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Home Health Care Services Quarterly

Lynn Ackerman, Lois Sheaffer
Respite services are vital in supporting informal caregivers in need of a break from their caregiving duties. A respite training program aimed at developing respite provider competence and improving caregiver well-being was evaluated. Trainees experienced significant growth in their perceived respite knowledge and confidence to deliver respite from pre-training to post-training. An objective core competency assessment confirmed post-training knowledge in ten core areas of respite. Family caregivers provided more favorable ratings on various measures of their well-being while receiving respite from a trained provider compared to before respite began and if respite were to end...
February 9, 2018: Home Health Care Services Quarterly
Susan A LaValley
Caregivers of the terminally ill face many complicated tasks including providing direct patient care, communicating with clinicians, and managing the logistical demands of daily activities. They require instructive information at all points in the illness process and across several settings where patients receive end-of-life care. This study examines how the setting where a patient receives end of life care affects caregivers' informational support needs by thematically analyzing data from caregiver interviews and clinical observations...
February 9, 2018: Home Health Care Services Quarterly
Debra Palesy, Samantha Jakimowicz, Carla Saunders, Joanne Lewis
The home care sector comprises one of Australia's fastest growing workforces, yet few papers capture the overall landscape of Australian home care. This integrative review investigates home care work with the aim of better understanding care recipients and their needs, funding and regulation, care worker skills, tasks, demographics, employment conditions and training needs. Over 2,700 pieces of literature were analysed to inform this review. Results suggest sector fragmentation and a home care workforce who, although well placed to improve outcomes for care recipients, are in need of better training and employment support...
February 9, 2018: Home Health Care Services Quarterly
Lisa M Lines, Wayne L Anderson, Brian D Blackmon, Cristalle R Pronier, Rachael W Allen, Anne E Kenyon
This study explored patient experiences in home health care through a literature review, focus groups, and interviews. Our goal was to develop a conceptual map of home health care patient experience domains. The conceptual map identifies technical and personal spheres of care, relating prior studies to new focus group and interview findings and identifying the most important domains of care. Study participants (n = 35) most frequently reported the most important domain as staff who are caring, supportive, patient, empathetic, respectful, and considerate (endorsed by 29% of participants)...
January 17, 2018: Home Health Care Services Quarterly
Nicole Williams, Samantha Jamal, Dawn M Guthrie
OBJECTIVES: To examine risk factors for the development of depressive symptoms. DESIGN: Longitudinal analysis was completed for clients with 2+ assessments. Development of depressive symptoms was defined as a Depression Rating Scale score of 3+ on re-assessment. RESULTS: Overall, 10.7% of clients experienced new depressive symptoms and clients with a caregiver who was feeling distressed, angry or depressed were 45% more likely to develop symptoms...
January 10, 2018: Home Health Care Services Quarterly
Marissa R Meucci, Noelle K Kurth, Theresa I Shireman, Jean P Hall
This paper provides an overview of Medicaid home and community-based services (HCBS) for older adults and individuals with physical disabilities by describing eligibility criteria, availability, and types of services. All 50 state Medicaid programs provide supplementary HCBS in addition to mandatory services. The amount, type, and eligibility for HCBS varied widely between states. Variation in service provision and eligibility rules has led to a patchwork of services from state to state, with the same person eligible for services in one state but not another...
January 10, 2018: Home Health Care Services Quarterly
Carrie Gilman, Leah Haverhals, Chelsea Manheim, Cari Levy
Since 2008, the Veterans Health Administration Medical Foster Home (MFH) program has served as an alternative to nursing home care for Veterans. As part of a larger national research study, 55 in-person interviews with 62 Veterans and/or their families were conducted to identify reasons for selecting or declining MFH placement. Enrollment was attributed to: a need for increased care and a preference for highly-individualized care oversight and family-oriented settings. Reasons for declining placement included: costs, location of MFHs, lack of readiness of family or Veteran to move, and level of confidence that MFHs would meet care needs...
December 20, 2017: Home Health Care Services Quarterly
Kristen De San Migue, Gill Lewin, Elissa Burton, Peter Howat, Duncan Boldy, Christine Toye
The objective of this study was to assess whether purchasing a personal alarm service makes a difference in a range of health outcomes for community dwelling older adults. The prospective cohort study involved 295 individuals for whom data on emergencies experienced at home were collected over a period of 12 months. Purchasers of alarms, compared to nonpurchasers, benefitted in terms of feeling more safe and secure and being more active around their home. Outcomes experienced after an emergency were similar for both groups with no differences found in terms of time spent on floor, or hospitalizations...
December 8, 2017: Home Health Care Services Quarterly
Sabrina Storgaard Sørensen, Ulla Møller Weinreich, Lars Ehlers
This paper describes the rationale, considerations and choices made in developing a complex intervention evaluating the effectiveness and cost-effectiveness of community-based case management for chronic obstructive pulmonary disease patients in a Danish setting. Inspired by existing research methods for designing complex interventions, the intervention was developed using mixed methods entailing systematic review of available literature, interviews with key stakeholders and discussions in a specialist-comprised project group...
October 19, 2017: Home Health Care Services Quarterly
Margaret Saari, Erin Patterson, Tieghan Killackey, Julia Raffaghello, Alissa Rowe, Ann E Tourangeau
To accommodate the increasing demand for home care in Ontario, Canada, some care tasks traditionally performed by regulated health professionals are being transferred to personal support workers (PSW). However, this expansion of PSW roles is not uniform across the province. Between December 2014 and April 2015, barriers and facilitators to expansion of PSW roles in home care were explored in a series of 13 focus groups. Home care staff identified seven categories of factors affecting the expansion of PSW roles in home care including: communication and documentation; organization and structures of care; attitudes and perceptions of the expanding PSW role; adequate staffing; education, training and support; PSW role clarity and variation in practices, policies, and procedures...
