المؤلفون: Ge, Jinjin¹, Zhao, Chunyan², Lu, Jiayun³, Zhang, Xian⁴, Zhou, Xiaoling⁵, Wang, Rongxi³, Jiang, Changying⁶, Sun, Wei⁷, Ju, Shuqin⁸, wang, Fulan⁹, Liu, Weiqun³, Yan, Yuzhong³ jykwsw@126.com

المصدر: Inquiry (00469580). 4/26/2024, p1-10. 10p.

مصطلحات موضوعية: *NURSES, *COMMUNITY health services, *HOME care services, *SUPERVISION of employees, *OCCUPATIONAL roles, *INTERPROFESSIONAL relations, *FOCUS groups, *RESEARCH funding, *INTERVIEWING, *QUESTIONNAIRES, *KEY performance indicators (Management), *MEDICAL waste disposal, *DESCRIPTIVE statistics, *STATISTICS, *DELPHI method, HOME nursing, SCALE analysis (Psychology), CLINICAL medicine, COMMUNITY health nursing, SELF-management (Psychology), CONTINUUM of care, SERVICES for caregivers, CHI-squared test, TRANSITIONAL care, CHRONIC diseases, NURSING databases, NURSING practice, MEDICAL equipment, QUALITY of life, DATA analysis software, COMPARATIVE studies

مصطلحات جغرافية: CHINA

مستخلص: Community nurses play a key role in providing continuous home care for patients with chronic diseases. However, a perfect system of responsibilities and requirements has not yet been formed, and nurses cannot provide high-quality nursing services for home-based patients. We attempted to construct an index of the scope of practice for community nurses providing home-based transitional care for patients with chronic diseases and to guide nurses in playing an active role in transitional care work. From March to May 2023, 14 representative community nurses from the Shanghai Community Health Service Center were selected for group interviews and 2 rounds of Delphi consultation. A total of 14 valid questionnaires were collected. The authority coefficients were 0.94 and 0.93, and the Kendall coefficients were 0.56 and 0.59 for the 2 rounds of expert consultation (P <.05). Finally, an index system, including 6 primary indices (transitional caring provider, patient self-management facilitator, community group intervention organizer, home caregiver supporter, family physician team collaborator and supervisor of home medical equipment use, and medical waste disposal) was constructed for community nurses involved in providing home-based transitional care for patients with chronic diseases. The weight values of the 6 indices were 0.19, 0.17, 0.21, 0.13, 0.14 and 0.16, respectively (CR = 0.035, and the consistency test was passed), and 16 secondary indicators and 42 tertiary indicators were identified. In this Delphi study, an index system that can be used to determine community nurses' roles in providing home-based transitional and continuous care for patients with chronic diseases was successfully established. The index system is considered reliable and easy to use and will provide a meaningful reference for community nurses and policy-makers. [ABSTRACT FROM AUTHOR]

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المؤلفون: Cole, Melissa D.¹, Patil, Nirav T.², Tribout, Jerry A.³, Fitzpatrick, Joyce J.⁴

المصدر: Nursing Management. Feb2024, Vol. 55 Issue 2, p16-24. 9p.

مصطلحات موضوعية: *RESEARCH, *MEDICAL care, *DESCRIPTIVE statistics, *STATISTICAL hypothesis testing, *STATISTICAL sampling, *DIFFUSION of innovations, HOME nursing, LENGTH of stay in hospitals, NURSING models, EVALUATION of human services programs, RESEARCH methodology, CONTINUING education units, RETROSPECTIVE studies, T-test (Statistics), DATA analysis software, TELEMEDICINE

مستخلص: The article explores the effectiveness of a hospital at home (H@H) program, which provides full inpatient hospital services in the home, compared with a traditional inpatient hospitalization on acute care outcomes. Topics discussed include methodology of the study, demographic characteristics of patients admitted with Covid-19, and implications of the study for nurse leaders.

