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.

scholarly journals Adaptations and inventions in the praxis of nurses in home care: implications of the reflective practice

2018 ◽  
Vol 22 (3) ◽  
Author(s):  
Angélica Mônica Andrade ◽  
Kênia Lara Silva
Keyword(s):  
Home Care ◽  
Critical Discourse Analysis ◽  
Participant Observation ◽  
Home Care Services ◽  
Theory And Practice ◽  
Care Services ◽  
Minas Gerais State ◽  
Dialectical Relationship ◽  
Relationship Of ◽  
At Home

Abstract Objective: To analyze the praxis of nurses at home, considering their power to invent new ways of producing care. Methods: This is a Unique Case Study, with a qualitative nature, anchored in the theoretical-methodological framework of dialectics. It was attended by 13 nurses working in home care services in Minas Gerais State. Data were obtained through participant observation and interview, and then submitted to Critical Discourse Analysis. Results: The praxis of the nurse at home is shaped by the relationship of interdependence between theory and practice and of a practice built through adaptations and inventions entailed by the specific context of Home Care, as well as by the space where care happens. Conclusions and implications for practice: Adaptations and inventions represent the sensible action of nurses expressed during practice, with a view to transforming a reality. Moreover, they have a dialectical relationship between lack of resource and accomplishment of care.

scholarly journals PELAYANAN HOME CARE TERHADAP TINGKAT KEMANDIRIAN KELUARGA DALAM MERAWAT ANGGOTA KELUARGA DENGAN DIABETES MELITUS TIPE 2

2017 ◽  
Vol 1 (1) ◽  
pp. 9
Author(s):  
Lia Meilianingsih ◽  
Ridwan Setiawan
Keyword(s):  
Treatment Group ◽  
Home Care ◽  
Family Members ◽  
Home Care Services ◽  
Control Group ◽  
Care Services ◽  
The Family ◽  
Before And After ◽  
Taking Care

ABSTRAKTujuan penelitian: Penelitian ini bertujuan untuk mengetahui pengaruh pelayanan home careterhadap tingkat kemandirian keluarga dalam merawat anggota keluarga dengan diabetesmelitus (DM) tipe 2 di Wilayah Kerja Puskesmas Pasirkaliki, Bandung. Metode: Desain penelitianmenggunakan quasi experiment dengan pendekatan pre- post-test control group design. Sampelberjumlah 27 orang untuk kelompok perlakuan dan 27 orang untuk kelompok kontrol. Teknikpengambilan sampel secara purposive sampling. Intervensi pelayanan home care dilakukan enamkali kunjungan. Kemandirian keluarga dalam merawat anggota keluarga dengan DM tipe 2 sebelumdan sesudah diberikan pelayanan home care dilakukan dengan uji statistik T test independent dandependent. Instrumen untuk menilai kemandirian keluarga dengan kuesioner tentang kemandiriankeluarga dari Kementrian Kesehatan. Hasil: Terdapat perbedaan yang bermakna pada tingkatkemandirian keluarga dalam merawat anggota keluarga dengan DM tipe 2 sebelum dan setelahdilakukan pelayanan home care pada kelompok perlakuan (p=0,00), selanjutnya terdapat perbedaanyang bermakna juga antara kelompok kontrol dan kelompok perlakuan (p=0,00). Diskusi: Untukmencapai hasil yang maksimal perlu peningkatan pelayanan keperawatan keluarga dalam bentukHome Care secara berkesinambungan sehingga kemandirian keluarga dalam mengenal danmengatasi masalah kesehatan di keluarganya semakin meningkat. Simpulan: pelayanan homecare dapat meningkatkan kemandirian keluarga dalam merawat anggota keluarga dengan DM tipe2.Kata Kunci: diabetes melitus tipe 2, home care, kemandirian keluargaABSTRACTObjectives: This study aimed to identify the effect of home care services on the levels of independenceof family in taking care of family members with type 2 diabetes mellitus (DM) at Pasirkaliki PublicHealth Centre, Bandung. Method: This study was quasi-experimental with pre-post-test approachcontrol group design. Samples were divided into treatment group and control group, each of whichconsisted of 27 people. They were taken using purposive sampling. Home care services interventioninvolved six visits. The independence of the family in taking care of family members with type 2DM before and after home care services was analyzed using independent and dependent t test.Result: There were signifi cant differences in the levels of independence of the family in taking careof family members with type 2 DM before and after the home care services in the treatment group(p=0.00). There were also signifi cant differences between the control group and the treatment group(p 0.00). Discussion: In order to achieve maximum results, it was necessary to improve familynursing services in the form of Home Care on an ongoing basis so that the independence of thefamily in identifying and addressing family health issues would increase. Conclusion: Home careservices could improve the independence of the family in taking care of family members with type 2DM.Keywords: type 2 diabetes mellitus, home care, independence of family.

