Development of an Attitude Scale for Home Care

2015 ◽  
Vol 29 (4) ◽  
pp. 306-324
Author(s):  
Pınar Duru ◽  
Özlem Örsal ◽  
Engin Karadağ
Keyword(s):  
Home Care ◽  
Home Health Care ◽  
Goodness Of Fit ◽  
Home Care Services ◽  
Attitude Scale ◽  
Home Health ◽  
Measurement Tool ◽  
Fit Indices ◽  
Care Services ◽  
Fit Index

The aim of this study was to evaluate the attitudes about home care services and to develop a reliable and valid measurement tool. This methodological study was carried out on 290 students studying at a school of health. Mary Albrecht’s nursing model for home health care, Jean Watson’s theory of human caring, and Leslie Jean Neal’s theory of home health nursing practice constituted the theoretical framework of the study. According to the results of the confirmatory factor analysis, obtained fit indices (x2/df = 1.91, root mean square error of approximation [RMSEA] = .057, normed fit index [NFI] = .80, comparative fit index [CFI] = .89, goodness-of-fit index [GFI] = .85) showed that the proposed model is appropriate for the scale. The Attitude Scale for Home Care (ASHC) consists of 3 subdimensions and 29 items. Cronbach’s alpha of the questionnaire was .93. Therefore, ASHC is a valid and reliable instrument for measuring attitudes about home care and can be used in selecting personnel to work in home care services.

scholarly journals National Home Care Initiative in Jordan: A Demonstration Project

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 242s-242s
Author(s):  
O. Shamieh ◽  
A. Mansour ◽  
R. Harding ◽  
M. Tarawneh ◽  
S. Payne
Keyword(s):  
Health Care ◽  
Home Care ◽  
Home Health Care ◽  
Health Care Professionals ◽  
Home Care Services ◽  
Home Health ◽  
Demonstration Project ◽  
Strategic Framework ◽  
Care Services ◽  
Effective Partnership

Background and context: The home healthcare market in Jordan is nascent with little service offered. It suffers from a highly fragmented and underregulated landscape. The limited access to qualified trustworthy home care services, lack of professional home care training, and lack of home health care insurance coverage have added to the heavy in-patient bed demand and delayed hospital discharges especially for disabled or terminally ill patients. Aim: To establish a comprehensive national home care program to improve the delivery of palliative and home care services in Jordan, and to conduct a situational analysis and generate policy recommendations. Strategy/Tactics: We used multiple strategies to reach our objectives. 1. Expansion of home care services at King Hussein Cancer Center (KHCC) to create a local demonstration project. 2. Building health care professional capacity by offering variety of educational programs. 3. Improving quality of service delivery by generating clinical practice guidelines, such as standards operating procedures and patient and family educational materials. 4. Use the pilot operational and financial data to generate an economic model to inform the development of similar home health care units in hospitals across Jordan. 5. National advocacy and building effective partnership with all related stakeholders to advance national policy. Program/Policy process: Between May 2016 and May 2017, 7818 home care visits were conducted by KHCC. For capacity building; 678 health care professionals were trained in palliative and home care, out of which 366 participants were females (54%). Palliative care was successfully recognized as a specialty by the Jordan Nursing Council and recognized as a subspecialty by the Jordan Medical Council. The palliative and home care standards of practice were included in the health care accreditation council. The analysis of economic evaluation data suggested that home care services decreased in-patient utilization and costs which is advantageous to a country with limited resources. As a result of the advocacy stream and a collaborative network, the national palliative and home care strategic framework was generated, and endorsed by the Ministry of Health. Outcomes: The NHCI resulted in a very successful pilot project and achieved specialty and subspecialty recognition. Furthermore, we were able to build the capacity of health care professionals and policy makers in the palliative and home care sector from public, private and academic institutions. In the advocacy and policy dimension, the Minister of Health officially approved and adapted the palliative and home care strategic framework that was developed by this initiative. What was learned: Cross-sector collaboration and effective partnership resulted in system change and policy advancement. Developing effective economic systems is essential in low resourced countries. The initiative was supported by a joint grant from the USAID and KHCC.

