scholarly journals Mothers’ knowledge of premature newborn care and application of Kangaroo Mother Care at home

2021 ◽  
Vol 74 (6) ◽  
Author(s):  
Marcilene Pimentel Gomes ◽  
Salma Brito Saráty ◽  
Alexandre Aguiar Pereira ◽  
Andressa Tavares Parente ◽  
Mary Elizabeth de Santana ◽  
...  
Keyword(s):  
Home Care ◽  
Newborn Care ◽  
Kangaroo Mother Care ◽  
Structured Interviews ◽  
Premature Newborn ◽  
Analysis Technique ◽  
Northern Brazil ◽  
Care At Home ◽  
Child Hospital ◽  
At Home

ABSTRACT Objective: to identify mothers’ knowledge about premature newborn care and application of Kangaroo Mother Care at home. Methods: a descriptive, qualitative study carried out with 15 mothers of premature newborns in a reference Maternal and Child Hospital in northern Brazil using two semi-structured interviews with open- and closed-ended questions. The testimonies were analyzed using thematic analysis technique, proposed by Bardin. Results: two thematic categories originated: “Caring for a premature newborn at home: strengths and weaknesses” and “Applying Kangaroo Mother Care at home: new knowledge acquired during hospitalization”. Final considerations: the speeches of the interviewed mothers pointed out their knowledge about home care of premature NBs and understanding the importance of Kangaroo Mother Care, mainly acquired and improved with the guidance of professionals during hospitalization and application of the method, in addition to fears, possible difficulties in home care and the need to be better informed at hospital discharge.

scholarly journals Self-care to elderly after cerebrovascular accident: caregiver and academics experiences

Rev Rene ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 682
Author(s):  
Márcia Gabriela Gomes Nascimento ◽  
Paula Cristina Figueiredo Martins ◽  
Zélia Marilda Rodrigues Resck ◽  
Eliza Maria Rezende Dázio ◽  
Fábio Souza Terra
Keyword(s):  
Qualitative Study ◽  
Home Care ◽  
Multidisciplinary Team ◽  
Cerebrovascular Accident ◽  
Self Care ◽  
Academic Education ◽  
Structured Interviews ◽  
Care At Home ◽  
At Home

Objective: understand the experiences of the caregiver and multidisciplinary health academics toward the development of self-care at home for elderly after cerebrovascular accident. Methods: qualitative study with the use of semi-structured interviews with six caregivers and eight academics whose data were analyzed in the light of the Phenomenology. Results: three categories emerged: living with the challenges and limitations imposed on the caregiver and on the person being cared; the professional being and the technic conservatism; the multidisciplinary team at home: experiences with the caregiver andthe person being cared. Conclusion: caregivers of elderly who went through cerebrovascular accident need more supportand guidance for conducting home care, they need a plan of care to facilitate and encourage self-care, minimizing the burdenincurred to the caregiver. Multidisciplinary academics displayed a technical view. This demonstrates the need for change in academic education with more focus on a holistic and humanistic view of care. 

scholarly journals Perceptions and feelings of the family member/caregiver expressed before the patient on home care

Rev Rene ◽  
2015 ◽  
Vol 16 (6) ◽  
pp. 848
Author(s):  
Naianny Jonas Fogaça ◽  
Marina Medeiros Carvalho ◽  
Selma Rodrigues Alves Montefusco
Keyword(s):  
Content Analysis ◽  
Data Collection ◽  
Qualitative Study ◽  
Home Care ◽  
Health Professionals ◽  
Structured Interviews ◽  
Analysis Technique ◽  
The Family ◽  
Care Company ◽  
At Home

Objectives: to analyze the perceptions and feelings expressed by relatives regarding the patient undergoing home care. Method: this is a descriptive and qualitative study, with data collection carried out through semi-structured interviews at home, developed with fourteen family members of patients assisted by a home care company. Data were organized by content analysis technique. Results: perceptions and feelings expressed were: insecurity, fear, anxiety, worry, feelings of deprivation of liberty and at the same time, gratitude for the care, comfort, safety and proximity to care control, preferring the admitted patients at home and rated the care as satisfactory. Conclusion: home care should be seen as an innovative humanized care modality that aims to reverse the logic of work of health professionals, which is not limited to meet the clinical needs of patients, but also provide necessary support to the families involved.