المؤلفون: Bagnasco, Annamaria¹ annamaria.bagnasco@unige.it, Alvaro, Rosaria², Lancia, Loreto³, Manara, Duilio Fiorenzo⁴, Rasero, Laura⁵, Rocco, Gennaro⁶, Burgio, Alessandra⁷, Di Nitto, Marco¹, Zanini, Milko¹, Zega, Maurizio⁸, Cicolini, Giancarlo⁹, Sasso, Loredana¹, Mazzoleni, Beatrice¹⁰

المصدر: Public Health Nursing. Jul2024, Vol. 41 Issue 4, p709-722. 14p.

مصطلحات موضوعية: *HOME nursing, *NURSES, *CROSS-sectional method, *PEARSON correlation (Statistics), *SCALE analysis (Psychology), *NURSE-patient relationships, *MEDICAL errors, *OCCUPATIONAL roles, *HEALTH status indicators, *MEDICAL quality control, *WORK environment, *SCIENTIFIC observation, *STATISTICAL sampling, *QUESTIONNAIRES, *DESCRIPTIVE statistics, *SURVEYS, *JOB satisfaction, *CAREGIVERS, *NURSES' attitudes, *RESEARCH, *PATIENT satisfaction, *DATA analysis software, *PATIENTS' attitudes, *EMPLOYEES' workload, *REGRESSION analysis

مصطلحات جغرافية: ITALY

مستخلص: Introduction: The aging of the population requires an appropriate knowledge of the type of care that needs to be provided to inform healthcare policies. In Italy, neither home care nursing, nor the patient experiences have ever been described. Objectives: To describe the characteristics of nurses and care recipients involved in home care. Methods: A descriptive cross‐sectional study conducted in 18 Italian Regions. Between April and October 2023, data from nurses and patients involved in home care were collected through two surveys. Psychosocial conditions in workplaces, missed care, and care experiences were assessed using validated tools. Descriptive statistics and Pearson's correlations were performed. Results: A total of 46 local healthcare units were included in this study, with a total of 2549 nurses and 4709 care recipients. Nurses (mean age 46.60; 79.48% female; 44.68% regional nursing diploma as the highest qualification) reported good working conditions (42.37; SD = 12.25; range = 0–100) and a high mean number of missed care activities (5.11; SD = 3.19; range 0–9). Most nurses (83.41%) reported high levels of job satisfaction, while 20.28% intended to leave their job. Patients (mean age 75.18; 57.57% female; 36.95% primary school), on the other hand, rated positively the care they had received (8.23; range = 0–10). Conclusions: Despite the perception of critical issues at work and some missed care, satisfaction in nurses and patients was high. These data constitute a preliminary snapshot of the studied phenomena, which will be investigated through more in‐depth analyses. [ABSTRACT FROM AUTHOR]

المؤلفون: Bruno, Frances^1,2, Nizzer, Sonia¹ snizzer@vha.ca, Moreira, Nicole A.¹, Martin, Tonya¹, King, Emily C.^1,3, McKay, Sandra M.^1,2,4

المصدر: Journal of Community Health Nursing. Jul-Sep2024, Vol. 41 Issue 3, p175-188. 14p.

مصطلحات موضوعية: *NURSES, *HOME nursing, *EMPLOYEE retention, *SCHOLARSHIPS, *RESEARCH funding, *EMPLOYEE assistance programs, *INTERVIEWING, *RETROSPECTIVE studies, *THEMATIC analysis, *MOTIVATION (Psychology), *FINANCIAL stress, *RESEARCH methodology, *SOCIAL role change, *SOCIAL support, *DATA analysis software, *VOCATIONAL guidance

