The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector

Abstract Background The work of registered nurses in home health care is complicated and extensive, and information technology (IT) is used in everyday activities. Coordination between care and resource efficiency is important. There is a wealth of information that supports the notion of sustainable development, but what sustainable development means from the perspective of the registered nurse in home health care when using IT is limited. The term “sustainable development” is not clearly defined and is poorly researched in nursing. Sustainable development in this study includes the ecological, economic, social, technical and ethical dimensions. The aim of this study was to describe registered nurses’ experience of IT use in home health care through a sustainable development model. Methods This study was conducted using ten semi-structured lifeworld interviews with registered nurses. The method employed was a qualitative content analysis with a deductive approach. The deductive approach consisted of a model of sustainable development. Results Analysis of the interviews and the model of sustainable development provided categories: using IT from an ecological dimension, the registered nurses experienced reduced consumption and damage to the environment; using IT in the economical dimension, saving of time and resources was experienced; the use of IT affected social aspects such as the work environment and patient safety, and positive consequences, such as accessibility, were also mentioned; using IT from a technical dimension was characterized by the nurse’s attitude towards it – the registered nurses felt it improved the quality of care and gave users an overview of the organization; and from an ethical dimension, the registered nurses expressed the need for IT to be adaptable to the patient’s well-being and indicated that more awareness of risks in the care meeting may be needed. Conclusion The findings are discussed based on the synergies and conflicts that arise between the different dimensions of sustainable development. IT intertwines and overlaps with, and within, the environment, economy, society, technology and ethics. Registered nurses in home health care want to conduct good and safe care, while using IT could benefit patients.

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Hospitalization risk factors of older cohorts of home health care patients: A systematic review

Home Health Care Services Quarterly ◽

10.1080/01621424.2019.1616026 ◽

2019 ◽

Vol 38 (3) ◽

pp. 111-152 ◽

Cited By ~ 1

Author(s):

Irene Bick ◽

Dawn Dowding

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Health Care ◽

Home Health Care ◽

Home Health

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Postdischarge Adverse Events Among Patients Who Received Home Health Care Services

Home Health Care Management & Practice ◽

10.1177/1084822319856004 ◽

2019 ◽

Vol 31 (4) ◽

pp. 257-262

Author(s):

Dennis Tsilimingras ◽

Liying Zhang ◽

Askar Chukmaitov

Keyword(s):

Risk Factors ◽

Health Care ◽

Patient Safety ◽

Adverse Events ◽

Home Health Care ◽

Health Care Services ◽

Home Health ◽

Health Concern ◽

Care Services ◽

Safety Research

Adverse events that occur in urban and rural adults during the posthospitalization period have become a major public health concern. However, postdischarge adverse events for patients receiving home health care have been understudied. The objective of this study was to identify the prevalence and risk factors associated with postdischarge adverse events for patients who received home health care services. We analyzed data from a prospective cohort study that was conducted among patients who were hospitalized in the Tallahassee Memorial Hospital from December 2011 to October 2012. Telephone interviews were conducted by trained nurses who contacted patients within 4 weeks after discharge. Physicians reviewed cases with possible adverse events that were triaged by the nurses. The adverse events that were identified were categorized as preventable, ameliorable, and nonpreventable/nonameliorable. Nearly 39% of 85 patients who received home health care experienced postdischarge adverse events that were predominantly preventable or ameliorable. The associated risk factors were living alone (odds ratio [OR] = 7.860, p = .020), insured by Medicare or Medicaid (OR = 6.402, p = .048), type 2 diabetes mellitus (OR = 6.323, p = .004), pneumonia (OR = 5.504, p = .004), and other infections (OR = 4.618, p = .031). This study was able to identify that nearly one in every two patients who received home health care after hospital discharge experienced an adverse event. Patient safety research needs to focus in the home by developing specific interventions to avert adverse events and improve patient safety during the delivery of home health care services.

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Caring for people with intellectual and developmental disabilities: how can it be experienced and percieved by registered nurses?

10.24834/isbn.9789178771547 ◽

2021 ◽

Author(s):

◽

Marie Appelgren

Keyword(s):

