scholarly journals A Smart Technology-Assisted Home-Nursing Care Program for Family Caregivers of Older Persons with Dementia and Hip Fracture: A Mixed-Methods Study (Preprint)

2020 ◽  
Author(s):  
Yea-Ing Shyu ◽  
Yi-Jun Hou ◽  
Sih-Ying Zeng ◽  
Chung-Chih Lin ◽  
Ching-Tzu Yang ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Hip Fracture ◽  
Family Caregivers ◽  
Nursing Care ◽  
Older Persons ◽  
Care Program ◽  
Home Nursing ◽  
Care Providers ◽  
Smart Technology ◽  
Home Nursing Care

BACKGROUND Smart care and remote health technology have been developed to facilitate family caregiving at home for older persons with physical or cognitive impairment. However, smart technologies have made only modest contributions to supporting caregivers, and their effectiveness is supported by little empirical evidence. OBJECTIVE The purpose of this preliminary study was to understand family caregivers’ experiences of receiving a smart technology-assisted (STA) home nursing care program to provide a knowledge base for future modifications. METHODS Participants included seven persons with dementia recruited from neurological clinics and six persons discharged after hip-fracture surgery from surgical wards of a medical center, along with their 13 family caregivers. Data were collected and analyzed using a mixed-methods approach. RESULTS Our STA-home nursing program increased family caregivers’ knowledge of older care receivers’ situation and condition, informed health care providers about care receivers’ condition, helped home care nurses provide timely interventions, balanced care receivers’ exercise and safety, motivated older persons to exercise, helped family caregivers balance work and caregiving, and provided guidance for caregiving activities. Family caregivers suggested that the STA-home nursing care program be modified by prompt feedback with more specific information analyzing care receiver activity, increased variety of wearable devices (smart clothing), and improving the stability and decreasing interference of electronic transmission and devices. CONCLUSIONS The STA home-nursing care program was beneficial to family caregivers and their care receivers. However, we suggest that future studies use larger samples, randomized controlled trials, and longer follow-ups to explore the how this STA-home nursing care program is experienced.

Smart technology-assisted Home Nursing Care Program for Persons with Dementia or Hip Fracture: Implementation Difficulties: Thematic Analysis (Preprint)

2020 ◽  
Author(s):  
Yea-Ing Shyu ◽  
Chung-Chih Lin ◽  
Ching-Tzu Yang ◽  
Pei-Ling Su ◽  
Jung-Ling Hsu
Keyword(s):  
Hip Fracture ◽  
Family Caregivers ◽  
Nursing Care ◽  
Care Program ◽  
Wearable Devices ◽  
Elderly Persons ◽  
Home Nursing ◽  
Smart Technology ◽  
Smart Clothing ◽  
Home Nursing Care

BACKGROUND Wearable devices have been developed and implemented to improve data collection in remote health care and smart care. Wearable devices have the advantage of always being with individuals, enabling easy detection of their movements. In this study, we developed and implemented a smart-care system using smart clothing for persons with dementia and with hip fracture. We conducted a preliminary study to understand family caregivers’ and care receivers’ experiences of receiving a smart technology-assisted (STA) home-nursing care program. OBJECTIVE This paper reports the difficulties we encountered and strategies we developed during the feasibility phase of studies on the effectiveness of our STA home-nursing care program for persons with dementia and hip fracture. METHODS Our care model, a STA home-nursing care program for persons with dementia and those with hip fracture included a remote-monitoring system for elderly persons wearing smart clothing was used to facilitate family caregivers’ detection of elderly persons’ movements. These movements included getting up at night, staying in the bathroom for more than 30 minutes, not moving more than 2 hours during the day, leaving the house, and daily activities. Participants included 13 families with 5 patients with hip fracture and 7 with dementia. Research nurses documented the difficulties they encountered during the process. RESULTS Difficulties encountered in this smart-care study were categorized into problems setting up the smart-care environment, problems running the system, and problems with participant acceptance/adherence. These difficulties caused participants to drop out, the system to not function or delayed function, inability to collect data, extra costs of manpower, and financial burden. Strategies to deal with these problems are also reported. CONCLUSIONS During the implementation of smart care at home for persons with dementia or hip fracture, different aspects of difficulties were found and strategies were taken. The findings of this study can provide a reference for future implementation of similar smart-home devices.

scholarly journals Financial balance of home nursing care providers in the Czech Republic

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Petr Fiala ◽  
Iva Holmerova ◽  
Tomas Ruda ◽  
Michal Steffl
Keyword(s):  
Czech Republic ◽  
Nursing Care ◽  
Home Care Services ◽  
Home Nursing ◽  
Care Providers ◽  
The Czech Republic ◽  
Care Services ◽  
The Hours ◽  
Home Nursing Care ◽  
Financial Balance

Abstract Background To enable people to live in old age in their own homes often requires specialised home care services. Despite the high importance of these services, the finance of home nursing care (HNC) is still under-investigated in many countries. The aim of this paper was to describe the finance of HNC in the Czech Republic. Methods Balancing of revenues and costs was done using structured questionnaires from the closed accounting year 2018 as a monthly average. Nonparametric Kruskal-Wallis and Wilcoxon signed ranks tests were used to test hypotheses. Results Data from 62 providers were analysed. The data included information from a total of 2297 patients and 995 employees. The average of total costs were € 17,591.7 (95% CI 14,175.3 - 21,008.1) and average of total revenues were € 17,276.5 (95% CI 13,923.5 - 20,629.5). The average cost per a patient was € 516.0 (95% CI 465.9–566.1) and the average revenues were € 500.1 (95% CI 457.0–543.3). Conclusions The overall financial balance of HNC providers seems to be balanced in the Czech Republic. Nevertheless, insurance, although it should, did not cover all the costs. Micro- providers tended to be cheaper regarding the hours worked by nurses.

Work system analysis of home nursing care and implications for medication errors

2005 ◽  
Author(s):  
K. L. Calvin ◽  
Gail R. Casper ◽  
Ben-Tzion Karsh ◽  
Patricia F. Brennan ◽  
Laura J. Burke ◽  
...  
Keyword(s):  
Medication Errors ◽  
Nursing Care ◽  
System Analysis ◽  
Home Nursing ◽  
Work System ◽  
Home Nursing Care

scholarly journals Factors related to the urination methods of elderly people with incontinence who require at-home nursing care

2016 ◽  
Vol 53 (2) ◽  
pp. 133-142
Author(s):  
Kumiko Tanaka ◽  
Keiko Takeda ◽  
Keiko Suyama ◽  
Akiko Kooka ◽  
Satsuki Nakamura
Keyword(s):  
Elderly People ◽  
Nursing Care ◽  
Home Nursing ◽  
Home Nursing Care ◽  
At Home

scholarly journals Ethical reflection of problems of the home nursing care in the Slovak Republic

Kontakt ◽  
2007 ◽  
Vol 9 (1) ◽  
pp. 32-41
Author(s):  
Mária Nemčeková ◽  
Mária Tabaková
Keyword(s):  
Nursing Care ◽  
Slovak Republic ◽  
Ethical Reflection ◽  
Home Nursing ◽  
Home Nursing Care
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