مصطلحات جغرافية: CANADA

مستخلص: This study describes how an employer-based tuition-assistance program for homecare workers at one Canadian homecare organization enabled nursing career advancement and retention. A convergent parallel mixed-methods design. We reviewed existing administrative data and concurrently conducted semi-structured interviews. Descriptive statistics were used on quantitative data and qualitative data was analyzed using thematic analysis. A joint data display was developed to integrate findings from both quantitative and qualitative data together. Tuition assistance reduced financial barriers to career advancement; 83% of recipients remained with their employer for at least 1-year post-studies but only 29% experienced career advancement. Psychosocial supports, career navigation and coaching to ease the licensing and role transition processes were identified as opportunities to support learners. Employer-based tuition assistance programs are impactful in helping to develop skilled employees. Practical enhancements to further support career transitions may maximize retention to address urgent homecare staffing challenges. Employer-based tuition assistance can be a useful strategy to support nursing career growth and staff retention. [ABSTRACT FROM AUTHOR]

المؤلفون: Gerdin, Anna Larsson¹ anna.larsson‐gerdin@miun.se, Hellzén, Ove¹, Alm, Annika Kjällman¹, Rising, Malin Holmström¹

المصدر: Journal of Clinical Nursing (John Wiley & Sons, Inc.). Jun2024, Vol. 33 Issue 6, p2287-2297. 11p.

مصطلحات موضوعية: *NURSES, *HOME nursing, *NURSE-patient relationships, *HOME care services, *HEALTH literacy, *QUALITATIVE research, *CONTENT analysis, *INTERVIEWING, *PILOT projects, *HEALTH, *HOME environment, *JUDGMENT sampling, *EMOTIONS, *INFORMATION resources, *PATIENT-centered care, *QUALITY of life, *LOGIC, *RESEARCH methodology, *TRUST, *PSYCHOLOGICAL stress, *CASE studies, *SOCIAL support, *PATIENTS' attitudes, *PATIENT participation, *LOCAL government, *FRIENDSHIP

مصطلحات جغرافية: SWEDEN

مستخلص: Aim: To explore and describe older persons' unique experiences of care encounters with home care nurses in a real‐life context. Background: The increasing number of older persons in society contributes to increases in age‐related impairments compromising their quality of life. Future care consists of "hospitals at home" where care encounters occur in a person's private domain, partly becoming a clinical workplace. Scant research has focused on how older persons experience care encounters with home care nurses and needs to be highlighted. Design: Multiple‐case study. Methods: The cases relied on replication logic and five purposive sampled older persons were interviewed. Data were analysed using qualitative content analysis and differences within and between cases were explored and findings across the cases were replicated. Findings: The cross‐analysis emerged in three categories: "Nursing routine rules the care encounters", "Lack of knowledge and information" and "Dependency on support from others". Conclusions: Our research has found that older persons face challenges while receiving home care, including limited engagement in their care and the need for enhanced support. Implementing person‐centred care in homes poses ethical challenges that require careful consideration. Home care nurses should prioritise understanding each patient individually, recognising them beyond their patient role, which necessitates more thorough and time‐sensitive care encounters. Reporting Method: Findings were reported using COREQ guidelines. Patient or Public Contribution: Patients were interviewed and contributed with data for this study. Implications for the Profession and Patient Care: This study emphasises the need to prioritise individualised care in home settings and listen to the voices of older individuals to enhance quality. [ABSTRACT FROM AUTHOR]

المؤلفون: Førsund, Linn Hege^1,2 linn.hege.forsund@usn.no, Schumacher, Evelyn³

المصدر: Scandinavian Journal of Caring Sciences. Jun2024, Vol. 38 Issue 2, p321-333. 13p.