An Overview of Home Health Care Programs

1990 ◽  
Vol 3 (1) ◽  
pp. 4-10
Author(s):  
Kate O'Neil ◽  
Leslie LaBelle ◽  
Caryn M. Bing
Keyword(s):  
Health Care ◽  
Home Care ◽  
Home Health Care ◽  
Health Care Services ◽  
Home Care Services ◽  
Home Health ◽  
The Public ◽  
The Past ◽  
Care Services ◽  
The Impact

Home-care services have expanded greatly over the past several decades. Many pharmacy practitioners have little or no exposure to the vast majority of home-care programs. This article provides an overview of home health care services, traces the evolution of these programs and the public policy that has directed that change, and outlines the regulation governing the home-care industry. A synopsis of traditional and nontraditional home-care services precedes a brief review of other specialty services. A summary of the impact of quality management programs and some future trends for home care are presented.

scholarly journals Examining Fall Recurrence Risk of Homebound Hispanic Older Adults Receiving Home Care Services

2017 ◽  
Vol 15 (1) ◽  
pp. 20-26
Author(s):  
Guillermina R. Solis ◽  
Jane Dimmitt Champion
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Home Health Care ◽  
Fall Risk ◽  
Health Care Services ◽  
Home Care Services ◽  
Recurrence Risk ◽  
The United States ◽  
Care Services ◽  
Risk Of Fall

Introduction: Unintentional falls and injuries is a major problem among older adults and the fourth cause of death in the United States. A previous fall event doubles the risk of recurrence and lessens the person’s quality of life. Hispanic older adults have higher rates of disability and lower independent functioning due to poor medical health and risk for fall recurrence. Most fall studies focus on fall risk with few studies on fall recurrence in older adults receiving home health care services unrelated to fall incident. Method: A descriptive pilot study of 30 homebound Hispanic older adults receiving home care services who reported a fall within 3 months was conducted by a multidisciplinary team to evaluate risk of fall recurrence. Results: A heightened risk for fall recurrence was identified with high number of chronic illnesses, high intake of medications, vision problems, and prevalence of urinary incontinence. Conclusion: Findings highlight significant number of intrinsic factors for fall risk recurrence and injuries in a Hispanic older adults population that is homebound and receiving home care services. A multidisciplinary evaluation and culturally appropriate interventions to lessen the risk of fall recurrence are recommended.

scholarly journals Home health aides’ experiences of their occupational health: a qualitative meta-synthesis

2020 ◽  
Author(s):  
Sunniva Grønoset Grasmo ◽  
Ingeborg Frostad Liaset ◽  
Skender Elez Redzovic
Keyword(s):  
Occupational Health ◽  
Home Care ◽  
Home Care Services ◽  
Home Health ◽  
Working Environment ◽  
Major Health Problem ◽  
Positive Effects ◽  
Home Health Aides ◽  
Care Services ◽  
Key Concepts

Abstract Objective: The need for home care services is rapidly growing due to an increasing elderly population, earlier discharge from hospital and clients’ preference of being treated at home. While this need increases, there is high sickness absence among home health aides, and research show that home health aides have one of the highest probabilities of being granted a disability pension. A high prevalence of musculoskeletal disorders has been reported in occupations with physically demanding work, and this aspect is a major health problem among home health aides. Studies have shown that home health aides find their work stressful, physically demanding and exhausting. The objectives of this study were to summarise peer-reviewed literature on how home health aides experience their occupational health and conduct an ethnographic meta-synthesis with the aim of identifying and describing key concepts across studies. Methods: A qualitative ethnographic meta-synthesis was used to develop new insights into home health aides’ occupational experiences. By using this method, we directed attention to the interpretation of studies, development of concepts and expansion and specification of theories that concern these concepts. The first author conducted searches in the electronic databases CINAHL, MEDLINE and PsycINFO. Results: This meta-synthesis includes 27 articles. The review of these sources identified four key concepts as important to gain an understanding of occupational health among home health aides: exposure to physical demands , physical environmental factors , organisational conditions of employment and psychosocial working environment . Conclusion: The findings in this synthesis are consistent with previous research showing that occupational health among home health aides is a complex phenomenon. Specifically, physical, psychosocial and psychological exposure aspects have potential negative and positive effects on home health aides’ occupational health. In order to increase employee’s well-being, create a healthier workplace that provides well-functioning and high-quality home care services and cope with future health challenges, more investigations into the organisation of home care are needed.

