A Concept Analysis of Home Visiting

Byrd, Mary E.

doi:10.1111/j.1525-1446.1995.tb00129.x

Cited by 23 publications

(27 citation statements)

References 16 publications

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“…In fact, in early Roman writings the home appeared as a setting where health promotion and care were given by nurses [20]. In the late 1800s, it became linked with organized community health care nursing and the initiation of home visiting [20-22]. Byrd [22] investigated the concept of home visiting since it has become a central nursing intervention within home health care.…”

Section: Introductionmentioning

confidence: 99%

“…In the late 1800s, it became linked with organized community health care nursing and the initiation of home visiting [20-22]. Byrd [22] investigated the concept of home visiting since it has become a central nursing intervention within home health care. Over the last 30 years, home as an arena where health care is given and received has increased enormously due to a rapidly aging population and a desire to remain at home [9,23] as well as change in health policy with a transfer of care from formal places such as hospitals and institutions to more informal settings such as home [11,12,24-26].…”

Section: Introductionmentioning

confidence: 99%

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Home: The place the older adult can not imagine living without

2011

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BackgroundRapidly aging populations with an increased desire to remain at home and changes in health policy that promote the transfer of health care from formal places, as hospitals and institutions, to the more informal setting of one's home support the need for further research that is designed specifically to understand the experience of home among older adults. Yet, little is known among health care providers about the older adult's experience of home. The aim of this study was to understand the experience of home as experienced by older adults living in a rural community in Sweden.MethodsHermeneutical interpretation, as developed by von Post and Eriksson and based on Gadamer's philosophical hermeneutics, was used to interpret interviews with six older adults. The interpretation included a self examination of the researcher's experiences and prejudices and proceeded through several readings which integrated the text with the reader, allowed new questions to emerge, fused the horizons, summarized main and sub-themes and allowed a new understanding to emerge.ResultsTwo main and six sub-themes emerged. Home was experienced as the place the older adult could not imagine living without but also as the place one might be forced to leave. The older adult's thoughts vacillated between the well known present and all its comforts and the unknown future with all its questions and fears, including the underlying threat of loosing one's home.ConclusionsHome has become so integral to life itself and such an intimate part of the older adult's being that when older adults lose their home, they also loose the place closest to their heart, the place where they are at home and can maintain their identity, integrity and way of living. Additional effort needs to be made to understand the older adult's experience of home within home health care in order to minimize intrusion and maximize care. There is a need to more fully explore the older adult's experience with health care providers in the home and its impact on the older adult's sense of "being at home" and their health and overall well-being.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Home: The place the older adult can not imagine living without

2011

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“…Few researchers have conducted studies describing the skills of public health nurses who have been identified as the key persons in identifying and assisting abuse victims and their families. (Byrd, 1995; Zerwekh, 1992). Shindosa , as the present study discusses, is similar to the vulnerability suggested by Appleton (1994).…”

Section: Discussionmentioning

confidence: 99%

How public health nurses understand mothers of abused and neglected children: The perception of ‘Shindosa’ in mothers

Ueno¹,

Kayama²,

Murashima

2004

Japan Journal Nursing Sci

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Aim: The purpose of this paper is to describe the practical knowledge that public health nurses use in identifying and providing assistance to the mothers of child abuse victims. Methods and Results: A grounded theory qualitative research method was used to collect and analyse semistructured interviews of 22 public health nurses from health centers in Osaka, Japan. The data was systematically analysed by using a constant comparison process. The participants had an average age of 46.2 years with an average of 21.6 years of experience in their profession. The research examined the perspective of the public health nurses regarding the mothers of child abuse victims. The key factor ‘shindosa’, which is a sense of fatigue, defeat, or lack of energy, emerged from the data. In addition, public health nurses used a two‐step process of perception. First, public health nurses began providing assistance to mothers by noticing the presence of shindosa in thems. Nurses became concerned by the state of the mothers and the way they interacted with their children. They perceived that the mother might be experiencing shindosa. Second, through continuous involvement with the mothers, public health nurses came to ascertain the essence of shindosa in mothers. Thus, their initial vague impression of the presence of shindosa became the catalyst to providing assistance to the mothers, and as a result, they gradually understood the fundamental nature of shindosa. Conclusion: By focusing on mothers as well as children, public health nurses successfully achieved their goal to provide the appropriate and specific care to each mother with shindosa as a solution in the prevention of child abuse.

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“…Falk‐Rafael argues that nurses who practice at the intersection of public policy and personal lives are ideally situated to include political advocacy efforts to influence policy related to poverty and other social‐economic determinants of health. She joins others (Stevens & Hall 1992, Byrd 1995, Williamson & Drummond 2000) in arguing that nurses have a moral/ethical and professional obligation to be involved in socio‐political activities that address structural conditions contributing to health inequities because they see the impact of these conditions every day.…”

Section: Support For Public Health Nurse Role In Addressing Child Andmentioning

confidence: 99%