstract Background The work of registered nurses in home health care is complicated and extensive, and information technology (IT) is used in everyday activities. Coordination between care and resource efficiency is important. There is a wealth of information that supports the notion of sustainable development, but what sustainable development means from the perspective of the registered nurse in home health care when using IT is limited. The term “sustainable development” is not clearly defined and is poorly researched in nursing. Sustainable development in this study includes the ecological, economic, social, technical and ethical dimensions. The aim of this study was to describe registered nurses’ experience of IT use in home health care through a sustainable development model. Methods This study was conducted using ten semi-structured lifeworld interviews with registered nurses. The method employed was a qualitative content analysis with a deductive approach. The deductive approach consisted of a model of sustainable development. Results Analysis of the interviews and the model of sustainable development provided categories: using IT from an ecological dimension, the registered nurses experienced reduced consumption and damage to the environment; using IT in the economical dimension, saving of time and resources was experienced; the use of IT affected social aspects such as the work environment and patient safety, and positive consequences, such as accessibility, were also mentioned; using IT from a technical dimension was characterized by the nurse’s attitude towards it – the registered nurses felt it improved the quality of care and gave users an overview of the organization; and from an ethical dimension, the registered nurses expressed the need for IT to be adaptable to the patient’s well-being and indicated that more awareness of risks in the care meeting may be needed. Conclusion The findings are discussed based on the synergies and conflicts that arise between the different dimensions of sustainable development. IT intertwines and overlaps with, and within, the environment, economy, society, technology and ethics. Registered nurses in home health care want to conduct good and safe care, while using IT could benefit patients.

The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector

2009 ◽  
Vol 37 (7) ◽  
pp. 525-533 ◽  
Author(s):  
Robyn R.M. Gershon ◽  
Julie M. Pearson ◽  
Martin F. Sherman ◽  
Stephanie M. Samar ◽  
Allison N. Canton ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Registered Nurses ◽  
Home Health Care ◽  
Home Health ◽  
Health Care Sector

scholarly journals New Models for Home Health Care under Uncertainty with Consideration of the Coordinated Development of Economy and Environment

Complexity ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-15
Author(s):  
Yan Cui ◽  
Lijun Zhang ◽  
Qiuye Gao ◽  
Bohao Li ◽  
Yumei Hou
Keyword(s):  
Health Care ◽  
Sustainable Development ◽  
Home Health Care ◽  
Deterministic Model ◽  
Carbon Tax ◽  
Positive Impact ◽  
Home Health ◽  
Environmental Benefits ◽  
Low Carbon ◽  
Total Cost

With the aggravation of population aging, home health care (HHC) services are paid more and more attention by the elderly. Previous studies aim at improving service quality and reducing cost, ignoring the coordinated and sustainable development of the economy and environment. From the perspective of sustainable development, this paper first establishes a linear optimization (LO) model considering transportation, time, and carbon emission costs. However, the uncertainty of service demand is a very difficult problem for HHC research. Most of the previous studies only consider the deterministic model, which has difficulty dealing with the uncertain situation. Therefore, a robust optimization (RO) model is proposed to resist uncertain disturbances by introducing a robust uncertain set response. The experimental results show that the increase of low-carbon transition cost only increases the total cost of the LO model but has a significant positive impact on the RO model. With the increase of uncertainty, the robust model will pay the cost of robustness, but it can obtain a higher service level (93.20% to 93.38%). In addition, when the carbon tax increases, the total transportation cost does not increase but decreases, thus obtaining environmental benefits. When the carbon tax increases by 25%, the average total cost of using the RO model is reduced by 8.274%. The research results of this paper can provide enlightenment and reference for the low-carbon transformation of HHC enterprises.

scholarly journals Caring for people with intellectual and developmental disabilities: how can it be experienced and percieved by registered nurses?

