Pub Date : 2024-04-05DOI: 10.1177/10848223241242816
T. Nishida, Y. Ide, Kenichiro Fukuda, A. Honda, Sumihisa Honda
This study aimed to determine which instrumental activities of daily living (IADL) are associated with health deterioration from the “support level” to the “care level” among users of the long-term care insurance system in Japan. From April 2017 to March 2020, we conducted a retrospective follow-up survey on 178 Japanese community-dwelling older adults (64 men, 114 women) newly certified as support level. Independent variable was 8 IADL items and the outcome defined as the “support level maintenance time.” Cox models were used to assess the risk of health deterioration, with adjustments for age group, family composition, dementia status, and frailty status by gender. Dependence on 5 items, “laundry” (hazard ratio [HR] =2.5; 95% confidence interval [CI]: 1.1-5.8), “cooking” (HR = 3.7; 95% CI: 1.1-12.2), “telephone use” (HR = 2.4; 95% CI: 1.2-4.7), “financial management” (HR = 2.5; 95% CI: 1.2-5.0), and “medication management” (HR = 2.4; 95% CI: 1.2-4.8), was independently associated with a worse outcome among men, whereas dependence on “financial management” (HR = 2.6; 95% CI: 1.5-4.7) and “medication management” (HR = 2.0; 95% CI: 1.1-3.5) was independently associated with a worse outcome among women. These findings suggest that difficulties in “financial management” and “medication management” are common factors associated with health deterioration from the support to the care level among both genders. An association with household tasks was also seen among men, indicating that a paradigm shift is needed to increase the participation of men in household tasks.
{"title":"Factors Contributing to Health Deterioration in the Japanese Long-Term Care Insurance System in Terms of Instrumental Activities of Daily Living","authors":"T. Nishida, Y. Ide, Kenichiro Fukuda, A. Honda, Sumihisa Honda","doi":"10.1177/10848223241242816","DOIUrl":"https://doi.org/10.1177/10848223241242816","url":null,"abstract":"This study aimed to determine which instrumental activities of daily living (IADL) are associated with health deterioration from the “support level” to the “care level” among users of the long-term care insurance system in Japan. From April 2017 to March 2020, we conducted a retrospective follow-up survey on 178 Japanese community-dwelling older adults (64 men, 114 women) newly certified as support level. Independent variable was 8 IADL items and the outcome defined as the “support level maintenance time.” Cox models were used to assess the risk of health deterioration, with adjustments for age group, family composition, dementia status, and frailty status by gender. Dependence on 5 items, “laundry” (hazard ratio [HR] =2.5; 95% confidence interval [CI]: 1.1-5.8), “cooking” (HR = 3.7; 95% CI: 1.1-12.2), “telephone use” (HR = 2.4; 95% CI: 1.2-4.7), “financial management” (HR = 2.5; 95% CI: 1.2-5.0), and “medication management” (HR = 2.4; 95% CI: 1.2-4.8), was independently associated with a worse outcome among men, whereas dependence on “financial management” (HR = 2.6; 95% CI: 1.5-4.7) and “medication management” (HR = 2.0; 95% CI: 1.1-3.5) was independently associated with a worse outcome among women. These findings suggest that difficulties in “financial management” and “medication management” are common factors associated with health deterioration from the support to the care level among both genders. An association with household tasks was also seen among men, indicating that a paradigm shift is needed to increase the participation of men in household tasks.","PeriodicalId":512411,"journal":{"name":"Home Health Care Management & Practice","volume":"32 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140737827","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 : 2024-04-05DOI: 10.1177/10848223241241822
Takuma Kimura, Shinji Matsumura, Masayoshi Hashimoto, Ken Shinmura
In Japan, little is known about the approaches to medical care for older patients with multimorbidity used by physicians either at patients’ homes or in hospitals. A questionnaire survey was conducted to understand the current approaches to older patients with multimorbidity. The questionnaire was sent to 3300 people, including 1650 geriatric specialists and 1650 primary care specialists, were enrolled. A four-point Likert-type scale was used to score the following items: diseases that cause difficulties in treatment (diseases), patient backgrounds that cause difficulties in treatment (backgrounds), important clinical factors, and important clinical strategies. We used the Tukey–Kramer test to examine the differences between scores across 3 groups: physicians providing only home care (the “home” group), physicians providing only inpatient care (the “hospital” group), and physicians providing both home care and inpatient care (the “home and hospital” group). Out of 836 valid responses, those from 587 physicians were included in the analysis. The overall score for diseases was significantly higher in the “hospital” group than in either the “home” or “home and hospital” groups. The overall score for important clinical strategies was significantly higher in the “home and hospital” group than in the “hospital” group. In conclusion, physicians’ approaches to treating older people with multimorbidity may vary by practice setting, and particularly whether they provide care only to patients at home or in hospital or to both. To improve the quality of transition of care between hospital and home, a support system that considers differences in physician practice should be developed.