October 19, 2017: Home Health Care Services Quarterly
Rakhi Mittal, C S Tan, W Y Tham, Lydia P S Seong, Tl Tan, G Choon-Huat Koh
The primary aim was to determine the trend and predictors of unplanned hospitalization of home medical patients. Records of 1,069 patients were obtained from the medical records. Out of 1069, we analyzed 512 patients who had utilized services across all four quarters in the first year of admission. There was a significant decline in unplanned hospitalization between the first two quarters. The potential risk factors were male sex [IRR (95% CI), 1.29 (0.99-1.67)], chronic pulmonary disease [1.53 (1.08-2.16)], dementia [1...
September 22, 2017: Home Health Care Services Quarterly
Margaret Danilovich, Laura Diaz, Gustavo Saberbein, William Healey, Gail Huber, Daniel Corcos
We describe a community-engaged approach with Medicaid Home and Community-Based Services (HCBS) home care aide (HCA), client, and physical therapist stakeholders to develop a mobile application (app) exercise intervention through focus groups and interviews. Participants desired a short exercise program with modification capabilities, goal setting, and mechanisms to track progress. Concerns regarding participation were training needs and feasibility within usual care services. Technological preferences were for simple, easy-to-use, and engaging content...
September 22, 2017: Home Health Care Services Quarterly
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No abstract text is available yet for this article.
July 2017: Home Health Care Services Quarterly
Edward Alan Miller, Orna Intrator, Emily Gadbois, Stefanie Gidmark, James L Rudolph
Little is known about how the extended care referral process-its structure and participants-influences Veterans' use of home and community-based services (HCBS) over nursing home care within the Veterans Health Administration (VHA). This study thus characterizes the extended care referral process within the VHA and its impact on HCBS versus nursing home use at hospital discharge. Data derive from 35 semistructured interviews at 12 Veterans Affairs Medical Centers (VAMCs). Findings indicate that the referral process is characterized by a commitment by care teams to consider HCBS if possible, varied practice depending on the clinician that most heavily influences care team recommendations, and care team emphasis on respecting Veteran/family preferences even when they are contrary to care team recommendations...
April 2017: Home Health Care Services Quarterly
Jeongkyu Park, Seokwon Yoon, Sung Seek Moon, Kyoung Hag Lee, Jueun Park
A large and growing population of elderly Koreans with chronic conditions necessitates an increase in long-term care. This study is aimed at investigating the effects of occupational stress, work-centrality, self-efficacy, and job satisfaction on intent to leave among long-term care workers in Korea. We tested the hypothesized structural equation model predicting the intention to quit among long-term care workers in Korea. Survey data were collected from 532 long-term care workers in Seoul, Korea. Results showed that occupational stress was positively associated with intention to leave the job...
April 2017: Home Health Care Services Quarterly
Atipong Pimdee, Nomjit Nualnetr
Home health care is an essential service for home-bound patients in Thailand. In this action research study, we used the International Classification of Functioning, Disability and Health (ICF) framework to modify home health care services provided by a university hospital. Staff responsible for delivering the services (physical therapist, nurses, and Thai traditional medicine practitioners) participated in the development of an ICF-based assessment tool and home health care service procedure. After an 8-month trial of implementing these changes, professional satisfaction and empowerment were high among the home health care team members...
April 2017: Home Health Care Services Quarterly
Yujun Liu, Christina Voskanova Tyhurst, Shannon E Jarrott
Adult day services (ADS) professionals have begun to explore assessment systems focused on participants. Barriers include inadequate technology, software costs, and personnel requirements. We present data from staff interviews at an ADS with an electronic participant information system. Contrary to reports about difficulties learning to use electronic systems, staff found the system manageable and data meaningful. We identify ways that community-based centers can build partnerships and utilize software to integrate assessment and electronic records to improve center performance and participant outcomes...
February 7, 2017: Home Health Care Services Quarterly
Keith A Anderson, Kate P Chapin, Zachary Reimer, Gina Siffri
Green care farms (GCF) provide unique opportunities to persons with disabilities to engage in meaningful and therapeutic activities in farm settings. In this pilot study, the researchers examined the feasibility and impact of the first GCF in the United States. Qualitative interviews (N = 19) and thematic analysis were conducted. GCF participants and family members were enthusiastic about participation and identified benefits such as respite and improved mood. Administrators and farmers indicated that GCF challenged the status quo of funding, programming, and farming...
February 7, 2017: Home Health Care Services Quarterly
Dari Alhuwail, Güneş Koru, Mary Etta Mills
In the US, home care clinicians often start the episode of care devoid of relevant fall-risk information. By collecting and analyzing qualitative data from thirty clinicians in one home health agency, this case study aimed to understand how the currently adopted information technology solutions supported the clinicians' fall-risk management (FRM) information domains, and explored opportunities to adopt other solutions to better support FRM. The currently adopted electronic health record system and fall-reporting application served only some information domains with a limited capacity...
January 3, 2017: Home Health Care Services Quarterly
Laura M Smith, Wayne L Anderson, Lisa M Lines, Cristalle Pronier, Vanessa Thornburg, Janelle P Butler, Lori Teichman, Debra Dean-Whittaker, Elizabeth Goldstein
We examined the effects of provider characteristics on home health agency performance on patient experience of care (Home Health CAHPS) and process (OASIS) measures. Descriptive, multivariate, and factor analyses were used. While agencies score high on both domains, factor analyses showed that the underlying items represent separate constructs. Freestanding and Visiting Nurse Association agencies, higher number of home health aides per 100 episodes, and urban location were statistically significant predictors of lower performance...
January 2017: Home Health Care Services Quarterly
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