2021 ◽  
Author(s):  
◽  
Marie Appelgren
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Developmental Disabilities ◽  
Registered Nurses ◽  
Home Health Care ◽  
Home Health ◽  
Intellectual And Developmental Disabilities ◽  
Diverse Range ◽  
Qualitative Descriptive ◽  
The Right

Registered nurses [RNs] are within the frontline of professional nursing and are expected to provide a diverse range of health care services to a varied and heterogenic group of patients. They are bound by a code of ethics that mandates that nurses respect all human rights regardless of the patient’s abilities or functional status. However, research implies that RNs do not feel adequately prepared to support patients with intellectual and developmental disabilities [IDD], and that patients with IDD are often misinterpreted and misunderstood in care. Gaining in-depth knowledge about how RNs can experience nursing for this group of patients is therefore of great importance. The overall aim of this thesis was to describe, appraise, integrate and synthesise knowledge concerning nursing for patients with IDD. A further aim was to explore and describe Swedish RNs’ perceptions of providing care for patients with IDD within a home health care setting. This thesis consisted of two studies designed to investigate various aspects of nursing and caring for patients with IDD. Paper I was a systematic review using a meta-ethnographic approach, and Paper II was an interview study using a qualitative descriptive, interpretive design. Data was collected by systematic data base searches (Paper I), and by individual interviews (Paper II). The systematic review comprised 202 RNs (Paper I) and the qualitative descriptive study comprised 20 RNs. In the systematic review, data was analysed by a Line of Argument Synthesis [LOAs] as described by Noblit and Hare (1988), while the data in Paper II was analysed by content analysis. Nurses’ experiences and perceptions of nursing patients with an IDD could be understood from 14 LOAs. Six of these were interpreted to reflect a tentatively more distinctive and unique conceptualisation of RNs’ experience of nursing for this group of patients. The remaining eight LOAs were interpreted to reflect a conceptualisation of nursing per se that is a universal experience regardless of context or patient group (Paper I). In Paper II, the nurse’s perceptions were interpreted to be reflected by three overarching categories: Nursing held hostage in the context of care, Care dependant on intuition and proven experience and Contending for the patient’s right to adequate care. Absence of understanding and knowledge about IDD might be an explanation for the “otherness” that still appears to surround this group of patients. Concentrating on the person behind the disabilities label as well as on abilities instead of disabilities could be a reasonable approach in nursing care for patients with IDD. Thus, implementing nursing models focusing on person-centred care could support RNs to moderate the health and care inequalities that are still present among patients with IDD (Paper I). As a result of the home health care context and its organisation, the RNs perceived themselves as unable to provide care in accordance with their professional values. Not mastering the available augmentative and alternative communication tool additionally meant having to provide care based on second-hand information from support staff. The RNs also perceived that caring for this group of patients involved a daily battle for the patient’s rights to receive the right care at the right place and time and by the right person (Paper II). Hence, a broad base of evidence on what actually works best in clinical practice for this group of patients, particularly in the home care context, is still needed.

scholarly journals Proximal and distal antecedents of problematic information technology use in organizations

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Henri Pirkkalainen ◽  
Monideepa Tarafdar ◽  
Markus Salo ◽  
Markus Makkonen
Keyword(s):  
Information Technology ◽  
Technology Use ◽  
Structural Equation ◽  
Positive Association ◽  
Well Being ◽  
Equation Modeling ◽  
It Use ◽  
Content Type ◽  
Fear Of Missing Out ◽  
Work Related

PurposeExcessive use of work-related information technology (IT) devices can lead to major performance and well-being concerns for organizations. Extant research has provided evidence of the incidence of such problematic IT use in organizations. We extend the understanding of problematic IT use by examining its individual (proximal) and organizational (distal) antecedents.Design/methodology/approachDrawing from the self-worth theory and the concept of fear of being left behind, we address proximal antecedents that lead to problematic IT use. Drawing from the concept of autonomy paradox, we address distal antecedents of problematic IT use through a positive association with the two proximal antecedents. We report the results of a field study involving 846 individuals who use IT for work. Structural equation modeling was employed to analyze the data.FindingsThe results indicate that the proximal antecedents (IT insecurity and fear of missing out) are positively associated with problematic IT use. The distal antecedents (IT use autonomy and involvement facilitation) are positively associated with the proximal antecedents except for the relationship between IT use autonomy and IT insecurity, which was found statistically non-significant. Furthermore, fear of missing out fully mediates the effect of IT use autonomy on problematic IT use, whereas IT insecurity and fear of missing out fully mediate the effects of involvement facilitation on problematic IT use.Originality/valueThe paper theoretically extends the understanding of problematic IT use and identifies novel its proximal and distal antecedents.