{"title":"Relationship Between Physicians’ Engagement in Home Medical Care, Inpatient Care or Both, and Their Approach to Caring for Older Patients With Multimorbidity in Japan","authors":"Takuma Kimura, Shinji Matsumura, Masayoshi Hashimoto, Ken Shinmura","doi":"10.1177/10848223241241822","DOIUrl":"https://doi.org/10.1177/10848223241241822","url":null,"abstract":"In Japan, little is known about the approaches to medical care for older patients with multimorbidity used by physicians either at patients’ homes or in hospitals. A questionnaire survey was conducted to understand the current approaches to older patients with multimorbidity. The questionnaire was sent to 3300 people, including 1650 geriatric specialists and 1650 primary care specialists, were enrolled. A four-point Likert-type scale was used to score the following items: diseases that cause difficulties in treatment (diseases), patient backgrounds that cause difficulties in treatment (backgrounds), important clinical factors, and important clinical strategies. We used the Tukey–Kramer test to examine the differences between scores across 3 groups: physicians providing only home care (the “home” group), physicians providing only inpatient care (the “hospital” group), and physicians providing both home care and inpatient care (the “home and hospital” group). Out of 836 valid responses, those from 587 physicians were included in the analysis. The overall score for diseases was significantly higher in the “hospital” group than in either the “home” or “home and hospital” groups. The overall score for important clinical strategies was significantly higher in the “home and hospital” group than in the “hospital” group. In conclusion, physicians’ approaches to treating older people with multimorbidity may vary by practice setting, and particularly whether they provide care only to patients at home or in hospital or to both. To improve the quality of transition of care between hospital and home, a support system that considers differences in physician practice should be developed.","PeriodicalId":512411,"journal":{"name":"Home Health Care Management & Practice","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740354","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 : 2024-03-23DOI: 10.1177/10848223241240471
Georgia Drimousi, Marianna Mantzorou, S. Plakas, Stelios Parissopoulos, Christos Kleisiaris, T. Adamakidou
The growing demand for skilled personnel and the challenges faced by home healthcare (HHC) underscore the significance of these issues for nurses’ job satisfaction and daily experience of working in this field. The aim of the study was to explore the lived experience and job satisfaction of HHC nurses working in Greece. A qualitative study with semi-structured interviews was conducted. The data were collected from November to December 2021. The analysis was based on thematic analysis by Braun and Clarke. Data were organized with Atlas.ti v8. The sample consisted of 9 nurses (8 female and 1 male), with mean value of 10.22 years of working experience in the field of HHC. Four main themes emerged during the thematic analysis: “Nurse as a guest” “Understanding the world of home healthcare,” “Walking along a difficult path towards reward,” and “Looking forward to a better tomorrow.” Nurses’ descriptions gave the framework of working conditions in HHC and the uniqueness of this working environment, highlighting at the same time the factors that positively or negatively affect their job satisfaction. This valuable knowledge could act as a basis for the development of new targeted strategies, with the goal of creating a healthy, productive environment that would strengthen the desire of nurses to work in HHC.
