scholarly journals Meanings and expressions of care and caring for elders in urban Namibian families:

Curationis ◽  
2000 ◽  
Vol 23 (3) ◽  
Author(s):  
CJ Leuning ◽  
LF Small ◽  
A Van Dyk
Keyword(s):  
Health Care ◽  
Urban Communities ◽  
Home Health Care ◽  
Urban Families ◽  
Transcultural Nursing ◽  
Culture Care ◽  
Nursing Knowledge ◽  
Culturally Congruent ◽  
Home Based ◽  
Care Health

Since Namibia’s Independence in 1990, the population of elders—persons 65 years old and older—in urban communities is growing steadily. As such, requests for home health care, health counselling, respite care and residential care for aging members of society are overwhelming nurses and the health care system. This study expands transcultural nursing knowledge by increasing understanding of generic (home-based) patterns of elder care that are practised and lived by urban Namibian families. Guided by Madeleine Leininger’s theory of culture care diversity and universality and the ethnonursing research method, emic (insider) meanings and expressions of care and caring for elders in selected urban households have been transposed into five substantive themes. The themes, which depict what caring for elders means to urban families, include: 1 nurturing the health of the family, 2 trusting in the benevolence of life as lived, 3 honouring one’s elders, 4 sustaining security and purpose for life amid uncertainty, and 5 living with rapidly changing cultural and social structures. These findings add a voice from the developing world to the evolving body of transcultural nursing knowledge. Synthesis of findings with professional care practices facilitates the creation of community-focussed models for provisioning culturally congruent nursing care to elders and their families in urban Namibia.

Culturally Congruent Care From the Perspectives of Judaism, Christianity, and Islam

2020 ◽  
pp. 104365961990000
Author(s):  
Hiba Wehbe-Alamah ◽  
Linda Sue Hammonds ◽  
David Stanley
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Culturally Competent ◽  
Transcultural Nursing ◽  
Culture Care ◽  
World Religions ◽  
Beliefs And Practices ◽  
Culturally Sensitive Care ◽  
Culturally Congruent ◽  
Nursing Health

Introduction: Judaism, Christianity, and Islam are three world religions that occupy much of the world stage in health care, journalism, and media. Nurses frequently provide care for representatives of these groups. Culturally competent nurses recognize that there are differences and similarities within and between these religions. Methodology: This article incorporates findings from a scholarly review of the literature and transcultural nursing/health care principles and is guided by Leininger’s Culture Care Diversity and Universality Theory. It discusses the roots from which these religions emerged, and the similarities and differences in religious beliefs and practices as pertained to health care. Conclusion: Nurses and other health care professionals may use knowledge presented in this article to conduct individualized cultural assessments and provide culturally congruent health care to Jewish, Christian, and Muslim populations. Leininger’s three culture care modes of decisions and actions offer a creative approach to providing meaningful and helpful culturally sensitive care.

scholarly journals Continuity in the Provider of Home-Based Physical Therapy Services and Its Implications for Outcomes of Patients

2012 ◽  
Vol 92 (2) ◽  
pp. 227-235 ◽  
Author(s):  
David Russell ◽  
Robert J. Rosati ◽  
Evie Andreopoulos
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Home Health Care ◽  
Home Health ◽  
Activity Limitations ◽  
Administrative Records ◽  
For Profit ◽  
Home Based ◽  
Therapy Services ◽  
Physical Therapy Services

BackgroundA growing body of research suggests that greater continuity of health care is positively associated with improved outcomes of patients. However, few studies have examined this issue in the context of physical therapy.ObjectiveThe purpose of this study was to evaluate whether the level of continuity in the provider (provider continuity) of physical therapy services was related to outcomes in a population of patients receiving home health care.DesignThis was a retrospective observational study.MethodsClinical and administrative records were retrieved for a population of adult patients receiving physical therapy services from a large, urban, not-for-profit certified home health care agency in 2009. Descriptive and multivariable analyses were used to examine how the level of provider continuity, calculated by use of a formula that models dispersion in contact between the patient and the providers of physical therapy services, varied across characteristics and outcomes of patients.ResultsLogistic regression analyses indicated that patients with lower levels of provider continuity had significantly higher odds of hospitalization (odds ratio [OR]=2.06, 95% confidence interval [CI]=1.90–2.23) and lower odds of improvements in the number of activity limitations (OR=0.85, 95% CI=0.80–0.92) and in the severity of activity limitations (OR=0.85, 95% CI=0.78–0.93) between the beginning and the end of the home health care episode.LimitationsBaseline clinical characteristics associated with continuity of care suggest some level of indication bias. Outcome measures for activities of daily living were limited to patients who were not hospitalized during their home health stay.ConclusionsThese findings build upon research suggesting that continuity in the patient-provider relationship is an important determinant of outcomes of patients.