مصطلحات موضوعية: *NURSES, *HOME nursing, *HOME care services, *WORK, *HEALTH services accessibility, *QUALITATIVE research, *INFECTION control, *OCCUPATIONAL adaptation, *PERSONAL protective equipment, *PATIENT safety, *RESPONSIBILITY, *INTERVIEWING, *PRIMARY health care, *WORK environment, *PATIENT care, *NURSING, *RESEARCH, *RESEARCH methodology, *NURSING practice, *INTERPERSONAL relations, *COVID-19 pandemic, *EXPERIENTIAL learning, *PROFESSIONAL competence, *SOCIAL isolation, *LABOR supply, *WELL-being

مصطلحات جغرافية: NORWAY

مستخلص: Background: Norwegian society's resilience during the COVID‐19 pandemic resulted in low mortality rates and moderate economic decline. The accessible primary healthcare system played a vital role in this, especially in the care of elderly and chronically ill patients. However, nurses in home care experienced emotional burdens, ethical dilemmas and limited access to protective equipment. These challenges were overshadowed by media coverage of hospital struggles, and municipal home care services were oddly absent from post‐pandemic reports. This research therefore aimed to explore and describe how nurses experienced working in home care during the pandemic. Methods: We designed a qualitative study and conducted semi‐structured interviews with nine home care nurses from different municipalities in Southeast Norway. Systematic text condensation inspired by Malterud was employed for data analysis. Results: Nurses' experiences were described through two categories: 'adapting approaches' and 'adapting work practices'. The results showed how nurses often felt alone while simultaneously shouldering a significant responsibility for patients facing a novel and unfamiliar illness. The pandemic necessitated treating patients in their own homes to minimise infection risks, intensifying the nurses' treatment responsibilities. Furthermore, limited access to medical expertise and physical separation from management due to remote work accentuated feelings of isolation and amplified the nurses' responsibility for patient care. Additionally, the nurses encountered frequent changes in work routines, demanding adaptability. Conclusion: This study underscores the significant role of home care nurses, who, despite feeling professionally isolated and unsupported, demonstrated impressive adaptability. They served as a crucial buffer in the healthcare system, ensuring vulnerable individuals received essential care. This highlights the importance of a robust primary healthcare system with a skilled nursing workforce that can work autonomously, shoulder responsibility, and make clinical decisions, even when medical expertise is less readily available. It also reminds us that healthcare preparedness depends on collaborative efforts across all sectors. [ABSTRACT FROM AUTHOR]

المؤلفون: Shayestefar, Mina¹ (AUTHOR), Raiesdana, Nayyereh^2,3 (AUTHOR) nr_dana@yahoo.com, Nobahar, Monir^2,3,4 (AUTHOR)

المصدر: BMC Nursing. 5/28/2024, Vol. 23 Issue 1, p1-11. 11p.

مصطلحات موضوعية: *HOME nursing, *HOME care services, *EMPATHY, *HEALTH services accessibility, *PATIENT autonomy, *PATIENT selection, *QUALITATIVE research, *SELF-efficacy, *PATIENTS' rights, *PERSONAL property, *CONTENT analysis, *INTERVIEWING, *VALUE-based healthcare, *SEX distribution, *HUMAN research subjects, *HOSPITAL care, *JUDGMENT sampling, *QUANTITATIVE research, *PATIENT care, *EXPERIENCE, *THEMATIC analysis, *CAREGIVERS, *RESEARCH methodology, *COMMUNICATION, *COMPARATIVE studies, *COMMITMENT (Psychology), *INDIVIDUALIZED medicine, *MEDICAL needs assessment, *COVID-19 pandemic, *PATIENTS' attitudes, *HEALTH care rationing, *MEDICAL care costs, *PROFESSIONAL competence, *CULTURAL pluralism

