Pub Date : 2025-03-01Epub Date: 2025-03-03DOI: 10.1097/NHH.0000000000001334
Anna Mensah-Nti
This concept analysis explores cultural stigmatization and its impact on home care, using Walker and Avant's eight-step method and reviewing 49 peer-reviewed articles. Cultural stigmatization is identified as a key barrier, causing discrimination and negatively affecting patient outcomes. The home care implications of addressing cultural stigmatization include interventions that address clinician biases, enhance cultural sensitivity, and reduce stereotypes to improve care quality. These implications highlight the need for targeted strategies to address cultural stigmatization in home care settings, ensuring equitable and effective services for all patients.
{"title":"Cultural Stigmatization in Home Care Nursing.","authors":"Anna Mensah-Nti","doi":"10.1097/NHH.0000000000001334","DOIUrl":"10.1097/NHH.0000000000001334","url":null,"abstract":"<p><p>This concept analysis explores cultural stigmatization and its impact on home care, using Walker and Avant's eight-step method and reviewing 49 peer-reviewed articles. Cultural stigmatization is identified as a key barrier, causing discrimination and negatively affecting patient outcomes. The home care implications of addressing cultural stigmatization include interventions that address clinician biases, enhance cultural sensitivity, and reduce stereotypes to improve care quality. These implications highlight the need for targeted strategies to address cultural stigmatization in home care settings, ensuring equitable and effective services for all patients.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 2","pages":"108-117"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2025-03-03DOI: 10.1097/NHH.0000000000001330
Amy E Clarke, Luba Sobolevsky
Immunoglobulin (Ig) therapy is vital for managing immunodeficiency and autoimmune disorders, offering replacement and immunomodulatory benefits. This article provides an evidence-based guide to safe and effective Ig therapy including guidance for home-based administration. Key topics include managing adverse reactions, clinician training, patient education, and quality improvement. A patient case study highlights practical applications, supporting home care clinicians in delivering high-quality home care aligned with national standards.
{"title":"Immunoglobulin Therapy and Standards of Practice.","authors":"Amy E Clarke, Luba Sobolevsky","doi":"10.1097/NHH.0000000000001330","DOIUrl":"10.1097/NHH.0000000000001330","url":null,"abstract":"<p><p>Immunoglobulin (Ig) therapy is vital for managing immunodeficiency and autoimmune disorders, offering replacement and immunomodulatory benefits. This article provides an evidence-based guide to safe and effective Ig therapy including guidance for home-based administration. Key topics include managing adverse reactions, clinician training, patient education, and quality improvement. A patient case study highlights practical applications, supporting home care clinicians in delivering high-quality home care aligned with national standards.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 2","pages":"69-77"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-01-07DOI: 10.1097/NHH.0000000000001316
Ashley M Chastain, Jingjing Shang, Komal P Murali, Lori King, Charity Ogunlusi, Suning Zhao, Jung A Kang, Yihong Zhao, Khadra Dualeh, Margaret V McDonald
Palliative care improves the quality of life for seriously ill patients, but misconceptions and knowledge gaps hinder its implementation in home healthcare (HHC). This study developed and pilot-tested HHC-specific questionnaires to measure palliative care knowledge, attitudes, and confidence (PC-KAC) among clinicians, patients, and caregivers. Using literature reviews, expert input, and cognitive interviews, the questionnaires were refined to ensure clarity, practical relevance, and content validity. Pilot testing revealed widespread confusion about palliative care, with patients and caregivers often conflating it with hospice care and holding misconceptions about opioid use for pain and symptom management. While clinicians demonstrated adequate knowledge, gaps in pain management and confidence in handling emergencies were evident. These findings highlight the need for targeted education and training to integrate palliative care effectively into HHC, improving patient outcomes and supporting interdisciplinary collaboration.
