Determination of the Problems Experienced by Patients with Chronic Diseases and Their Caregivers During Home Care Process From Nursing Students’ Perspectives: A Phenomenological Study

Ceylan, Erdal; Eskiyurt, Reyhan; Koç, Ayşegül

doi:10.33880/ejfm.2021100305

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…1 Despite this increasing importance, 9 current levels of research intensity are inconsistent with the contributions of home care services to the entire health care sector. 8,10,11 Previous research has explored patient safety issues, 12,13 the problems experienced by patients with chronic diseases and their caregivers 14 as well as the working conditions and health of home healthcare workers. 15,16 In addition to these topics, the question of how to measure and improve patient satisfaction with health care services is considered particularly essential.…”

Section: Highlightsmentioning

confidence: 99%

Understanding the drivers of patient satisfaction with home health care services: An empirical study of two care pathways

Ponsignon

Mathieu²,

Durrieu

2023

Health Planning & Management

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This research aims to empirically determine the drivers of patient satisfaction with home health care services and to develop an instrument for measuring patient satisfaction in this context. The empirical study focuses on insulin and respiratory assistance therapies. Two large patient samples of a private home care provider in France are surveyed. Two distinct, yet complementary, analytical procedures are performed to maximize the validity and reliability of the results. We identify four core concepts (interpersonal relationship, support and guidance, delivery of consumables, and equipment use) that play a key role in influencing patient satisfaction across the two therapies studied. The results also reveal that the relative role of each factor in driving overall patient satisfaction varies across these therapies, possibly due to differences in the characteristics of the therapies and related care services. Our empirical results enrich the existing literature, largely focused on hospital and primary care settings, by providing evidence to capture patient satisfaction drivers at the level of specificity required to account for the unique context of home care services. The article's main theoretical contribution is to establish, from the patient's perspective, a core set of drivers that determine patient satisfaction in the context of home health care services. The instrument provides practitioners and policy makers with a practical tool that supports them in achieving patient satisfaction and in understanding why and how such satisfaction is achieved. The suitability of the patient satisfaction instrument to other forms of home care services needs examining.

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Section: Highlightsmentioning

confidence: 99%

Understanding the drivers of patient satisfaction with home health care services: An empirical study of two care pathways

Ponsignon

Mathieu²,

Durrieu

2023

Health Planning & Management

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“…Home care services impose lower costs on patients and families, especially in case of patients with chronic diseases or older adults, compared to hospital services. Moreover, home care seems to be an important strategy for caring for these patients [ 3 , 4 ]. Iran is no exception to this rule and has made a significant progress in this field in recent years [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Patient safety in home health care: a grounded theory study

Rafii

Ghezeljeh

Farahani

et al. 2023

BMC Health Serv Res

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Background The home environment is designed for living, not for professional care. For this reason, safe patient care is one of the most important challenges of home health care. Despite abundant research on safe care, there is still little understanding of safety issues in home care. Design The aim of the present study was to explain the process of safe patient care in home health care. A qualitative, grounded theory study was conducted based on the approach proposed by Corbin & Strauss in 2015. Method In total, 22 interviews were conducted with 16 participants including 9 home care nurses, 2 home care nursing assistants, 1 home care inspector, 1 home care physician and 3 family caregivers in Tehran, Iran. Four observation sessions were conducted in different homes. Purposeful sampling was used followed by theoretical sampling from August 2020-July 2022. Data analysis was carried out based on the approach proposed by Corbin & Strauss in 2015. Results The results showed that the healthcare members (nurses, family caregivers, patients and home care centers) used the model of safe patient care in home health care based on four assessment methods, i.e. prevention, foresight, establishment of safety and verification. The core variable in this process is foresight-based care. Conclusion The results of this study showed that the key to safe patient care in home health care, which helps to maintain patient safety and prevent threats to safe care, is the foresight of healthcare members, which is essential for identifying threats to safe care considering the many risks of home health care.

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Determination of the Problems Experienced by Patients with Chronic Diseases and Their Caregivers During Home Care Process From Nursing Students’ Perspectives: A Phenomenological Study

Cited by 2 publications

References 10 publications

Understanding the drivers of patient satisfaction with home health care services: An empirical study of two care pathways

Understanding the drivers of patient satisfaction with home health care services: An empirical study of two care pathways

Patient safety in home health care: a grounded theory study

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