مصطلحات جغرافية: IRAN

مستخلص: Background: To overcome of patients with COVID-19 over the capacity of hospitals and mild to moderate severity of the disease in most cases, the World Health Organization and the Centers for Disease Control and Prevention in the United States, recommend home care for these patients. Receiving care at home will face challenges that can be context-based, especially in crises like the Coronavirus pandemic. The present study aimed to describe the experiences of patients with COVID-19 and their relatives from receiving professional home care nursing. Methods: This study was conducted using a qualitative content analysis method. Nine participants with COVID-19 who were receiving home care nursing in Semnan participated in this study. The purposive sampling method was used. Sampling continued until no new categories appeared, meaning the category's theoretical saturation. Deep and semi-structured interviews were used to collect data based on the research question. Data was analyzed using the conventional content analysis method using Graneheim and Lundman's approach. Results: After analyzing the interviews and comparing codes based on similarities and differences, three main themes, 11 categories, and 30 subcategories were identified. The main themes included "The value of home care" (personalization of care, being economical, providing intellectual security, and reducing the concern of family), "Comprehensive care" (professional commitment, empathy, mastery in care, and patronage), and "Care challenges" (cultural barriers, inadequate services, and lack of information about costs and conditions). Conclusion: The patients with COVID-19 who received professional nursing care at home mentioned some challenges, such as the caregiver not being of the same sex as the patient, delay in receiving the service, the inadequacy of the centers, the limitation of the right to choose the care provider, and insufficient information about the cost of services received before receiving each care. [ABSTRACT FROM AUTHOR]

المؤلفون: Ke, Ziwei¹ (AUTHOR), Qian, Weiyang² (AUTHOR), Wang, Nan³ (AUTHOR), Chuang, Yen-Ching^4,5,6 (AUTHOR) yenching.chuang@gmail.com, Wei, Biying⁷ (AUTHOR) biying_wei@yeah.net, Feng, Jing⁸ (AUTHOR) fengj@enzemed.com

المصدر: BMC Nursing. 5/9/2024, Vol. 23 Issue 1, p1-12. 12p.

مصطلحات موضوعية: *HOME nursing, *MOBILE apps, *NURSES, *MEDICAL quality control, *PATIENT safety, *QUESTIONNAIRES, *DECISION making, *DESCRIPTIVE statistics, *NURSING, *JOB satisfaction, *MATHEMATICAL models, *RESEARCH methodology, *THEORY, *EMPLOYEE reviews, *JOB performance

مصطلحات جغرافية: CHINA

مستخلص: Objective: To identify critical satisfaction gaps in a home nursing mobile application (APP) using a systematic decision-making model. Methods: Initially, the decision-making trial and evaluation laboratory method was used to analyze the relationship structure and corresponding weights among the indicators. The Importance-Performance Analysis (IPA) method was used to identify the categories of all indicators and their corresponding strategic directions. Twenty-six home nursing specialists currently providing home nursing services were recruited for this study. Results: The IPA results revealed that "Assurance," "Reliability," and "Personal security protection" are critical satisfaction gaps. From the influence network and weight results, "information quality" and "system quality" were the critical quality factors in the home nursing mobile APP. The influence of the network relationship structure and weight demonstrated a 98.12% significance level, indicating good stability. Conclusion: Continuous improvement in information and system quality is recommended to optimize the overall quality of the home nursing mobile APP. Additionally, user demands should be considered, and personal safety guarantee functions should be developed and integrated into the system to ensure the safety of home nursing workers. [ABSTRACT FROM AUTHOR]

المؤلفون: Ora, Linda^1,2 linda.ora@health.nsw.gov.au, Wilkes, Lesley¹, Mannix, Judy¹, Gregory, Linda¹, Luck, Lauretta¹

المصدر: Journal of Clinical Nursing (John Wiley & Sons, Inc.). May2024, Vol. 33 Issue 5, p1896-1905. 10p.

مصطلحات موضوعية: *NURSING audit, *HOME nursing, *OUTPATIENT services in hospitals, *QUALITATIVE research, *INTERVIEWING, *JUDGMENT sampling, *DESCRIPTIVE statistics, *CONTINUUM of care, *SERVICES for caregivers, *OBSTRUCTIVE lung diseases, *RESEARCH methodology, *TRUST, *SOCIAL support, *CASE studies, *PATIENTS' attitudes, *CAREGIVER attitudes, *COVID-19 pandemic, *ADVANCE directives (Medical care)

