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Zeitschriftenartikel zum Thema „At home care“

Autor: Grafiati

Veröffentlicht am 28. November 2024

Zuletzt aktualisiert am 19. Juli 2025

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1

Rice, Tony. "Will Care at Home Replace Care Homes?" Journal of Integrated Care 13, no. 2 (2005): 3–6. http://dx.doi.org/10.1108/14769018200500010.

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Cowart, Marie E., and Jill Quadagno. "From Nursing Homes to Home Care." Journal of Aging & Social Policy 7, no. 3-4 (1996): 1–2. http://dx.doi.org/10.1300/j031v07n03_01.

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Sivak, E. D., and E. Steiger. "Home Care." Cleveland Clinic Journal of Medicine 52, no. 3 (1985): 283. http://dx.doi.org/10.3949/ccjm.52.3.283.

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Baker, Sonia. "HOME CARE." Nursing Clinics of North America 34, no. 1 (1999): 201–12. http://dx.doi.org/10.1016/s0029-6465(22)02370-2.

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Lynn, Sarah N. "Home Care." Home Healthcare Now 40, no. 1 (2022): 59. http://dx.doi.org/10.1097/nhh.0000000000001032.

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Sato, Mihoko. "Home Care." Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 45, no. 1 (2008): 48–49. http://dx.doi.org/10.3143/geriatrics.45.48.

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Webb, Brittany. "Home Care." AJN, American Journal of Nursing 115, no. 10 (2015): 12. http://dx.doi.org/10.1097/01.naj.0000471918.72343.f2.

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Dolan, Marion B. "HOME CARE." AJN, American Journal of Nursing 94, no. 8 (1994): 59–60. http://dx.doi.org/10.1097/00000446-199408000-00040.

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&NA;. "HOME CARE." American Journal of Nursing 96, no. 2 (1996): 10. http://dx.doi.org/10.1097/00000446-199602000-00006.

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CROCKETT, PEGGY MASK. "Home Care." Nursing Management (Springhouse) 24, no. 1 (1993): 71???75. http://dx.doi.org/10.1097/00006247-199301000-00014.

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Howes, Candace. "Home Care." New Labor Forum 24, no. 2 (2015): 98–105. http://dx.doi.org/10.1177/1095796015579692.

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KALLSTROM, T., and J. LEWARSKI. "Home Care." Respiratory Care Clinics of North America 6, no. 1 (2000): 75–85. http://dx.doi.org/10.1016/s1078-5337(05)70059-9.

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Fisher, Karen. "Home Care." QRB - Quality Review Bulletin 13, no. 9 (1987): 318–19. http://dx.doi.org/10.1016/s0097-5990(16)30155-5.

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Diane, M. Dame. "Home care." Journal of Obstetric, Gynecologic & Neonatal Nursing 24, no. 5 (1995): 390. http://dx.doi.org/10.1111/j.1552-6909.1995.tb02494.x.

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&NA;, &NA;. "HOME CARE." Orthopaedic Nursing 12, no. 6 (1993): 69. http://dx.doi.org/10.1097/00006416-199311000-00023.

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Roon, Pat. "Home Care." Orthopaedic Nursing 13, no. 4 (1994): 73. http://dx.doi.org/10.1097/00006416-199407000-00013.

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POLLENS, ROBIN. "Home Care." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 21, no. 5 (2003): 348. http://dx.doi.org/10.1097/00004045-200305000-00015.

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Shaughnessy, Peter W., Robert E. Schlenker, Kathryn S. Crisler, Angela G. Arnold, Martha C. Powell, and James M. Beaudry. "Home Care." Journal of Aging & Social Policy 7, no. 3-4 (1996): 149–68. http://dx.doi.org/10.1300/j031v07n03_09.

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Levine, Sharon A. "Home Care." JAMA 290, no. 9 (2003): 1203. http://dx.doi.org/10.1001/jama.290.9.1203.

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Berry, James H. "Home Care, Health Care." Journal of the American Dental Association 125, no. 2 (1994): 146–50. http://dx.doi.org/10.14219/jada.archive.1994.0262.