scholarly journals Nursing practice in home care: the mediation of care by reflexivity

2019 ◽  
Vol 72 (4) ◽  
pp. 956-963 ◽  
Author(s):  
Angélica Mônica Andrade ◽  
Edna Aparecida Barbosa de Castro ◽  
Maria José Menezes Brito ◽  
Patrícia Pinto Braga ◽  
Kênia Lara Silva
Keyword(s):  
Home Care ◽  
Critical Discourse Analysis ◽  
Professional Practice ◽  
Care Setting ◽  
Participant Observation ◽  
Critical Discourse ◽  
Continuous Assessment ◽  
Reflexive Practice ◽  
Reflection In Action

ABSTRACT Objective: To analyze the practice of nurses in home care, considering the mediation of care by reflexivity. Method: Unique, qualitative case study, anchored in the dialectical framework. The participants were 13 nurses who work in home care in Minas Gerais. Data were obtained by participant observation and interview, and submitted to critical discourse analysis. Results: Nursing care at home involves the repetitions of everyday actions and a degree of unpredictability. Reflexivity, according to Schön’s theoretical framework, emerges as a component of professional practice that leads to the practice of care as a continuous assessment of work, and also to reflection on the challenges imposed by conflicting situations. Reflexivity also stems from professionals’ search for improvements in their practices. Final considerations: We identified the presence of actions and knowledge mobilized by the reflexivity of the nurse in the home care setting. The following were the elements of this reflexive practice: knowing-in-action, reflection-in-action and reflection reflection-in-action.

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.

scholarly journals Coaxing as a Strategy to Deal with Ethical Issues in Community Home Care: An Ethnographic Study

2020 ◽  
Author(s):  
Dara Rasoal
Keyword(s):  
Health Care ◽  
Home Care ◽  
Health Care Professionals ◽  
Ethical Issues ◽  
Participant Observation ◽  
Home Care Services ◽  
Ethnographic Study ◽  
Western Society ◽  
Care Services ◽  
Difficult Situations

Introduction: The provision of home health care services increases as a desirable option in western society. Previous studies indicate that health care professionals encounter ethically difficult situations when providing home care services. There is a lack of studies describing ethically difficult situations through observation. This study aimed to explore ethical issues experienced by healthcare staff when providing community home care services.  Methods: Qualitative design, using the ethnographical approach. Data gathered as fieldwork in terms of memos, non-participant observation and informal interview with registered nurses (n=8), and nurse-assistants (n=4) during three weeks (in total 148 hours, 7am -5pm) . Results: The result generated two main categories: 1) To balance stakeholders’ requirements, and, 2) Strategy to deal with ethical issues. Coxing was used as a strategy to deal with ethically difficult situations in patient care. The results showed that the complexity of the ethical issues is often related to personal values and organisational impact. The staff experienced need for a structured approach to assist them in identifying, analysing, and resolving ethical issues that arise in clinical practice. Health care organisations, personnel and patients are disagreed about values and choices that could lead to the best course of actions. Conclusion: This study reveals that the ethically difficult situations in the context of community home care services are complex and are influencing the provision of care. The personnel enforced to find a balance between different expectations and from different stakeholders. To deal with these situations coaxing was used as a strategy for managing ethical issues.

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
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