{"title":"“Walking Along a Difficult Path Towards Reward”: Home Healthcare Nurses’ Work Experiences and Satisfaction","authors":"Georgia Drimousi, Marianna Mantzorou, S. Plakas, Stelios Parissopoulos, Christos Kleisiaris, T. Adamakidou","doi":"10.1177/10848223241240471","DOIUrl":"https://doi.org/10.1177/10848223241240471","url":null,"abstract":"The growing demand for skilled personnel and the challenges faced by home healthcare (HHC) underscore the significance of these issues for nurses’ job satisfaction and daily experience of working in this field. The aim of the study was to explore the lived experience and job satisfaction of HHC nurses working in Greece. A qualitative study with semi-structured interviews was conducted. The data were collected from November to December 2021. The analysis was based on thematic analysis by Braun and Clarke. Data were organized with Atlas.ti v8. The sample consisted of 9 nurses (8 female and 1 male), with mean value of 10.22 years of working experience in the field of HHC. Four main themes emerged during the thematic analysis: “Nurse as a guest” “Understanding the world of home healthcare,” “Walking along a difficult path towards reward,” and “Looking forward to a better tomorrow.” Nurses’ descriptions gave the framework of working conditions in HHC and the uniqueness of this working environment, highlighting at the same time the factors that positively or negatively affect their job satisfaction. This valuable knowledge could act as a basis for the development of new targeted strategies, with the goal of creating a healthy, productive environment that would strengthen the desire of nurses to work in HHC.","PeriodicalId":512411,"journal":{"name":"Home Health Care Management & Practice","volume":" 85","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140211036","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 : 2024-03-16DOI: 10.1177/10848223241232408
Denise M Connelly, N. Guitar, Anna Garnett, Tracy Smith-Carrier, Kristin Prentice, Jen Calver, Emily King, Sandra McKay, Diana Pearson, Samir Sinha, N. Snobelen
To describe the resilience and emotional intelligence of Registered Practical Nurses working in Home and Community Care during the COVID-19 pandemic. Specifically, to determine if there was a relationship between resilience and emotional intelligence based on whether a nurse: (1) left the sector, (2) considered leaving, or (3) took a leave of absence during the pandemic. An online cross-sectional survey was used to capture respondents’ demographic information and scores on the Connor–Davidson Resilience Scale, Resilience at Work Scale®, and Wong and Law Emotional Intelligence Scale. Registered Practical Nurses working, or who had worked, in Home and Community Care January 2020 to September 2022 were eligible to participate. The Checklist for Reporting Results of Internet E-Surveys was used. The survey was available June to September 2022 and advertised by the Registered Practical Nurses Association of Ontario to approximately 2105 members. Descriptive statistics and independent samples t-tests were used to analyze results at a level of P < .05 was used for all analyses. A total of 672 respondents participated (completion rate = 92.8%). There were no differences on resilience or emotional intelligence scores based on whether a nurse left, or considered leaving, the Home and Community Care sector during the pandemic. However, nurses who took a leave of absence scored significantly higher on resilience and emotional intelligence measures when compared to those who did not. Results suggest that a leave of absence for these nurses during the pandemic may have been a supportive coping strategy.