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Harris, Jess, and Jill Manthorpe. "The “Cameos of Care Homes” project – care home staff’s Vanguard involvement and reflections." Working with Older People 23, no. 2 (2019): 107–15. http://dx.doi.org/10.1108/wwop-11-2018-0024.

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Purpose The Cameos of Care Homes project is an opportunity to use the medium of film to showcase the experiences and reflections of frontline care home staff whose employers participated in the National Health Service (NHS) England Vanguard programme. Reflecting on their involvement in one of the Enhanced Health in Care Homes Vanguards, 12 staff describe, in front of the camera, the impact on themselves and their colleagues, on their care for their older residents, and on the wider culture of the care home. The paper aims to discuss this initiative. Design/methodology/approach The paper reports the experiences of care home staff that were purposefully recorded on film about their participation in a care home Vanguard. The recruitment of the care homes and staff is described, as are the development of interview questions and approaches needed when filming is considered as a research method. Findings Participating care home staff reported that their involvement in the Vanguard programme had improved knowledge, confidence, morale, communication skills and the homes’ learning cultures. They were enthusiastic about reporting their experiences on film. Examples were given of proactive early support from local NHS staff leading to improvements in care, thereby reducing demand on the NHS. However, participation was resource intensive for care homes. Care home staff hoped the support that accompanied the Vanguard programme would continue but were uncertain to what degree this would happen once the Vanguard programme ceased. Research limitations/implications The interviews were undertaken with a self-selecting group of care home staff from two care homes operating in one of the six Vanguard sites in England. By their very nature, interviews for a public film cannot provide anonymity. Practical implications Researchers seeking the views of care home staff may wish to consider filming interviews and presenting the film as a research output that is engaging and informative for care home and wider audiences. Originality/value The paper presents an analysis of filmed interviews with care home managers and care workers working with older people. Their views on the Vanguard initiative have not been widely considered, in contrast to the sizeable literature relating to NHS activity and expenditure.

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Lundgren, Dan, Marie Ernsth Bravell, Ulrika Börjesson, and Ingemar Kåreholt. "The Association Between Psychosocial Work Environment and Satisfaction With Old Age Care Among Care Recipients." Journal of Applied Gerontology 39, no. 7 (2018): 785–94. http://dx.doi.org/10.1177/0733464818782153.

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This study examines the association between nursing assistants’ perceptions of their psychosocial work environment and satisfaction among older people receiving care in nursing homes and home care. Cross-sectional surveys were conducted among people receiving care ( N = 1,535) and nursing assistants ( N = 1,132) in 45 nursing homes and 21 home care units within municipal old-age care. Better psychosocial work environment was related to higher satisfaction in old-age care among the recipients. Significant and stronger associations were more common in nursing homes than in home care. Perception of mastery and positive challenges at work were associated with higher recipient satisfaction both in home care and in nursing homes: social climate, perception of group work, perception of mastery, and positive challenges at work only in nursing homes. Findings suggest that recipient satisfaction may be increased by improving the psychosocial work environment for nursing assistants, both in nursing homes and in home care.

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Cowan, Helen. "Working with care homes: new initiatives for integrated care." British Journal of Cardiac Nursing 17, no. 12 (2022): 1–4. http://dx.doi.org/10.12968/bjca.2022.0131.

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This quarterly column sheds some light on the lesser known area of cardiac nursing in care homes, looking at nurse-led diagnosis and management of cardiac conditions. In this final instalment, Helen Cowan interviews qualified nurse, Leah Bressington, about her roles as a newly-appointed care home fellow at the British Geriatrics Society and within the One Weston Care Home Hub, and their potential to improve care for residents in care homes.

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Harris, Patricia J. "Home Care Supplement: Sometimes Pediatric Home Care Doesn't Work." American Journal of Nursing 88, no. 6 (1988): 851HH. http://dx.doi.org/10.2307/3425802.

