Students Practice Essential Components of Community Health Nursing in Home Health Care

1996 ◽  
Vol 35 (9) ◽  
pp. 394-399
Author(s):  
Patricia J Bradley
Keyword(s):  
Health Care ◽  
Community Health ◽  
Home Health Care ◽  
Home Health ◽  
Community Health Nursing ◽  
Essential Components ◽  
Health Nursing

Community Health Nursing Vision for 2020

2010 ◽  
Vol 33 (8) ◽  
pp. 1047-1068 ◽  
Author(s):  
Ruth Schofield ◽  
Rebecca Ganann ◽  
Sandy Brooks ◽  
Jennifer McGugan ◽  
Kim Dalla Bona ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care System ◽  
Primary Health Care System ◽  
Community Health Nursing ◽  
Community Health Nurses ◽  
Common Definition ◽  
The Future ◽  
Health Nursing ◽  
Care System

As health care is shifting from hospital to community, community health nurses (CHNs) are directly affected. This descriptive qualitative study sought to understand priority issues currently facing CHNs, explore development of a national vision for community health nursing, and develop recommendations to shape the future of the profession moving toward the year 2020. Focus groups and key informant interviews were conducted across Canada. Five key themes were identified: community health nursing in crisis now, a flawed health care system, responding to the public, vision for the future, and CHNs as solution makers. Key recommendations include developing a common definition and vision of community health nursing, collaborating on an aggressive plan to shift to a primary health care system, developing a comprehensive social marketing strategy, refocusing basic baccalaureate education, enhancing the capacity of community health researchers and knowledge in community health nursing, and establishing a community health nursing center of excellence.

Moving to a Culture of Safety in Community Home Health Care

2008 ◽  
Vol 13 (1_suppl) ◽  
pp. 20-24 ◽  
Author(s):  
Lynn Stevenson ◽  
Cora McRae ◽  
Waqar Mughal
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Community Health ◽  
Acute Care ◽  
Community Health Workers ◽  
Home Health Care ◽  
Health Workers ◽  
Risk Identification ◽  
Home Health ◽  
Care Staff

Objective Community home health care workers and their clients are faced with a mixture of occupational health and safety challenges that are not typically experienced by health care providers or patients in the acute care sector. The aim of this project was to explore the concept of safety in community home health in one health care authority in British Columbia. Methods A participatory action research approach was employed to explore staff and client safety risks in this environment. In the first phase, three focus groups were held with staff (n 5 39) and the data analysed to identify themes. These were validated by additional focus groups. In the second phase, interviews were held with staff followed by chart reviews. Finally, in phase three, an interdisciplinary working group developed a risk identification tool for staff which was subsequently piloted. The exploration focused on answering the following questions: What constitutes safety in community home health care? What are the priority areas for action in relation to safety? What type of risk identification would be most helpful to community health workers to prepare them adequately to meet their clients’ and their own safety needs? Results Risk themes identified included: poor communication, acute care staff not understanding the needs of community staff, working alone, mobility, medication concerns, lack of pre-screening of clients’ homes, and community health workers accepting a high degree of risk. Conclusions Findings suggest that typical notions of safety and risk in acute care are not easily translated into the community sector, that staff and clients’ safety concerns are intertwined, and staff require better and more timely information from acute care staff when patients are discharged home.

The Role of Schedule Volatility in Home Health Nursing Turnover

2021 ◽  
pp. 107755872110343
Author(s):  
Alon Bergman ◽  
Hummy Song ◽  
Guy David ◽  
Joanne Spetz ◽  
Molly Candon
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
The United States ◽  
Home Health ◽  
Full Time ◽  
Nursing Turnover ◽  
Home Health Nurses ◽  
Part Time ◽  
Health Nursing

Despite considerable research on nursing turnover, few studies have considered turnover among nurses working in home health care. Using novel administrative data from one of the largest home health care organizations in the United States, this study examined turnover among home health nurses, focusing on the role of schedule volatility. We estimated separation rates among full-time and part-time registered nurses and licensed practical nurses and used daily visit logs to estimate schedule volatility, which was defined as the coefficient of variation of the number of daily visits in the prior four weeks. Between 2016 and 2019, the average annual separation rate of home health nurses was over 30%, with most separations occurring voluntarily. Schedule volatility and turnover were positively associated for full-time nurses, but not for part-time nurses. These results suggest that reducing schedule volatility for full-time nurses could mitigate nursing turnover in home health care.

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