scholarly journals Connected care for endocarditis and heart failure patients: a hospital-at-home programme

2021 ◽  
Author(s):  
J. van Ramshorst ◽  
M. Duffels ◽  
S. P. M de Boer ◽  
A. Bos-Schaap ◽  
O. Drexhage ◽  
...  
Keyword(s):  
Heart Failure ◽  
Home Care ◽  
Nurse Practitioners ◽  
Care Group ◽  
Proof Of Concept ◽  
Home Setting ◽  
Curative Care ◽  
Care At Home ◽  
Hospital At Home ◽  
At Home

Abstract Background Healthcare expenditure in the Netherlands is increasing at such a rate that currently 1 in 7 employees are working in healthcare/curative care. Future increases in healthcare spending will be restricted, given that 10% of the country’s gross domestic product is spent on healthcare and the fact that there is a workforce shortage. Dutch healthcare consists of a curative sector (mostly hospitals) and nursing care at home. The two entities have separate national budgets (€25 bn + €20 bn respectively) Aim In a proof of concept, we explored a new hospital-at-home model combining hospital cure and nursing home care budgets. This study tests the feasibility of (1) providing hospital care at home, (2) combining financial budgets, (3) increasing workforces by combining teams and (4) improving perspectives and increasing patient and staff satisfaction. Results We tested the feasibility of combining the budgets of a teaching hospital and home care group for cardiology. The budgets were sufficient to hire three nurse practitioners who were trained to work together with 12 home care cardiovascular nurses to provide care in a hospital-at-home setting, including intravenous treatment. Subsequently, the hospital-at-home programme for endocarditis and heart failure treatment was developed and a virtual ward was built within the e‑patient record. Conclusion The current model demonstrates a proof of concept for a hospital-at-home programme providing hospital-level curative care at home by merging hospital and home care nursing staff and budgets. From the clinical perspective, ambulatory intravenous antibiotic and diuretic treatment at home was effective in safely achieving a reduced length of stay of 847 days in endocarditis patients and 201 days in heart-failure-at-home patients. We call for further studies to facilitate combined home care and hospital cure budgets in cardiology to confirm this concept.

scholarly journals At-home care : interactions between nurses and the elderly/family

2012 ◽  
Vol 25 (spe1) ◽  
pp. 74-80
Author(s):  
Esperança Alves Gago ◽  
Manuel José Lopes
Keyword(s):  
Home Care ◽  
Nursing Practice ◽  
The Elderly ◽  
Diagnostic Assessment ◽  
Care Process ◽  
Structured Interviews ◽  
The Family ◽  
Home Context ◽  
The Relationship ◽  
At Home

OBJECTIVE: To understand the interaction process between the elderly and the family and the nurses during home care. METHODS: Grounded theory qualitative study in a community where 40% of the population is aged 65 or above. The collection of data was made via the non-participating observation of nursing practice during 41 home visits and semi-structured interviews to nurses, the elderly and the family. RESULTS: the following categories emerged - structural organization of at-home care, diagnostic assessment in context and therapeutic intervention in context. CONCLUSION: the central category was "Building the relationship in an at-home context", due to the fact that the relationship between the nurse, the elderly and the family is central across the entire care process. The relation is, simultaneously, the context for all the care and a therapeutic instrument.

scholarly journals What are essential elements of high-quality palliative care at home? An interview study among patients and relatives faced with advanced cancer

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
M. G. Oosterveld-Vlug ◽  
B. Custers ◽  
J. Hofstede ◽  
G. A. Donker ◽  
P. M. Rijken ◽  
...  
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Nursing Staff ◽  
Information Transfer ◽  
Essential Elements ◽  
Community Nursing ◽  
Structured Interviews ◽  
High Quality ◽  
Care At Home ◽  
At Home