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Bryant, Natasha, Robyn Stone, and Alex Hennessa. "Job Design for Home Care Work: Perspectives From Employers and Home Care Aides." Innovation in Aging 5, Supplement_1 (2021): 216. http://dx.doi.org/10.1093/geroni/igab046.834.

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Abstract Home-based care is a rapidly growing sector becoming more important to individuals, families, providers, and payers. The ways in which agencies create the work environment for home care aides who are essentially in their clients’ homes is not adequately documented and may be changing rapidly with labor market innovations. This qualitative study describes how different home care business models (e.g., non-profit VNAs, for-profit franchises, uber-style matching, worker-owned coops) address job design and the overall work environment for home care aides. Interviews with employers and focus groups with home care aides examine workplace practices, how work is organized and supported when the workforce is virtual and the workplace is a client’s home, and the perceived attributes of a positive workplace environment across business models. This study fills significant knowledge gaps about home care workplace design and the role of agencies in creating a supportive environment.

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Brown, L., and J. Copeman. "Nutritional care in care homes: experiences and attitudes of care home staff." Journal of Human Nutrition and Dietetics 21, no. 3 (2008): 282–83. http://dx.doi.org/10.1111/j.1365-277x.2008.00865_3.x.

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Brown, L. E., and J. Copeman. "Nutritional care in care homes: experiences and attitudes of care home staff." Journal of Human Nutrition and Dietetics 21, no. 4 (2008): 383. http://dx.doi.org/10.1111/j.1365-277x.2008.00881_14.x.

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Löfgren, Ann-Christine, Gösta Bucht, Sture Eriksson, and Tage Lundström. "Physical Health and Cognitive Ability Among Married Long-Term-Care Patients and Among Their Spouses—A Comparison Between Home Care and Nursing Home Care." International Psychogeriatrics 5, no. 2 (1993): 157–68. http://dx.doi.org/10.1017/s1041610293001498.

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The purpose of this study was to establish whether physical health and cognitive function in married long-term patients or in their spouses determines why some patients are cared for in home care while others reside in nursing homes. Out of 38 married couples with a sick spouse cared for in a nursing home, 23 couples were studied; out of 34 couples with a sick spouse cared for in home care, 22 patients and 25 spouses were studied. The results showed no significant differences in physical health score either between the two groups of patients, or between the two groups of spouses. Both home-care patients and nursing home patients had low cognitive function scores, but nursing home patients had significantly lower scores. A multivariate analysis showed that physical health and cognitive function explained only 20% of patients' residence. Between the two groups of spouses there was no difference in cognitive function score. The conclusion is that physical health status and cognitive function explain only to a small extent why married long-term care patients are cared for in nursing homes or in home care.

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NORO, ANJA, and SEPPO ARO. "Returning Home from Residential Care? Patient Preferences and their Determinants." Ageing and Society 17, no. 3 (1997): 305–21. http://dx.doi.org/10.1017/s0144686x97006454.

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The objective of the study was to discover what fairly independent residents living in long-term residential care think about home care as an alternative. A stratified systematic sample was drawn from a one-day census of patients in all residential homes in Finland on 2 December, 1991. A postal survey was used for data collection in December, 1992. Respondents who preferred home care were compared with respondents preferring residential care according to length of stay, health, functional ability and health-related quality of life. Most respondents preferred institutional care. Preference for home care was explained most strongly by emotional factors, unwillingness for residential care at admission, and still having a home to return to. Shorter length of stay also predicted preference for home care. Those who preferred home care admitted they would need much formal care after discharge. People living in residential homes are rarely ready for discharge home, because of limitations in their physical ability or of their unwillingness to change their site of care.

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Bertrand, Amandine, Véronique Veyet, Florence Goy, Marie Cervos, and Matthias Schell. "Pediatric palliative care at home by Home Care Unit: how home nurses feel?" Supportive Care in Cancer 30, no. 3 (2021): 2091–99. http://dx.doi.org/10.1007/s00520-021-06623-w.

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Pybis, J., N. Chigariro, and J. Bacon. "462 COUNSELLING IN CARE HOMES." Age and Ageing 50, Supplement_2 (2021): ii1—ii4. http://dx.doi.org/10.1093/ageing/afab117.06.