{"title":"A Leave of Absence Might Not Be a Bad Thing: Registered Practical Nurses Working in Home Care During the COVID-19 Pandemic","authors":"Denise M Connelly, N. Guitar, Anna Garnett, Tracy Smith-Carrier, Kristin Prentice, Jen Calver, Emily King, Sandra McKay, Diana Pearson, Samir Sinha, N. Snobelen","doi":"10.1177/10848223241232408","DOIUrl":"https://doi.org/10.1177/10848223241232408","url":null,"abstract":"To describe the resilience and emotional intelligence of Registered Practical Nurses working in Home and Community Care during the COVID-19 pandemic. Specifically, to determine if there was a relationship between resilience and emotional intelligence based on whether a nurse: (1) left the sector, (2) considered leaving, or (3) took a leave of absence during the pandemic. An online cross-sectional survey was used to capture respondents’ demographic information and scores on the Connor–Davidson Resilience Scale, Resilience at Work Scale®, and Wong and Law Emotional Intelligence Scale. Registered Practical Nurses working, or who had worked, in Home and Community Care January 2020 to September 2022 were eligible to participate. The Checklist for Reporting Results of Internet E-Surveys was used. The survey was available June to September 2022 and advertised by the Registered Practical Nurses Association of Ontario to approximately 2105 members. Descriptive statistics and independent samples t-tests were used to analyze results at a level of P < .05 was used for all analyses. A total of 672 respondents participated (completion rate = 92.8%). There were no differences on resilience or emotional intelligence scores based on whether a nurse left, or considered leaving, the Home and Community Care sector during the pandemic. However, nurses who took a leave of absence scored significantly higher on resilience and emotional intelligence measures when compared to those who did not. Results suggest that a leave of absence for these nurses during the pandemic may have been a supportive coping strategy.","PeriodicalId":512411,"journal":{"name":"Home Health Care Management & Practice","volume":"70 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140237055","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 : 2024-03-16DOI: 10.1177/10848223241235960
K. Ando, A. Suzuki, Hiroki Yoshida
Coronavirus disease 2019 (COVID-19) risk factors for hospitalization and mortality have been reported to be older age, comorbidities, and vaccination status. However, its clinical course and the risk of hospitalization and mortality in patients who received home health care for their predisposing status and diseases remain unclear. This study aimed to determine the characteristics and outcomes of these patients after being infected with the Omicron variant of COVID-19. This retrospective study included 33 patients diagnosed with COVID-19 after we initiated home health care. We classified the patients into 2 groups, that is, hospitalization (n = 7) and non-hospitalization (n = 26), and non-survival (n = 6) and survival (n = 27) and compared their backgrounds. COVID-19 severity was an affecting factor in hospitalization and survival. The nursing care environments and low daily life activities also affected hospitalization but not survival. The proportion of patients with terminal malignancies (50.0% vs 3.7%, p = .017) and the Charlson Comorbidity Index (5.0 vs 2.0, p = .096) were higher in the non-survival than in the survival group. Some patients had urinary tract infections and persistent weight and appetite loss (post COVID-19 syndrome), regardless of this improvement. Serum IL-6 levels were higher in patients with post COVID-19 syndrome than those without symptoms. Optimizing the nursing care environment is essential to continue home health care and lower the hospitalization rate even with SARS-CoV-2 infection. Post COVID-19 syndrome, such as appetite and weight loss, are associated with IL-6-induced inflammation.
{"title":"Clinical Impact of Covid-19 Omicron Variant on Patients in Home Health Care","authors":"K. Ando, A. Suzuki, Hiroki Yoshida","doi":"10.1177/10848223241235960","DOIUrl":"https://doi.org/10.1177/10848223241235960","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) risk factors for hospitalization and mortality have been reported to be older age, comorbidities, and vaccination status. However, its clinical course and the risk of hospitalization and mortality in patients who received home health care for their predisposing status and diseases remain unclear. This study aimed to determine the characteristics and outcomes of these patients after being infected with the Omicron variant of COVID-19. This retrospective study included 33 patients diagnosed with COVID-19 after we initiated home health care. We classified the patients into 2 groups, that is, hospitalization (n = 7) and non-hospitalization (n = 26), and non-survival (n = 6) and survival (n = 27) and compared their backgrounds. COVID-19 severity was an affecting factor in hospitalization and survival. The nursing care environments and low daily life activities also affected hospitalization but not survival. The proportion of patients with terminal malignancies (50.0% vs 3.7%, p = .017) and the Charlson Comorbidity Index (5.0 vs 2.0, p = .096) were higher in the non-survival than in the survival group. Some patients had urinary tract infections and persistent weight and appetite loss (post COVID-19 syndrome), regardless of this improvement. Serum IL-6 levels were higher in patients with post COVID-19 syndrome than those without symptoms. Optimizing the nursing care environment is essential to continue home health care and lower the hospitalization rate even with SARS-CoV-2 infection. Post COVID-19 syndrome, such as appetite and weight loss, are associated with IL-6-induced inflammation.","PeriodicalId":512411,"journal":{"name":"Home Health Care Management & Practice","volume":"83 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140236629","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 : 2024-02-07DOI: 10.1177/10848223241228435
Youngsun Park, Hyunsook Heo, Kyoungmi Woo
This study aimed to investigate the current status and workload of telenursing by home healthcare nurses in the post-COVID-19 era, where telenursing has become indispensable, and identify factors that influence the intention to use telenursing. This study employed a cross-sectional descriptive approach based on an online survey. A total of 137 active home care nurses were surveyed for over 6 weeks starting in December 2022. Among the participants, 33.8% (N = 44) responded that they were currently using telenursing services. Most telenursing was conducted for consultation and education, using various technologies. The intention to use telenursing was significantly higher among individuals with higher educational levels and telenursing experience. The greater the social influence, which indicates the extent to which people around them believe that telenursing should be used, and more positive the attitudes toward telenursing, the higher the intention to use it. A clear definition of telenursing is required to improve people’s understanding of telenursing before its official implementation in Korea. Telenursing may be used to provide health care education and consultation while maintaining the continuity of care not only for patients receiving home health care but also for community-dwelling patients. To recognize and evaluate current telenursing practices, telenursing content should be recorded accurately. Finally, attitudes toward telenursing and social influence must be considered when developing strategies to improve nurses’ intentions to use and activate telenursing in the near future.