A Review Process for a Hospital at Home

1992 ◽  
Vol 5 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Neil Russon
Keyword(s):  
Health Care ◽  
New Brunswick ◽  
Home Health Care ◽  
Review Process ◽  
Home Health ◽  
National Standards ◽  
Institutional Setting ◽  
Care Health ◽  
Hospital At Home

The field of home health care is the focus of much attention as alternatives to institutionalization are sought. As a result, many types of organizations are now providing home care, health or otherwise, without the guidance of national standards similar to those found in accreditation models for care in an institutional setting. So that stakeholders in New Brunswick can be assured of the quality of the service it provides, the Extra-Mural Hospital has embarked upon the development of a review process which will, to some extent, follow established accreditation models.

Untapped Potential of Home Health Care Innovations to Improve Outcomes With Bundled Payment Initiatives

2016 ◽  
Vol 29 (1) ◽  
pp. 53-55
Author(s):  
Teresa Lee ◽  
Jennifer Schiller
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Home Health ◽  
Bundled Payment ◽  
Home Based ◽  
Medicare Program ◽  
Health Agencies ◽  
Home Health Agencies ◽  
Home Based Care ◽  
Payment Models

A rapidly changing health care payment system creates opportunities for optimizing home health and home-based care for patients needing cardiac rehabilitation (CR). Home health agencies are poised to play a significant role in episode payment models in the context of post–acute care for patients with cardiovascular conditions. As the Medicare program expands its episode payment models to include patients with cardiovascular conditions, hospitals and other health care stakeholders that will be engaged in these bundled payment arrangements should consider use of home health care in the delivery of CR as a bridge to outpatient therapy and patient self-management.

Examining the Perspectives of Family Members Involved in the Delivery of Palliative Care at Home

2003 ◽  
Vol 19 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Kelli I. Stajduhar
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Home Health Care ◽  
Ethnographic Study ◽  
Health Care Reforms ◽  
Home Setting ◽  
Home Based ◽  
Field Notes ◽  
Dying At Home ◽  
At Home

This ethnographic study examined the social context of home-based palliative caregiving. Data were composed of observation field notes, interviews, and textual documents, and were analyzed using constant comparative methods. Findings show that home-based palliative caregiving resulted in life-enriching experiences for many caregivers. However, assumptions about dying at home and health care reforms resulted in some caregivers feeling “pressured” to provide home care, and consequently, left them feeling their obligations to care were exploited by the health care system. Shifts toward providing care closer to home not only changed caregivers, but also changed the home setting where palliative care was provided. Findings indicate a need for interventions designed to improve support for caregivers at home, and to explore how assumptions influence and sometimes drive the provision of home health care.

scholarly journals Using AI to Implement O2O Home Health Care Program

2021 ◽  
Vol 257 ◽  
pp. 03060
Author(s):  
Shih-Feng Chang ◽  
Wei-Fen Du ◽  
Jin Wang ◽  
Ma-Yan Lin ◽  
Du Peng
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Elderly Care ◽  
Care Program ◽  
The Elderly ◽  
Policy Support ◽  
Market Strategy ◽  
Continuous Growth ◽  
Care Services ◽  
Home Based

With the continuous growth of China’s elderly population, the demand for elderly care services has increased dramatically. Due to the influence of Chinese people’s cultural concept of elderly care, most of the elderly are more inclined to home-based care, enjoy the happiness of children and grandchildren, and enjoy family happiness. At present, there are some problems in home-based health care services, such as lack of professional talents and single service mode. This entrepreneurial project which is proposed by Wish Magic has grasped the pain points of China’s elderly care problems, and brought about some problems. Efforts should be made to build a sharing platform for elderly care services, attract professionals to provide professional services for the elderly, and hold diversified activities to meet the material and spiritual needs of the elderly. The planned market strategy of the project is divided into three steps. Firstly, the project will be carried out in the first and second tier cities, and then expanded to the third tier cities. Later, the market will be expanded to the fourth tier cities. At the same time, the project will cooperate with government departments to strive for government funding and policy support, and provide accurate services in combination with online and offline ways, so as to meet the diversified pension needs of the elderly.

Designing Pervasive Healthcare Applications in the Home

2010 ◽  
pp. 282-294 ◽  
Author(s):  
Toshiyo Tamura ◽  
Isao Mizukura ◽  
Yutaka Kimura ◽  
Haruyuki Tatsumi
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Home Health Care ◽  
Data Transmission ◽  
Blood Pressure Monitoring ◽  
Home Health ◽  
Standard Protocol ◽  
Healthcare Applications ◽  
Home Gateway ◽  
Home Based

The authors propose a new home health care system for the acquisition and transmission of data from ordinary home health care appliances, such as blood pressure monitors and weight balances. In this chapter, they briefly explain a standard protocol for data collection and a simple interface to accommodate different monitoring systems that make use of different data protocols. The system provides for one-way data transmission, thus saving power and extending to CCITT. Their standardized protocol was verified during a 1-year field test involving 20 households in Japan. Data transmission errors between home health care devices and the home gateway were 4.21/day with their newly developed standard protocol. Over a 1-year period, they collected and analyzed data from 241,000 separate sources associated with both healthy, home-based patients and chronically ill, clinic-based patients, the latter with physician intervention. They evaluated some possible applications for collecting daily health care data and introduce some of their findings, relating primarily to body weight and blood pressure monitoring for elderly subjects in their own homes.

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