{"title":"Development of and Testing Novel Questionnaires Assessing Palliative Care-Related Knowledge, Attitudes, and Confidence Among Home Healthcare Clinicians, Patients, and Caregivers.","authors":"Ashley M Chastain, Jingjing Shang, Komal P Murali, Lori King, Charity Ogunlusi, Suning Zhao, Jung A Kang, Yihong Zhao, Khadra Dualeh, Margaret V McDonald","doi":"10.1097/NHH.0000000000001316","DOIUrl":"10.1097/NHH.0000000000001316","url":null,"abstract":"<p><p>Palliative care improves the quality of life for seriously ill patients, but misconceptions and knowledge gaps hinder its implementation in home healthcare (HHC). This study developed and pilot-tested HHC-specific questionnaires to measure palliative care knowledge, attitudes, and confidence (PC-KAC) among clinicians, patients, and caregivers. Using literature reviews, expert input, and cognitive interviews, the questionnaires were refined to ensure clarity, practical relevance, and content validity. Pilot testing revealed widespread confusion about palliative care, with patients and caregivers often conflating it with hospice care and holding misconceptions about opioid use for pain and symptom management. While clinicians demonstrated adequate knowledge, gaps in pain management and confidence in handling emergencies were evident. These findings highlight the need for targeted education and training to integrate palliative care effectively into HHC, improving patient outcomes and supporting interdisciplinary collaboration.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 1","pages":"21-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2024-11-04DOI: 10.1097/NHH.0000000000001298
Marilyn D Harris, Florence Van Iat Kio
{"title":"Promoting the Development of Home Care Services in the Greater Bay Area.","authors":"Marilyn D Harris, Florence Van Iat Kio","doi":"10.1097/NHH.0000000000001298","DOIUrl":"10.1097/NHH.0000000000001298","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"371"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2024-11-04DOI: 10.1097/NHH.0000000000001303
Marvin Siegel
{"title":"A Day in the Life of a Home Infusion Accreditation Surveyor Nurse.","authors":"Marvin Siegel","doi":"10.1097/NHH.0000000000001303","DOIUrl":"10.1097/NHH.0000000000001303","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"372-373"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2024-11-04DOI: 10.1097/NHH.0000000000001302
Paula Lambert
An expanding body of literature suggests that informal caregiver burden is a growing issue that negatively impacts care recipients, informal caregivers, and formal care providers. Costs associated with informal caregiver burden include risk to the informal caregiver's physical, emotional, and psychological well-being and increased potential to perpetrate violence. By identifying interventions to support informal caregivers, home healthcare nurses can help decrease the risk of negative outcomes and reduce the burden on informal caregivers. This paper examines home healthcare nurses' role in helping reduce the impact of informal caregiver burden, thereby reducing the risk for violence. By prioritizing caregiver burden as a critical area of focus in reducing violence risk, home healthcare organizations and the nurses who work for them can help address gaps in care while also recognizing the informal caregivers' critical role in caring for their loved ones.
{"title":"Reducing Violence Risk: Home Healthcare Nurses and Early Identification of Informal Caregiver Burden.","authors":"Paula Lambert","doi":"10.1097/NHH.0000000000001302","DOIUrl":"10.1097/NHH.0000000000001302","url":null,"abstract":"<p><p>An expanding body of literature suggests that informal caregiver burden is a growing issue that negatively impacts care recipients, informal caregivers, and formal care providers. Costs associated with informal caregiver burden include risk to the informal caregiver's physical, emotional, and psychological well-being and increased potential to perpetrate violence. By identifying interventions to support informal caregivers, home healthcare nurses can help decrease the risk of negative outcomes and reduce the burden on informal caregivers. This paper examines home healthcare nurses' role in helping reduce the impact of informal caregiver burden, thereby reducing the risk for violence. By prioritizing caregiver burden as a critical area of focus in reducing violence risk, home healthcare organizations and the nurses who work for them can help address gaps in care while also recognizing the informal caregivers' critical role in caring for their loved ones.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"337-346"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2024-11-04DOI: 10.1097/NHH.0000000000001299
Maureen Anthony
{"title":"10 Nursing 'interventions for Family Caregivers. Guide to Best Practices in Adult Gerontology Patient Care.","authors":"Maureen Anthony","doi":"10.1097/NHH.0000000000001299","DOIUrl":"10.1097/NHH.0000000000001299","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"376"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2024-11-04DOI: 10.1097/NHH.0000000000001297
Joanne Archer
{"title":"Peripheral Neuropathy and Foot Care in Persons with Diabetes.","authors":"Joanne Archer","doi":"10.1097/NHH.0000000000001297","DOIUrl":"10.1097/NHH.0000000000001297","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"364-365"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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