Characteristics of Clients Who Receive Home Health Aide Service

Abstract

Nurses who plan and supervise home health aide service must have a good understanding of the amount and intensity of nursing care and the amount of home health aide service that individual clients will need. However, there is little in the nursing literature that describes how clients who receive both RN and home health aide services differ from clients who receive only RN care. Indeed, there have been few reports on how need for home health aide service relates to the amount of nursing care received. Secondary analysis of data from a study on resource consumption in home care revealed that clients who receive home health aide service: 1) are older; 2) are more likely to be women; 3) have a higher rating using the Community Health Intensity Rating Scale; and 4) are discharged from the caseload due to death or institutionalization at a higher rate than those who receive only RN care. Clients who received both home health aide services and RN care needed assistance with activities of daily living, but they also required more RN care than did clients who received only RN care. These data hold implications for nurses in addressing agency staffing, focusing home health aide training, and advocating for resources to address service needs of this segment of their care population.

A Rural Perspective on Home Care Communication about Elderly Patients after Hospital Discharge

“…Fewer services were requested from the HHA. Only one third of the home care requests were for the combination of skilled nursing and home health aide visits, unlike prior research (Hayes & Willborn, 1996), which reported a greater proportion of home health aide usage.…”

Classification Tree Model Identifies Home‐based Service Needs of Japanese Long‐term Care Insurance Consumers

“…In this study, we examined the characteristics of elders who need home care services. The independent variables in the CHAID models are well‐known risk factors associated with the need for home help and home nursing (Choi et al, 2002; Goodlin et al, 2004; Guscia et al, 2006; Hays & Willborn, 1996). Therefore, the primary contribution of this study is the identification of elders who are most likely to need home care services.…”

“…A large body of research describes the factors that predict elders' need and use of home help and home nursing services (Choi et al, 2002; Goodlin et al, 2004; Guscia, Harries, Kirby, Nettelbeck, & Taplin, 2006; Hays & Willborn, 1996). However, none of these studies combined related factors to identify elders who are most likely to need home care services; hence, we could not anticipate service volume for a community.…”

Care needs of residents in community‐based long‐term care facilities in Taiwan

“…The importance of services provided by nursing assistants in LTC facilities is widely recognized (Hays & Willborn 1996, Atchison 1998, Crogan & Shultz 2000). Similar to the US, nursing assistants play a major role in the operation of LTC facilities in Taiwan.…”