Home health care registered nurses and the risk of percutaneous injuries: A pilot study

2008 ◽  
Vol 36 (3) ◽  
pp. 165-172 ◽  
Author(s):  
Robyn R.M. Gershon ◽  
Monika Pogorzelska ◽  
Kristine A. Qureshi ◽  
Martin Sherman
Keyword(s):  
Health Care ◽  
Pilot Study ◽  
Registered Nurses ◽  
Home Health Care ◽  
Home Health

Lived Experience of Pediatric Home Health Care Among Families of Children With Medical Complexity

2019 ◽  
Vol 59 (2) ◽  
pp. 178-187 ◽  
Author(s):  
Renee D. Boss ◽  
Jessica C. Raisanen ◽  
Kathryn Detwiler ◽  
Karen Fratantoni ◽  
Susan M. Huff ◽  
...  
Keyword(s):  
Health Care ◽  
Lived Experience ◽  
Home Health Care ◽  
Child Survival ◽  
Well Being ◽  
Home Health ◽  
Central Component ◽  
Medical Conditions ◽  
Children With Medical Complexity ◽  
Care Gaps

Background. For children with complex medical conditions, pediatric home health care is a chronic need. It is a clinical service delivered entirely outside of clinical settings, granting families unparalleled expertise regarding service quality. Methods. Telephone interviews with parents whose children have extensive experiences with home health care. Results: Five themes emerged: (1) benefits of home health care include child survival and family stability; (2) family life is inextricable from home health care schedules, staffing, and services; (3) home health care gaps threaten family physical, mental, and financial well-being; (4) Out-of-pocket costs are common; and (5) families must fight for services as their children’s medical conditions evolve. Conclusions. Families understand better than prescribers, providers, or policy makers what is working, and what is not, with home health care. Family expertise should be the foundation for training other families, clinicians, and home health care agencies, and should be a central component of policy and advocacy in this area.

scholarly journals What implies registered nurses’ leadership close to older adults in municipal home health care? A systematic review

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Maria Claesson ◽  
Lise-Lotte Jonasson ◽  
Elisabeth Lindberg ◽  
Karin Josefsson
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Qualitative Research ◽  
Registered Nurses ◽  
Home Health Care ◽  
Home Health ◽  
Leadership Role ◽  
Organizational Level ◽  
Care Process ◽  
Safe Care

Abstract Background Registered nurses are key figures in municipal home health care for older adults. Thus, registered nurses’ leadership is crucial to a successful and preventive care process as well as a supportive organization in order to achieve safe care. However, there is limited research on what registered nurses’ leadership implies close to older adults in municipal home health care. Thus, the aim is to compile and critically evaluate how international research results describe registered nurses’ leadership close to older adults in municipal home health care. Methods A systematic literature review was performed in accordance with a qualitative research study. The main search was conducted on 20 April 2018. The review was reported according to the PRISMA guidelines and is registered in the PROSPERO database (ID# CRD42019109206). Nine articles from PubMed and CINAHL meet the quality criteria. A synthesis of data was performed in four stages according to qualitative research synthesis. Results Ten themes describe what registered nurses’ leadership close to older adults in municipal home health care entails: trust and control; continuous learning; competence through knowledge and ability; nursing responsibility on an organizational level; application of skills; awareness of the individual’s needs and wholeness; mutual support; mutual relationships; collaborating on organizational and interpersonal levels; and exposure to challenges. Conclusions Registered nurses leading close to older adults in municipal home health care implies being multi-artists. Nursing education, including specialist education for registered nurses, should prepare individuals for their unique and complex leadership role as a multi-artist. Municipal employers require knowledge about what registered nurses’ leadership implies in order to create adequate conditions for their leadership objectives to achieve safe care. Further research is warranted to explore registered nurses’ leadership close to older adults in municipal home health care from different perspectives, such as older adults and next of kin.

Sign in / Sign up

Export Citation Format

Share Document