Abstract Background In the Netherlands, general practitioners (GPs) and community nurses play a central role in the palliative care for home-dwelling patients with advanced cancer and their relatives. To optimize the palliative care provision at home, it is important to have insight in the elements that patients and relatives consider essential for high-quality palliative care, and whether these essentials are present in the actual care they receive. Methods Qualitative semi-structured interviews were conducted with 13 patients with advanced cancer and 14 relatives. The participants discussed their experiences with the care and support they received from the GP and community nurses, and their views on met and unmet needs. Interview data were analysed according to the principles of thematic analysis. Results Patients as well as relatives considered it important that their GP and community nursing staff are medically proficient, available, person-focused and proactive. Also, proper information transfer between care professionals and clear procedures when asking for certain resources or services were considered essential for good palliative care at home. Most interviewees indicated that these essential elements were generally present in the care they received. However, the requirements of ‘proper information transfer between professionals’ and ‘clear and rapid procedures’ were mentioned as more difficult to meet in actual practice. Patients and relatives also emphasized that an alert and assertive attitude on their own part was vital in ensuring they received the care they need. They expressed worries about other people who are less vigilant regarding the care they receive, or who have no family to support them in this. Conclusions Medical proficiency, availability, a focus on the person, proper information transfer between professionals, clear procedures and proactivity on the part of GPs and community nursing staff are considered essential for good palliative care at home. Improvements are particularly warranted with regard to collaboration and information transfer between professionals, and current bureaucratic procedures. It is important for care professionals to ensure that the identified essential elements for high-quality palliative care at home are met, particularly for patients and relatives who are not so alert and assertive.

scholarly journals Does Out-of-home Care Affect Compliance in Preschoolers?

1991 ◽  
Vol 14 (1) ◽  
pp. 45-65 ◽  
Author(s):  
Kathleen J. Sternberg ◽  
Michael E. Lamb ◽  
Carl-Philip Hwang ◽  
Anders Broberg ◽  
Robert D. Ketterlinus ◽  
...  
Keyword(s):  
Home Care ◽  
Quality Care ◽  
Maternal Behaviour ◽  
High Quality ◽  
Out Of Home Care ◽  
Age Variations ◽  
Care At Home ◽  
Problem Solving Task ◽  
At Home

When they averaged 28 and 40 months of age, 140 Swedish children were observed with their mothers in two situations (a problem-solving task and a clean-up session) designed to allow the assessment of their compliance with maternal demands. Individual differences in their behaviour were then related to measures of the quality of care received by them both at home and in alternative care settings when they averaged 16, 28, and 40 months of age, the amount of social support reportedly received by the mothers, the children's ages, and the amount of early out-of-home care received. Analyses using partial least squares (PLS) analyses showed that children were more compliant in the task situation at 40 months when they had experienced high quality care at home, when they were older, and when they had experienced less out-of-home care prior to 24 months of age. Variations in maternal behaviour in these settings were predicted by the same set of variables, suggesting that parent-child harmony, rather than compliance, was being studied. No consistent dimension of compliance was evident at 28 months.

scholarly journals Caring and Conflict-Palliative Care in the Armed Forces: The Challenges for Caregivers

2021 ◽  
Vol 0 ◽  
pp. 1-14
Author(s):  
Savita Butola ◽  
Sushma Bhatnagar ◽  
Fiona Rawlinson
Keyword(s):  
Palliative Care ◽  
Rural Areas ◽  
Family Members ◽  
Community Support ◽  
Armed Forces ◽  
Structured Interviews ◽  
Transfer Policy ◽  
Remote Areas ◽  
Care At Home ◽  
At Home

Objectives: In India, Palliative care remains inaccessible, especially in remote areas. This study aimed at exploring the experience of caregivers related to arranging palliative care at home, for personnel and family members of an armed force. Materials and Methods: Qualitative study based on thematic analysis of semi-structured interviews with adult caregivers - either serving personnel or their dependent family members. Results: Lack of palliative care in rural areas makes arranging home care challenging for Indian caregivers, especially in armed forces. The families stay alone and personnel cannot be there to look after loved ones. Constraints of leave, financial and legal problems, frequent movement and social isolation disrupt care as well as family and community support systems, leading to psycho-social problems and stress for the serving personnel as well as families. Educating staff, integrating palliative care into existing medical services, coordinating with other agencies to increase awareness and provide care at home, access to opioids, timely leave, reimbursement of expenses, increased family accommodation, guidance about benefits, and considerate implementation of transfer policy can help mitigate some of their problems. Conclusion: These caregivers face physical exhaustion, psycho-social, financial, legal, and spiritual issues- some common to all rural Indians and others unique to the armed forces. Understanding their experiences will help the providers find solutions, especially in relation to the unique needs of the men in uniform.

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