مستخلص: Aim: To evaluate a nurse‐led model of supportive care in a COPD outpatient service from patient and caregiver perspectives. Design: Case study methodology. Methods: Data were collected from semi‐structured interviews with patients (n = 12) and caregivers (n = 7) conducted between April 2020 and September 2022. A purposive sampling strategy was used. Interviews were transcribed verbatim and analysed using content analysis with an inductive approach. COREQ guidelines informed reporting of this study. Results: Eight categories were identified from the data evaluating of the model of care relating to the most helpful aspects of COPD supportive care and suggested improvements to the model of care. The categories were: guidance with managing symptoms; participating in advance care planning; home visiting; expert advice; continuity and trust; caring; caregiver support and improvements to the model of care. Conclusion: In a nurse‐led model of COPD supportive care, what patients and caregivers valued most was expert advice and guidance with symptom management, flexible home visiting, participation in advance care planning, caring and continuity within an ongoing trusted therapeutic relationship. Understanding what patients and caregivers value most is essential in designing and delivering models of care that meet the needs of patients living with chronic, life‐limiting illness. Implications for the profession and/or patient care: Nurses can lead effective models of supportive care that offer valuable support to patients living with COPD and their caregivers. [ABSTRACT FROM AUTHOR]

المؤلفون: Vleminckx, Senne¹, Van Bogaert, Peter¹ peter.vanbogaert@uantwerpen.be, Daneels, Katrien¹ Katrien.Daneels@wgkantwerpen.be, Proost, Ann¹ ann.proost@wgkantwerpen.be, Sarens, Stefaan¹ Stefaan.Sarens@wgkantwerpen.be, Haegdorens, Filip¹ filip.haegdorens@uantwerpen.be

المصدر: JONA: The Journal of Nursing Administration. May2024, Vol. 54 Issue 5, p278-285. 8p.

مصطلحات موضوعية: *HOME nursing, *SOCIAL capital, *EMPLOYEE retention, *SELF-evaluation, *NURSES, *MEDICAL quality control, *OCCUPATIONAL roles, *PSYCHOLOGICAL burnout, *WORK environment, *STRATEGIC planning, *DECISION making in clinical medicine, *NURSING, *DESCRIPTIVE statistics, *JOB satisfaction, *SURVEYS, *LONGITUDINAL method, *ODDS ratio, *NURSING practice, *DATA analysis software, *CONFIDENCE intervals, *EMPLOYEES' workload

مصطلحات جغرافية: BELGIUM

مستخلص: BACKGROUND: The relationship between the practice environment, empowerment, and outcomes such as quality of care, job satisfaction, and intent to stay has been extensively studied in healthcare settings, including hospitals and long-term care facilities. Research consistently demonstrates that a positive practice environment, characterized by supportive leadership, adequate resources, and opportunities for professional growth, are associated with better quality of care, increased job satisfaction, and higher intent to stay among healthcare professionals. Limited knowledge exists regarding the specific relationship between the practice environment, empowerment, and these outcomes within home care organizations. OBJECTIVE: This study assesses the impact of strategies on nurse practice environment, social capital, decision latitude, workload, care quality, job satisfaction, and retention in a Belgian home healthcare organization. METHODS: A longitudinal survey was conducted in a home healthcare organization, with data collected at 3 time points: baseline (T1) (2015), T2 (2018), and T3 (2021). RESULTS: In T3, respondents reported significantly higher scores for departmental and general management compared with T1. The interventions led to significant improvements in social capital and decision latitude. Self-reported quality of care at the department level showed a significant increase, whereas no significant change was observed for quality of care during the last round. CONCLUSION: The implementation of strategies and interventions as part of a broader healthcare transformation process had a positive impact. Improvements were observed in nurse-reported quality of care, job satisfaction, and intent to stay in nursing. These findings emphasize the effectiveness of the implemented measures in enhancing nursing practice and creating a positive work environment. Continuous efforts to implement and evaluate such strategies are essential for enhancing the satisfaction and retention of nursing teams within healthcare organizations. [ABSTRACT FROM AUTHOR]