Systematic Review ◽

Health Care ◽

Developmental Disabilities ◽

Registered Nurses ◽

Home Health Care ◽

Home Health ◽

Intellectual And Developmental Disabilities ◽

Diverse Range ◽

Qualitative Descriptive ◽

The Right

Registered nurses [RNs] are within the frontline of professional nursing and are expected to provide a diverse range of health care services to a varied and heterogenic group of patients. They are bound by a code of ethics that mandates that nurses respect all human rights regardless of the patient’s abilities or functional status. However, research implies that RNs do not feel adequately prepared to support patients with intellectual and developmental disabilities [IDD], and that patients with IDD are often misinterpreted and misunderstood in care. Gaining in-depth knowledge about how RNs can experience nursing for this group of patients is therefore of great importance. The overall aim of this thesis was to describe, appraise, integrate and synthesise knowledge concerning nursing for patients with IDD. A further aim was to explore and describe Swedish RNs’ perceptions of providing care for patients with IDD within a home health care setting. This thesis consisted of two studies designed to investigate various aspects of nursing and caring for patients with IDD. Paper I was a systematic review using a meta-ethnographic approach, and Paper II was an interview study using a qualitative descriptive, interpretive design. Data was collected by systematic data base searches (Paper I), and by individual interviews (Paper II). The systematic review comprised 202 RNs (Paper I) and the qualitative descriptive study comprised 20 RNs. In the systematic review, data was analysed by a Line of Argument Synthesis [LOAs] as described by Noblit and Hare (1988), while the data in Paper II was analysed by content analysis. Nurses’ experiences and perceptions of nursing patients with an IDD could be understood from 14 LOAs. Six of these were interpreted to reflect a tentatively more distinctive and unique conceptualisation of RNs’ experience of nursing for this group of patients. The remaining eight LOAs were interpreted to reflect a conceptualisation of nursing per se that is a universal experience regardless of context or patient group (Paper I). In Paper II, the nurse’s perceptions were interpreted to be reflected by three overarching categories: Nursing held hostage in the context of care, Care dependant on intuition and proven experience and Contending for the patient’s right to adequate care. Absence of understanding and knowledge about IDD might be an explanation for the “otherness” that still appears to surround this group of patients. Concentrating on the person behind the disabilities label as well as on abilities instead of disabilities could be a reasonable approach in nursing care for patients with IDD. Thus, implementing nursing models focusing on person-centred care could support RNs to moderate the health and care inequalities that are still present among patients with IDD (Paper I). As a result of the home health care context and its organisation, the RNs perceived themselves as unable to provide care in accordance with their professional values. Not mastering the available augmentative and alternative communication tool additionally meant having to provide care based on second-hand information from support staff. The RNs also perceived that caring for this group of patients involved a daily battle for the patient’s rights to receive the right care at the right place and time and by the right person (Paper II). Hence, a broad base of evidence on what actually works best in clinical practice for this group of patients, particularly in the home care context, is still needed.

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Risk Factors for Hospitalization in a National Sample of Medicare Home Health Care Patients

Journal of Applied Gerontology ◽

10.1177/0733464812454007 ◽

2012 ◽

Vol 33 (4) ◽

pp. 474-493 ◽

Cited By ~ 41

Author(s):

Richard H. Fortinsky ◽

Elizabeth A. Madigan ◽

T. Joseph Sheehan ◽

Susan Tullai-McGuinness ◽

Alison Kleppinger

Keyword(s):

Risk Factors ◽

Health Care ◽

Home Health Care ◽

National Sample ◽

Home Health

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The prevalence of infections and patient risk factors in home health care: A systematic review

American Journal of Infection Control ◽

10.1016/j.ajic.2013.12.018 ◽

2014 ◽

Vol 42 (5) ◽

pp. 479-484 ◽

Cited By ~ 26

Author(s):

Jingjing Shang ◽

Chenjuan Ma ◽

Lusine Poghosyan ◽

Dawn Dowding ◽

Patricia Stone

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Health Care ◽

Home Health Care ◽

Home Health ◽

Patient Risk

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Risk factors for hospital readmission among home health care patients at PSMMC, Riyadh, Saudi Arabia, 2019

International Journal of Advanced Community Medicine ◽

10.33545/comed.2021.v4.i2a.188 ◽

2021 ◽

Vol 4 (2) ◽

pp. 07-13

Author(s):

Lamees Alruwaili ◽

Tariq Alsaid ◽

Mostafa Kofi

Keyword(s):

Risk Factors ◽

Health Care ◽

Saudi Arabia ◽

Home Health Care ◽

Hospital Readmission ◽

Home Health

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Osteoporosis

Californian Journal of Health Promotion ◽

10.32398/cjhp.v2i3.876 ◽

2004 ◽

Vol 2 (3) ◽

pp. 5-11

Author(s):

M. Allison Ford ◽

Martha A. Bass

Keyword(s):

Risk Factors ◽

Health Care ◽

Bone Loss ◽

Health Care Professional ◽

Home Health Care ◽

Weight Bearing ◽

Measurement Techniques ◽

Home Health ◽

Health Issue ◽

Bone Measurement

Osteoporosis is a serious health issue causing premature disability to millions of Americans. Costs associated with this disease exceed 13.8 billion dollars per year. Women have a greater risk for osteoporosis than men. However, men are also susceptible to bone loss and osteoporosis. Osteoporosis education for the health care professional is warranted. Understanding risk factors and utilizing bone measurement techniques will result in earlier detection of osteoporosis. Adequate calcium intakes and weight bearing exercise is essential in prevention and maintenance of osteoporosis. This article discusses osteoporosis as a home health care issue.

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