{"title":"Status of Telenursing and Future Use Intentions in Home Health Care in the Post-COVID-19 Era","authors":"Youngsun Park, Hyunsook Heo, Kyoungmi Woo","doi":"10.1177/10848223241228435","DOIUrl":"https://doi.org/10.1177/10848223241228435","url":null,"abstract":"This study aimed to investigate the current status and workload of telenursing by home healthcare nurses in the post-COVID-19 era, where telenursing has become indispensable, and identify factors that influence the intention to use telenursing. This study employed a cross-sectional descriptive approach based on an online survey. A total of 137 active home care nurses were surveyed for over 6 weeks starting in December 2022. Among the participants, 33.8% (N = 44) responded that they were currently using telenursing services. Most telenursing was conducted for consultation and education, using various technologies. The intention to use telenursing was significantly higher among individuals with higher educational levels and telenursing experience. The greater the social influence, which indicates the extent to which people around them believe that telenursing should be used, and more positive the attitudes toward telenursing, the higher the intention to use it. A clear definition of telenursing is required to improve people’s understanding of telenursing before its official implementation in Korea. Telenursing may be used to provide health care education and consultation while maintaining the continuity of care not only for patients receiving home health care but also for community-dwelling patients. To recognize and evaluate current telenursing practices, telenursing content should be recorded accurately. Finally, attitudes toward telenursing and social influence must be considered when developing strategies to improve nurses’ intentions to use and activate telenursing in the near future.","PeriodicalId":512411,"journal":{"name":"Home Health Care Management & Practice","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139856503","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 : 2024-02-07DOI: 10.1177/10848223241228435
Youngsun Park, Hyunsook Heo, Kyoungmi Woo
This study aimed to investigate the current status and workload of telenursing by home healthcare nurses in the post-COVID-19 era, where telenursing has become indispensable, and identify factors that influence the intention to use telenursing. This study employed a cross-sectional descriptive approach based on an online survey. A total of 137 active home care nurses were surveyed for over 6 weeks starting in December 2022. Among the participants, 33.8% (N = 44) responded that they were currently using telenursing services. Most telenursing was conducted for consultation and education, using various technologies. The intention to use telenursing was significantly higher among individuals with higher educational levels and telenursing experience. The greater the social influence, which indicates the extent to which people around them believe that telenursing should be used, and more positive the attitudes toward telenursing, the higher the intention to use it. A clear definition of telenursing is required to improve people’s understanding of telenursing before its official implementation in Korea. Telenursing may be used to provide health care education and consultation while maintaining the continuity of care not only for patients receiving home health care but also for community-dwelling patients. To recognize and evaluate current telenursing practices, telenursing content should be recorded accurately. Finally, attitudes toward telenursing and social influence must be considered when developing strategies to improve nurses’ intentions to use and activate telenursing in the near future.