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Abstract Introduction Although many people live well within care homes, it is estimated that 60% of those living in residential care have poor mental health (Age Concern & Mental Health Foundation, 2006) and 40% suffer from depression (The Royal College of General Practitioners, 2014). Antidepressant prescribing has been reported to be nearly four times greater in care homes than for older people living in the community (Harris, Carey, Shah, Dewilde & Cook, 2012). However, antidepressants have been found to be ineffective for people with dementia (Dudas, Malouf, McCleery & Dening, 2018). With two-thirds of care home residents having some form of dementia, there is a need to find alternative interventions. Talking therapies, such as counselling, may be a useful alternative. Method Adopting a qualitative approach using semi-structured interviews and focus groups with counsellors (N = 12) who have experience of working in this context and with care home managers (N = 3) and care teams (N = 6), this study aimed to explore the feasibility of implementing counselling in a care home setting. We explored the views of care home staff towards counselling and identify barriers to service implementation, alongside the experience of counsellors who have delivered counselling in care homes to understand what service delivery models are currently adopted. Data were analysed thematically. Results Findings fell under the following key themes: The funding and referral process for counselling in a care home; skills and competences required; training needs; adaptations to practice; barriers to implementing counselling in a care home. Conclusions It is timely to consider the role of psychological therapy in supporting the mental health of care home residents. There is a need for further research to explore a service delivery model of counselling in care homes.

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YAMANE, KIYOMI. "Terminal care. Home terminal care." Nihon Naika Gakkai Zasshi 85, no. 12 (1996): 1994–99. http://dx.doi.org/10.2169/naika.85.1994.

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Townsend, Constance M. "Continuing Care/Care at Home." Journal of Palliative Care 5, no. 2 (1989): 48–51. http://dx.doi.org/10.1177/082585978900500215.

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Roe, Donna J. "Palliative Care 2000 — Home Care." Journal of Palliative Care 8, no. 1 (1992): 28–32. http://dx.doi.org/10.1177/082585979200800107.

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Twigg, Julia. "Community Care or Home Care." Ageing and Society 14, no. 1 (1994): 115–19. http://dx.doi.org/10.1017/s0144686x0000009x.

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Smith, Nick, Ann-Marie Towers, Grace Collins, Sinead Palmer, Stephen Allan, and Jennifer Beecham. "Encouraging managers of care homes for older adults to participate in research." Quality in Ageing and Older Adults 20, no. 3 (2019): 120–29. http://dx.doi.org/10.1108/qaoa-04-2019-0017.

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Purpose Research in care homes requires the co-operation of care home managers. Noting the challenges faced by the care home sector, the purpose of this paper is to consider ways in which research studies can encourage care home managers and their homes to participate in research. Design/methodology/approach The discussion is informed by two research projects which are used to explore methods of encouraging managers of care homes to participate in research. One of the studies included interviews with care home managers to understand their reasons for taking part in research. Findings This paper outlines and assesses three strategies for encouraging care home managers to participate in research: working in partnership, providing payment and providing personalised feedback on findings. Whereas all the strategies have the potential to encourage care home managers’ participation in research, partnership working in particular was found to be fraught with difficulties. Research limitations/implications This paper suggests that the research projects could employ any of these strategies to encourage managers of care homes to participate in research. It also suggests that proactive measures could help ameliorate the pitfalls of partnership working. Originality/value This paper shows the advantages and disadvantages of using a combination of strategies for encouraging the participation of care home managers in research.

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Ruiz-Mendoza, E., A. Penart, I. Obi, E. Addison, and H. Clark. "37 Enhance GP-Geriatrician Care Homes Multidisciplinary Team." Age and Ageing 49, Supplement_1 (2020): i9—i10. http://dx.doi.org/10.1093/ageing/afz184.04.