scholarly journals An Outbreak Preparedness and Mitigation Approach in Home Health and Personal Home Care During the COVID-19 Pandemic

2020 ◽  
Vol 32 (4) ◽  
pp. 229-233 ◽  
Author(s):  
William R. Mills ◽  
Susan Sender ◽  
Karen Reynolds ◽  
Joseph Lichtefeld ◽  
Nicholas Romano ◽  
...  
Keyword(s):  
Infection Control ◽  
Home Care ◽  
Case Series ◽  
Home Care Services ◽  
Home Health ◽  
Case Identification ◽  
Care Services ◽  
Home Based ◽  
Control Procedures ◽  
Novel Coronavirus

The acute respiratory disease COVID-19, caused by the novel Coronavirus SARS-CoV-2, is a worldwide pandemic affecting millions of people. The methodology that organizations who provide home health and personal home care services are using to respond to this pandemic has not yet been characterized. In this report, we describe our approach to comprehensive outbreak suppression and report an initial case series of COVID-19 positive patients receiving home-based services. We implemented enhanced infection control procedures across our affiliates, and we communicated these protocols to our offices using multi-faceted methods. Using custom built software applications enabling us to track patient and employee cases and exposures, we leveraged current public health recommendations to identify cases and to suppress transmission. In the 100-day period between January 20, 2020 and April 30, 2020, our affiliates provided services to 67 COVID-19 positive patients (<0.3% of census). Twenty patients were referred to home health post hospitalization for COVID-19 related illness, whereas 47 were found to have COVID-19 while living in community settings. Of those who were found to have COVID-19 in the community, 17 (39%) required subsequent hospitalization. Hospitalized patients had an average age of 74.5 ± 18, and 53% were male. There were 13 deaths (76%) among those hospitalized from the community with COVID-19 related illness. A highly coordinated and frequently communicated approach to infection control, case identification and employee screening can be performed by home health and personal home care organizations. Studies that further assess risks and predictors of illness severity in home-based COVID-19 patients are needed.

Relationship Between Nursing Students’ Attitudes Toward Elderly Discrimination and Opinions About Home Care Services

2019 ◽  
Vol 31 (4) ◽  
pp. 219-223 ◽  
Author(s):  
Meltem Meriç ◽  
Gül Ergün ◽  
Ganna Pola ◽  
Meral Dölek ◽  
Burcu Totur Dikmen ◽  
...  
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Home Care ◽  
Elderly Care ◽  
The Elderly ◽  
Home Care Services ◽  
Attitude Scale ◽  
Attitudes Toward Elderly ◽  
Care Services ◽  
Students Attitudes

The determination of nursing students’ attitudes toward elderly discrimination and their opinions about home care is important in that it will affect the quality of care provided to elderly individuals in their homes by the students in the future. For this reason, the aim of this study was to determine relationship between nursing students’ attitudes toward elderly discrimination and their opinions about home care services. This descriptive study was conducted with a total of 318 students from a university nursing faculty during the fall semester of the 2016-2017 academic year. Data for the study were collected using the Home Care Services Evaluation Questionnaire and the Ageism Attitude Scale. It was found that there was a positively significant but weak relationship between the students’ age discrimination scale total score and the positive discrimination subdimension score, and their opinions about home care services ( p < .001). Students’ attitudes toward elderly discrimination were found to make a statistically significant contribution to their opinions about home care services. It was ascertained that students’ attitudes toward elderly discrimination affected their opinions about home care services. It is recommended that geriatric nursing and home care nursing lectures be included in the nursing education curriculum, awareness of the importance of the concept of old age and elderly care be increased by establishing internship fields for students in institutions that provide home care for the elderly, and positive attitudes toward the elderly be promoted.

