scholarly journals To what extent do home care nurses feel free to assess the care that is needed for their patients? A nationwide survey in the Netherlands

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Adriana (Anne) Elisabeth Maria Brabers ◽  
Kim de Groot ◽  
Petrus (Peter) Paulus Groenewegen ◽  
Judith Daniëlle de Jong
Keyword(s):  
The Netherlands ◽  
Home Care ◽  
Nationwide Survey ◽  
Home Care Nurses

scholarly journals Home care nurses more positive about the palliative care that is provided and their own competence than hospital nurses: a nationwide survey

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Chantal Y. Joren ◽  
Anke J.E. de Veer ◽  
Kim de Groot ◽  
Anneke L. Francke
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Online Survey ◽  
Hospital Admissions ◽  
Nationwide Survey ◽  
Hospital Nurses ◽  
Palliative Phase ◽  
Home Care Nurses ◽  
At Home

Abstract Background People often prefer to stay at home until the end of life, but hospital admissions are quite common. In previous research bereaved relatives were found to be less positive about palliative care in hospital. However, it was not known how the content and quality of palliative care differ between home care and hospitals from the perspectives of hospital nurses and home care nurses and how palliative care in these settings could be improved. Methods A survey was held among hospital and home care nurses, recruited from a nationwide Nursing Staff Panel and through open calls on social media and in an online newsletter. The pre-structured online survey included questions on the palliative care provided, the quality of this care and the respondent’s perceived competence in providing palliative care. The questionnaire was completed by 229 home care nurses and 106 hospital nurses. Results Most nurses provided palliative care in the physical and psychological domains, fewer provided care in the social and spiritual domains. A higher percentage of home care nurses stated that they provided care in these domains than hospital nurses. Overall, 70% of the nurses rated the quality of palliative care as very good to excellent. This percentage was higher among home care nurses (76.4%) than hospital nurses (59.4%). Moreover, a higher percentage of home care nurses (94.4%) stated they felt competent to a great extent to provide palliative care compared to hospital nurses (84.7%). Competencies regarding the physical domain were perceived as better compared to the competencies concerning the other domains. The nurses recommended paying more attention to inter-professional collaboration and communication, timely identification of the palliative phase and advance care planning, and more time available for palliative care patients. Conclusion Although the quality of palliative care was rated as very good to excellent by nurses, improvements can still be made, particularly regarding palliative care in hospitals. Although patients often prefer to die at home rather than in hospital, still a considerable number of people do die in hospital; therefore hospital nurses must also be trained and be able to provide high-quality palliative care.

Job Satisfaction and Burnout Levels of Home Care Nurses in Turkey

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Nilgun Yurtsever ◽  
Medine Yilmaz
Keyword(s):  
Job Satisfaction ◽  
Home Care ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Home Healthcare ◽  
Satisfaction Scale ◽  
Work Related ◽  
Related Stress ◽  
Home Care Nurses

Owing to the nature of their jobs, nurses all over the world experience burnout. The aim of this descriptive and correlational study was to describe the job characteristics, job satisfaction and burnout levels of home care nurses, and to predict what factors contributed to their job satisfaction and burnout levels. The study population consisted of 80 nurses working in home care units. Of them, 71 participated in the study. A socio-demographic questionnaire, the Minnesota Satisfaction Scale and the Maslach Burnout Inventory were used. Of the participants, 85.9 per cent were female, 56.4 per cent had a bachelor’s degree, and 46.5 per cent were employed in the public sector, 36.6 per cent in municipalities and 16.9 per cent in the private sector. The results revealed that their burnout levels for emotional exhaustion and personal accomplishment were high, and moderate for depersonalisation. Perceived work-related stress was more associated with emotional exhaustion and depersonalisation than with work satisfaction. Home healthcare nurses were suffering from high levels of burnout. Interventions are needed to improve job satisfaction, to reduce the burden of burnout among nurses, and to prevent them from leaving their jobs and retiring earlier.

The Social, Cultural and Behavioral Components of Information and Knowledge-Seeking Among Home Care Nurses

2013 ◽  
Author(s):  
Edmund J.Y. Pajarillo
Keyword(s):  
Home Care ◽  
Study Methods ◽  
Soins À Domicile ◽  
The Social ◽  
Knowledge Seeking ◽  
Case Study Methods ◽  
Home Care Nurses

Information and knowledge-seeking vary among users, including home care nurses. This research describes the social, cultural and behavioral dimensions of information and knowledge-seeking among home care nurses, using both survey and case study methods. Results provide better understanding and appreciation of nurses’ information behavior.La recherche d’information et de connaissances varie selon les usagers, y compris parmi les infirmiers et infirmières des soins à domicile. Cette recherche décrit les dimensions sociales, culturelles et comportementales de la recherche d’information et de connaissances parmi les infirmiers et infirmières des soins à domicile, en utilisant les méthodes de sondage et de l’étude de cas. Les résultats offrent une meilleure compréhension et connaissance du comportement informationnel des infirmiers et infirmières. 

scholarly journals The Impact of Function Focused Care From Acute Care to Home Care and Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 629-629
Author(s):  
Silke Metzelthin ◽  
Sandra Zwakhalen ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
The Netherlands ◽  
Home Care ◽  
Acute Care ◽  
Long Term Care ◽  
Functional Decline ◽  
Term Care ◽  
The Us ◽  
The Impact