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Abstract Introduction Peterborough Care Home Support Team (CHST) have worked on a small pilot of 4 care homes with a local GP and an interface geriatrician to address the complex needs of the residents within those care homes to improve patient experience, quality of care and reduce attendances and admissions to hospital in a geographical area of 5000 care home beds. Methods The multidisciplinary team (MDT) consisted of a General Practitioner, Interface Geriatrician, Pharmacist from the medicine optimisation team and Care Home Support Team member with once a month meeting in the selected Care Home. We measure the impact of our intervention comparing the data predating our intervention comparing 4 selected care homes with high A&E attendances in each period 2017 and 2018. Results 50% reduction in hospital attendances with £4985.48 cost saving following medication review in the 4 care homes under study. Conclusions Commissioners, Local Authorities and Care Home Providers have started to look towards more innovative solutions to improve patient experience, quality of care and reduce attendances and admissions to hospital. Our experience and results aim to consider enhance GP-Geriatrician Care Homes MDT as a good model of care.

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Birt, Linda, Lindsay Dalgarno, Fiona Poland, David Wright, and Christine Bond. "What happens when pharmacist independent prescribers lead on medicine management in older people’s care homes: a qualitative study." BMJ Open 13, no. 10 (2023): e068678. http://dx.doi.org/10.1136/bmjopen-2022-068678.

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ObjectiveOlder people in care homes frequently experience polypharmacy, increasing the likelihood of medicine-related burden. Pharmacists working within multidisciplinary primary care teams are ideally placed to lead on medication reviews. A randomised controlled trial placed pharmacists, with independent prescribing rights (PIPs), into older people care homes. In the intervention service, PIPs worked with general practitioners (GPs) and care home staff for 6 months, to optimise medicine management at individual resident and care home level. PIP activity included stopping medicines that were no longer needed or where potential harms outweighed benefits. This analysis of qualitative data examines health and social care stakeholders’ perceptions of how the service impacted on care home medicine procedures and resident well-being.DesignPragmatic research design with secondary analysis of interviews.SettingPrimary care pharmacist intervention in older people care homes in England, Scotland and Northern Ireland.ParticipantsRecruited from intervention arm of the trial: PIPs (n=14), GPs (n=8), care home managers (n=9) and care home staff (n=6).ResultsThere were resonances between different participant groups about potential benefits to care home residents of a medicine service provided by PIPs. There were small differences in perceptions about changes related to communication between professionals. Results are reported through three themes (1) ‘It’s a natural fit’—pharmacists undertaking medication review in care homes fitted within multidisciplinary care; (2) ‘The resident is cared for’—there were subjective improvements in residents’ well-being; (3) ‘Moving from “firefighting” to effective systems’—there was evidence of changes to care home medicine procedures.ConclusionThis study suggests that pharmacist independent prescribers in primary care working within the multidisciplinary team can manage care home residents’ medicines leading to subjective improvements in residents’ well-being and medicine management procedures. Care home staff appreciated contact with a dedicated person in the GP practice.Trial registrationISRCTN 17847169

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Sidhu, Manbinder, Ian Litchfield, Robin Miller, et al. "Using pulse oximeters in care homes for residents with COVID-19 and other conditions: a rapid mixed-methods evaluation." Health and Social Care Delivery Research 10, no. 35 (2022): 1–84. http://dx.doi.org/10.3310/pqwc3425.