An Annotated Bibliography on Home Care Technologies

1985 ◽  
Vol 1 (2) ◽  
pp. 371-393
Author(s):  
Josette Leenders ◽  
Lars-Åke Marké
Keyword(s):  
Health Care ◽  
Home Care ◽  
Home Health Care ◽  
Private Insurance ◽  
Home Health ◽  
Reimbursement Mechanisms ◽  
Coverage Criteria ◽  
Payment Methods ◽  
Care Services ◽  
Medicare Coverage

Curtiss, F. R. (1984). Reimbursement dilemma regarding home health-care products and services. Am. J. Hosp. Pharm., August, 41(8), 1548–57.Reimbursement mechanisms for home health-care products and services are discussed in detail. The two major categories of the home health care industry—(1) skilled nursing, homemaker, and other services, and (2) equipment, supplies, and other products (including drugs)—are reimbursed by third-party payers differently. While prospective pricing of inpatient care encourages the growth of home-care services, government administrators are concerned about potential spending growth at time of ballooning deficits, and private health insurers are uncertain about coverage criteria. Nuances of Medicare coverage criteria and private insurance reimbursement for home health care services are described. Medicaid coverage of drugs and biologicals for home patients is also described. The Health Care Financing Administration (HCFA) is expected to clarify and restrict Medicare coverage and payment of home-care products, equipment, and supplies. Medical justification will probably become more specific with greater attention to patient diagnoses and prognosis of patient therapies. Per-case payment methods will be refined to encompass home care. The government and private insurance programs will move toward capitation payment methods under which institutions will have even greater incentives to develop sophisticated home-care programs to substitute for institutional care. L.A.M.

scholarly journals An Exploratory Analysis of Patient-Provider Language-Concordant Home Health Care Visit Patterns

2017 ◽  
Vol 29 (3) ◽  
pp. 161-167 ◽  
Author(s):  
Allison Squires ◽  
Timothy R. Peng ◽  
Yolanda Barrón-Vaya ◽  
Penny Feldman
Keyword(s):  
Health Care ◽  
Home Care ◽  
Home Health Care ◽  
Limited English Proficiency ◽  
Health Care Services ◽  
The United States ◽  
Home Health ◽  
Care Services ◽  
Health Care Visit ◽  
The Right

Approximately one in five households in the United States speaks a language other than English at home. This exploratory, descriptive study sought to examine language-concordant visit patterns in an urban home health care agency serving a diverse and multilingual population. Patient care record data combined with administrative data facilitated the exploratory work. In a 2-year period, results showed that among the 238,513 visits with 18,132 limited English proficiency patients, only 20% of visits were language concordant. The study suggests that home health care services may not be meeting the demand for language services, but more research is needed to determine the right “dose” of bilingual home care visits to optimize home care outcomes and establish a standard for care.

A Randomized Pilot Study of improving Foot Care in Home Health Patients With Diabetes

2003 ◽  
Vol 29 (2) ◽  
pp. 273-282 ◽  
Author(s):  
Cynthia F. Corbett
Keyword(s):  
Home Care ◽  
Educational Intervention ◽  
Self Efficacy ◽  
Self Care ◽  
Home Care Services ◽  
Home Health ◽  
Study Entry ◽  
Foot Care ◽  
Care Services ◽  
Care Practices

PURPOSE the purpose of this study was to test the effectiveness of an educational intervention to improve patients' foot care knowledge, self-efficacy, and self-care practices. METHODS A prospective, randomized, single center, 2-group design was used with a convenience sample of 40 home care patients from a Medicare-certified home health agency. Baseline measures of foot care knowledge, self-efficacy, and reported self-care practices were obtained at study entry and 6 weeks later to control for foot care interventions provided during routine home care services. After obtaining the 6-week baseline measures, patients who were randomized to the intervention group received individualized education about proper foot care. All patients were interviewed a third time 3 months after study entry to determine the effectiveness of the intervention. RESULTS The educational intervention improved patients' knowledge, confidence, and reported foot care behaviors. CONCLUSIONS A brief, individualized educational intervention about standard foot care topics improved patients' foot care knowledge and self-efficacy as well as reported self-care practices. Incorporating such interventions into routine home care services may enhance the quality of care and decrease the incidence of lower-extremity complications.

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