{"title":"Status of Telenursing and Future Use Intentions in Home Health Care in the Post-COVID-19 Era","authors":"Youngsun Park, Hyunsook Heo, Kyoungmi Woo","doi":"10.1177/10848223241228435","DOIUrl":"https://doi.org/10.1177/10848223241228435","url":null,"abstract":"This study aimed to investigate the current status and workload of telenursing by home healthcare nurses in the post-COVID-19 era, where telenursing has become indispensable, and identify factors that influence the intention to use telenursing. This study employed a cross-sectional descriptive approach based on an online survey. A total of 137 active home care nurses were surveyed for over 6 weeks starting in December 2022. Among the participants, 33.8% (N = 44) responded that they were currently using telenursing services. Most telenursing was conducted for consultation and education, using various technologies. The intention to use telenursing was significantly higher among individuals with higher educational levels and telenursing experience. The greater the social influence, which indicates the extent to which people around them believe that telenursing should be used, and more positive the attitudes toward telenursing, the higher the intention to use it. A clear definition of telenursing is required to improve people’s understanding of telenursing before its official implementation in Korea. Telenursing may be used to provide health care education and consultation while maintaining the continuity of care not only for patients receiving home health care but also for community-dwelling patients. To recognize and evaluate current telenursing practices, telenursing content should be recorded accurately. Finally, attitudes toward telenursing and social influence must be considered when developing strategies to improve nurses’ intentions to use and activate telenursing in the near future.","PeriodicalId":512411,"journal":{"name":"Home Health Care Management & Practice","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139796769","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 : 2024-01-30DOI: 10.1177/10848223231225246
Aaron Howe, Kevon Jules, Jeremy Kcd Tan, Raabia Khan, Anson KC Li, Brydne Edwards, Emily C King, Sonia Nizzer, Basem Gohar, Amin Yazdani, Ali Bani-Fatemi, V. Chattu, Lindsay Sinclair, Mhairi Kay, B. Nowrouzi-kia
Home care rehabilitation professionals (hcRPs) provide health services for clients with a broad range of medical conditions. During the COVID-19 pandemic, home care rehabilitation professionals experienced exacerbations of pre-existing work-related stressors, increased risk of transmission of the COVID-19 virus, reduced resource availability, greater workloads, and staffing shortages. The primary aim of this study was to examine the experience and impact of occupational and mental stress on hcRPs working during the COVID-19 pandemic. Semi-structured interviews were conducted with 24 hcRPs working in Ontario, Canada during the COVID-19 pandemic. Inductive thematic analysis was used to interpret and organize the data into conceptualized themes. Interview data was organized into three themes: (a) unique challenges of a home care rehabilitation professional, (b) COVID-19 exacerbations of home care occupational and mental stress, and (c) personal and workplace coping strategies. Many participants reported reducing their hours or taking on adjunctive roles in different clinical settings outside of home care due to work-related stress exacerbated by the COVID-19 pandemic. With a focus on the effects of COVID-19 on the practice of home care, this study provides a unique perspective on the challenges experienced by hcRPs during an emergent and evolving global public health concern. The exploratory nature of this research works towards providing a framework of factors to be addressed when creating sustainable healthcare interventions, as well as recommendations to support hcRPs to benefit both the community and health-care providers.