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Background There are over 15,000 care homes in England, with a total of approximately 450,000 beds. Most residents are older adults, some with dementia, and other residents are people of any age with physical or learning disabilities. Using pulse oximetry in care homes can help the monitoring and care of residents with COVID-19 and other conditions. Objectives To explore the views of care home staff, and the NHS staff they interact with, with regard to using pulse oximetry with residents, as well as the NHS support provided for using pulse oximetry. Design We carried out a rapid mixed-methods evaluation of care homes in England, comprising (1) scoping interviews with NHS leaders, care association directors and care home managers, engaging with relevant literature and co-designing the evaluation with a User Involvement Group; (2) an online survey of care homes; (3) interviews with care home managers and staff, and with NHS staff who support care homes, at six purposively selected sites; and (4) synthesis, reporting and dissemination. The study team undertook online meetings and a workshop to thematically synthesise findings, guided by a theoretical framework. Results We obtained 232 survey responses from 15,362 care homes. Although this was a low (1.5%) response rate, it was expected given exceptional pressures on care home managers and staff at the time of the survey. We conducted 31 interviews at six case study sites. Pulse oximeters were used in many responding care homes before the pandemic and use of pulse oximeters widened during the pandemic. Pulse oximeters are reported by care home managers and staff to provide reassurance to residents and their families, as well as to staff. Using pulse oximeters was usually not challenging for staff and did not add to staff workload or stress levels. Additional support provided through the NHS COVID Oximetry @home programme was welcomed at the care homes receiving it; however, over half of survey respondents were unaware of the programme. In some cases, support from the NHS, including training, was sought but was not always available. Limitations The survey response rate was low (1.5%) and so findings must be treated with caution. Fewer than the intended number of interviews were completed because of participant unavailability. Throughout the COVID-19 pandemic, care homes may have been asked to complete numerous other surveys etc., which may have contributed to these limitations. Owing to anonymity, the research team was unable to determine the range of survey respondents across location, financial budget or quality of care. Conclusions Using pulse oximeters in care homes is considered by managers and staff to have been beneficial to care home residents. Ongoing training opportunities for care home staff in use of pulse oximeters would be beneficial. Escalation processes to and responses from NHS services could be more consistent, alongside promoting the NHS COVID Oximetry @home programme to care homes. Future research Further research should include the experiences of care home residents and their families, as well as finding out more from an NHS perspective about interactions with care home staff. Research to investigate the cost-effectiveness of pulse oximetry in care homes, and of the NHS COVID Oximetry @home programme of support, would be desirable. Funding This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme and will be published in full in Health and Social Care Delivery Research; Vol. 10, No. 35. See the NIHR Journals Library website for further project information.

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Dening, Karen Harrison, and Zena Aldridge. "Enhanced healthcare in care homes for people with dementia: the Admiral nursing offer." Nursing and Residential Care 23, no. 7 (2021): 1–10. http://dx.doi.org/10.12968/nrec.2021.23.7.4.

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Background The UK older population is higher than the global average. Over the next 20 years, England will see an increase in the number of older people who have higher levels of dependency, dementia and comorbidity, many of whom will require 24-hour residential care. It is estimated that 70% of residents in nursing and residential care homes either have dementia on admission or develop it while residing in the care home, many of who will have complex needs with high levels of multimorbidity. However, there is a lack of consistency in the provision of primary care and specialist services to this population and a known gap in knowledge and skills of dementia care in care home staff and primary care teams. Methods This article considers the current health policy drivers to enhance integrated health and social care provision to care homes and proposes a model of care that would support the aims of the NHS Long Term Plan for care to be delivered closer to home and improve out of hospital care which includes people who live in care homes by introducing Enhanced Health in Care Homes. It is crucial that such a model includes the correct skill mix to meet the needs of the care home population. Conclusions There are currently gaps in service provision to many care homes. Admiral nurse case managers and specialists in dementia care, are well placed to support the delivery of Enhanced Health in Care Homes and improve access to specialist support to care home residents, their families, care home staff and the wider health and social care system.

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MACHIDA, K. "Home Care Ventilation." JAPANES JOURNAL OF MEDICAL INSTRUMENTATION 60, no. 12 (1990): 533–37. http://dx.doi.org/10.4286/ikakikaigaku.60.12_533.

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Byram, D. M., and Matron Oak. "Nursing home care." Nursing Standard 3, no. 30 (1989): 51. http://dx.doi.org/10.7748/ns.3.30.51.s69.

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Dean, Erin. "Home-cooked care." Nursing Standard 26, no. 46 (2012): 22–23. http://dx.doi.org/10.7748/ns.26.46.22.s27.

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Wyrko, Zoe. "Care home medicine." Clinical Medicine 10, no. 3 (2010): 235–37. http://dx.doi.org/10.7861/clinmedicine.10-3-235.

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