Abstract Functional decline in older adults often lead towards acute or long-term care. In practice, caregivers often focus on completion of care tasks and of prevention of injuries from falls. This task based, safety approach inadvertently results in fewer opportunities for older adults to be actively involved in activities. Further deconditioning and functional decline are common consequences of this inactivity. To prevent or postpone these consequences Function Focused Care (FFC) was developed meaning that caregivers adapt their level of assistance to the capabilities of older adults and stimulate them to do as much as possible by themselves. FFC was first implemented in institutionalized long-term care in the US, but has spread rapidly to other settings (e.g. acute care), target groups (e.g. people with dementia) and countries (e.g. the Netherlands). During this symposium, four presenters from the US and the Netherlands talk about the impact of FFC. The first presentation is about the results of a stepped wedge cluster trial showing a tendency to improve activities of daily living and mobility. The second presentation is about a FFC training program. FFC was feasible to implement in home care and professionals experienced positive changes in knowledge, attitude, skills and support. The next presenter reports about significant improvements regarding time spent in physical activity and a decrease in resistiveness to care in a cluster randomized controlled trial among nursing home residents with dementia. The fourth speaker presents the content and first results of a training program to implement FFC in nursing homes. Nursing Care of Older Adults Interest Group Sponsored Symposium

Detecting hypothyroidism after treatment for laryngeal or hypopharyngeal carcinomas: a nationwide survey in The Netherlands

2008 ◽  
Vol 266 (5) ◽  
pp. 713-718 ◽  
Author(s):  
Annalisa M. Lo Galbo ◽  
Remco de Bree ◽  
Paul Lips ◽  
C. René Leemans
Keyword(s):  
The Netherlands ◽  
Nationwide Survey

scholarly journals New collaborations in daily emergency response

2015 ◽  
Vol 4 (2) ◽  
pp. 177-193 ◽  
Author(s):  
Åsa Weinholt ◽  
Tobias Andersson Granberg
Keyword(s):  
Home Care ◽  
Emergency Response ◽  
Situational Awareness ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Content Type ◽  
Rescue Service ◽  
Security Officers ◽  
Important Benefit ◽  
Home Care Nurses

Purpose – The purpose of this paper is to analyse costs and benefits from new collaborations in daily emergency response and to demonstrate how cost-benefit analysis (CBA) can be used for evaluating effects from these kinds of collaborations. Design/methodology/approach – CBA is used to evaluate two collaborations. The cases are: security officers that respond to fire and rescue service (FRS) calls; and home care nurses that assist the FRSs when they respond to urgent medical calls. Interviews, public documents and incident reports have been used as sources of data. Findings – Most costs are relatively straightforward to estimate. More difficult to estimate are the turn-out costs, including the services that cannot be performed when the new actors take on new assignments. One important benefit from these kinds of collaborations is reduced response time. Other benefits include increased situational awareness and improved preventive work in Case 1, as well as improved working conditions for the traditional resources and increased medical competence in Case 2. The analysis indicate that the case with the security officers most likely was socially beneficial, while the case with the home care nurses at the time of the study was not. Originality/value – The authors provide a thorough description and analysis of two interesting new ways of performing daily emergency response. Furthermore, the authors depict how CBA can be used to structure the analysis and evaluation of new initiatives in emergence services and how it can be used for identifying improvement potential. The authors also identify and discuss what is needed in terms of documentation as well as research, for it to be possible to improve the quantitative analysis of these kinds of initiatives.

scholarly journals A Groupware Tool to Facilitate Caregiving for Home-Dwelling Frail Older Persons in the Netherlands: Mixed-Methods Study (Preprint)

2018 ◽  
Author(s):  
Hanneke Breebaart ◽  
Marjolein Broese van Groenou
Keyword(s):  
The Netherlands ◽  
Home Care ◽  
Digital Communication ◽  
Care Organization ◽  
Care Network ◽  
Formal Caregivers ◽  
Care Recipients ◽  
Frail Older Persons ◽  
Informal Carers

BACKGROUND Collaboration among informal and formal caregivers in a mixed care network of home-dwelling elderly may benefit from using a groupware app for digital networked communication (DNC). OBJECTIVE This study aimed to describe and explain differences in the use and evaluation of a DNC app by members of the care network and to come up with a list of conditions that facilitate (or restrict) the implementation of a DNC app by a home care organization. METHODS A pilot study collected information on digital communication in 7 care networks of clients of a home care organization in the Netherlands. Semistructured interviews with 4 care recipients, 7 informal carers (of which 3 spoke on behalf of the care receiver as well on account of receivers’ suffering from dementia), 3 district nurses, 5 auxiliary nurses, and 3 managers were conducted 3 times in a period of 6 months. In addition, we observed relevant workshops initiated by the home care organization and studied log-in data created by the users of the DNC app. RESULTS The qualitative data and the monthly retrieved quantitative log-in data revealed 3 types of digital care networks: arranging the care network, discuss the care network, and staying connected network. Differences between network types were attributed to health impairment and digital illiteracy of the care recipients, motivation of informal caregivers, and commitment of formal caregivers. The easy availability of up-to-date information, the ability to promote a sense of safety for the carers, and short communication lines in case of complex care situations were positively evaluated. CONCLUSIONS It is concluded that digital communication is beneficial for organizing and discussing the care within a care network. More research is needed to study its impact on care burden of informal carers, on quality of care, and on quality of life of home-dwelling frail older adults.

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