{"title":"The effects of occupational and mental stress among home care rehabilitation professionals working during the COVID-19 pandemic: An exploratory qualitative study","authors":"Aaron Howe, Kevon Jules, Jeremy Kcd Tan, Raabia Khan, Anson KC Li, Brydne Edwards, Emily C King, Sonia Nizzer, Basem Gohar, Amin Yazdani, Ali Bani-Fatemi, V. Chattu, Lindsay Sinclair, Mhairi Kay, B. Nowrouzi-kia","doi":"10.1177/10848223231225246","DOIUrl":"https://doi.org/10.1177/10848223231225246","url":null,"abstract":"Home care rehabilitation professionals (hcRPs) provide health services for clients with a broad range of medical conditions. During the COVID-19 pandemic, home care rehabilitation professionals experienced exacerbations of pre-existing work-related stressors, increased risk of transmission of the COVID-19 virus, reduced resource availability, greater workloads, and staffing shortages. The primary aim of this study was to examine the experience and impact of occupational and mental stress on hcRPs working during the COVID-19 pandemic. Semi-structured interviews were conducted with 24 hcRPs working in Ontario, Canada during the COVID-19 pandemic. Inductive thematic analysis was used to interpret and organize the data into conceptualized themes. Interview data was organized into three themes: (a) unique challenges of a home care rehabilitation professional, (b) COVID-19 exacerbations of home care occupational and mental stress, and (c) personal and workplace coping strategies. Many participants reported reducing their hours or taking on adjunctive roles in different clinical settings outside of home care due to work-related stress exacerbated by the COVID-19 pandemic. With a focus on the effects of COVID-19 on the practice of home care, this study provides a unique perspective on the challenges experienced by hcRPs during an emergent and evolving global public health concern. The exploratory nature of this research works towards providing a framework of factors to be addressed when creating sustainable healthcare interventions, as well as recommendations to support hcRPs to benefit both the community and health-care providers.","PeriodicalId":512411,"journal":{"name":"Home Health Care Management & Practice","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140481791","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 : 2024-01-28DOI: 10.1177/10848223231224779
R. B. Wicaksono, A. Muhaimin, Dick L. Willems, Jeannette Pols
Palliative care is a comprehensive approach aimed at improving the quality of life of patients with serious illness and their families. Nevertheless, there exists a dearth of systematically synthesized empirical evidence regarding the key elements that contribute to good home palliative care (HPC) from a familial standpoint in the context of South and Southeast Asia. This paper aims to describe family perspectives on key elements of good home palliative care in both regions. We conducted a scoping review using Arksey and O’Malley’s methodological framework. The search was done in 6 electronic databases: PubMed, Ovid MEDLINE, EMBASE, Web of Science, APA PsycINFO, and APA PsycArticles Full Text. Inclusion criteria were (1) exploring family experiences of palliative care, (2) home setting, and (3) South and Southeast Asian countries. Twenty-four studies were included from Bangladesh (n = 1), India (n = 6), Indonesia (n = 7), Malaysia (n = 2), Singapore (n = 2), and Thailand (n = 6). Five key elements of HPC from family perspectives were comprehensive moral and psychological support; religious and spiritual activities with religious figures involvement; empathetic, responsive, and continued home palliative care; adequate access to information and skills training; and facilitation in dealing with systemic barriers. The crucial role of religious and spiritual activities and the need for facilitation in facing systemic barriers were specific to South and Southeast Asia. HPC teams should be able to provide holistic support for patients and their families, which is influential for the quality of care. Improving care on a systemic level in these regions should be a policy priority.
姑息关怀是一种旨在改善重病患者及其家人生活质量的综合方法。然而，在南亚和东南亚地区，从家庭的角度来看有助于实现良好的居家姑息关怀（HPC）的关键因素，却缺乏系统的综合实证证据。本文旨在描述这两个地区的家庭对良好居家姑息关怀关键要素的看法。我们采用 Arksey 和 O'Malley 的方法框架进行了范围界定综述。我们在 6 个电子数据库中进行了搜索：PubMed、Ovid MEDLINE、EMBASE、Web of Science、APA PsycINFO 和 APA PsycArticles Full Text。纳入标准为：（1）探讨姑息关怀的家庭经验；（2）家庭环境；（3）南亚和东南亚国家。24 项研究分别来自孟加拉国（n = 1）、印度（n = 6）、印度尼西亚（n = 7）、马来西亚（n = 2）、新加坡（n = 2）和泰国（n = 6）。从家庭的角度来看，居家姑息关怀的五个关键要素是：全面的精神和心理支持；有宗教人士参与的宗教和灵修活动；富有同情心、反应迅速和持续的居家姑息关怀；充分的信息获取和技能培训；以及在处理系统性障碍时提供便利。宗教和精神活动的关键作用以及在面对系统性障碍时提供便利的必要性是南亚和东南亚所特有的。HPC 团队应能够为患者及其家属提供整体支持，这对护理质量具有重要影响。改善这些地区的系统性护理应成为政策优先事项。
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