Home care in Australia: an integrative review

Palesy, Debra; Jakimowicz, Samantha; Saunders, Carla; Lewis, Joanne

doi:10.1080/01621424.2018.1438952

Cited by 32 publications

(35 citation statements)

References 22 publications

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“…In Canada, as in Australia, the U.S., and U.K., there is a need to strengthen the home care system to meet the demands of the aging population, address the growing pressures on acute care, and manage the subsequent rising costs of healthcare (Canadian Home Care Association, The College of Family Physicians of Canada, & Canadian Nurses Association, ; Hartmann & Hayes, ; Landers et al, ; Morris, ; Palesy, Jakimowicz, Saunders, & Lewis, ). This scoping review explored Canadian literature published over a 13‐year span and identified 32 factors categorised under 7 domains, which were identified for their potential relevance to the optimisation of HCNs.…”

Section: Discussionmentioning

confidence: 99%

Optimization of home care nurses in Canada: A scoping review

Ganann

Weeres

Lam

et al. 2019

Health Soc Care Community

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Nurses are among the largest providers of home care services thus optimisation of this workforce can positively influence client outcomes. This scoping review maps existing Canadian literature on factors influencing the optimisation of home care nurses (HCNs). Arskey and O'Malley's five stages for scoping literature reviews were followed. Populations of interest included Registered Nurses, Registered/Licensed Practical Nurses, Registered Nursing Assistants, Advanced Practice Nurses, Nurse Practitioners and Clinical Nurse Specialists. Interventions included any nurse(s), organisational and system interventions focused on optimising home care nursing. Papers were included if published between January 1, 2002 up to May 15, 2015. The review included 127 papers, including 94 studies, 16 descriptive papers, 6 position papers, 4 discussion papers, 3 policy papers, 2 literature reviews and 2 other. Optimisation factors were categorised under seven domains: Continuity of Care/Care; Staffing Mix and Staffing Levels; Professional Development; Quality Practice Environments; Intra‐professional and Inter‐professional and Inter‐sectoral Collaboration; Enhancing Scope of Practice: and, Appropriate Use of Technology. Fragmentation and underfunding of the home care sector and resultant service cuts negatively impact optimisation. Given the fiscal climate, optimising the existing workforce is essential to support effective and efficient care delivery models. Many factors are inter‐related and have synergistic impacts (e.g., recruitment and retention, compensation and benefits, professional development supports, staffing mix and levels, workload management and the use of technology). Quality practice environments facilitate optimal practice by maximixing human resources and supporting workforce stability. Role clarity and leadership supports foster more effective interprofessional team functioning that leverages expertise and enhances patient outcomes. Results inform employers, policy makers and relevant associations regarding barriers and enablers that influence the optimisation of home care nursing in nursing, intra‐ and inter‐professional and inter‐organisational contexts.

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Section: Discussionmentioning

confidence: 99%

Optimization of home care nurses in Canada: A scoping review

Ganann

Weeres

Lam

et al. 2019

Health Soc Care Community

View full text Add to dashboard Cite

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“…However, person‐centred care is possible only when staff demonstrate the required values and practices, and work in a suitable environment with supportive processes that enable person‐centred outcomes (Low et al, ; Manthorpe & Samsi, ). Thus, the extent to which improvements may be achieved depends on the service providers’ ability to ensure the quality and continuity of care in a fragmented industry whose workers are typically employed on a casual or part‐time basis (Berglund et al, ; Palesy, Jakimowicz, Saunders, & Lewis, ). Notwithstanding organisational constraints, the value attributed to continuity of care, rapport and communication by people with dementia and family carers, it is likely to be a case of ‘when’, rather than ‘if’, these practices will need to be addressed (Reid & Chappell, ).…”

Section: Discussionmentioning

confidence: 99%

‘I know they are not trained in dementia’: Addressing the need for specialist dementia training for home care workers

Polacsek

Goh

Malta

et al. 2019

Health Soc Care Community

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Global population ageing has meant a rapid increase in the numbers of older people with dementia, most of whom live in their own homes. Staying at home is an important determinant of health and well-being. As care needs increase, the quality of community support which older people receive directly influences their capacity to remain in their own homes. While many are supported informally by family carers, formal support provided by home care workers often enables them to remain at home for longer period. However, providing community-based care for people with dementia can be challenging. Workers often lack training in dementia-specific care for clients with increasingly complex needs, and typically work without direct supervision.As the demand for person-centred home care for people with dementia increases, specialist dementia training for home care workers is urgently needed. In this qualitative study, we used in-depth interviews of a purposive sample, comprising 15 family carers and four older people with dementia, to understand the experience of receiving community care. Data analysis was guided by Braun and Clarke's approach to thematic analysis and revealed the following five overlapping themes, relating to home care workers' understanding of dementia, person-centred care, communication and rapport, mutual collaboration, and the influence of organisational constraints on continuity of care. Although participants acknowledged that service providers operated under challenging circumstances, they were frustrated with home care workers' lack of dementia knowledge and inconsistent staff rostering. Conversely, an understanding of the lived experience of dementia, effective communication and rapport, and continuity of care contributed significantly to a positive experience of receiving care.The findings of this study will be used to inform the essential elements of a training

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“…Unlike countries, such as the United States and Australia, where nursing centers are active with careful monitoring and transparent communication systems (48,49), in some other countries, there is no special organization in charge of undertaking precise and comprehensive examination and evaluation of home care centers (4-6, 10, 12, 15, 18, 19, 21, 22, 24-26, 28, 29, 34, 38, 50, 51). The reason is that in some countries, such as Iran, there is no complete list of legal and illegal centers providing home care and no specific organization has monitored the activity of these centers and their staff is the presence of certain deficiencies in organizational communications (4).…”

Section: Discussionmentioning

confidence: 99%

Challenges and Barriers Faced by Home Care Centers: An Integrative Review

et al. 2019

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Context:Increasing life expectancy and the rise in the cost of long-term care at hospitals have led global healthcare systems towards offering home care services. Thus, identifying barriers to this valuable type of care can be an effective step in achieving health-related goals. This study was carried out to determine the challenges faced by home care centers.Evidence Acquisition: This research was conducted as an integrative review in 2018, whereby a wide range of keywords, such as home care, home care nursing, challenges, barriers, and their equivalents in Persian language were used to retrieve related articles. Certain valid Persian and international databases, including EBSCO, EMBACE, SienceDirect, Scopus, MEDLINE, Google Scholar, Iran-Doc, CINAHL, IranMedex, Magiran, and SID were utilized in order to search for relevant articles. Among papers written in Persian or English, which were useful for the purpose of this study with their full text being accessible, 39 articles were chosen and analyzed using the Broome (indirect cohort) method. Results:In the process of data analysis, the challenges faced by home care centers were revealed. They included non-application of standard and integrated methods for home care nursing services, deficiency in intra-and extra-organizational communications, absence of proper organizational infrastructure, lack of adequate and effective human resources, absence of legal and security supports, economic problems, information poverty, cultural constraints and ignoring ethical issues. Conclusions:There are many challenges and barriers to home care services; these are often intertwined and each is the cause or effect of others. This wide range of challenges and obstacles require coordination, as well as a comprehensive and accurate programming.

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Home care in Australia: an integrative review

Cited by 32 publications

References 22 publications

Optimization of home care nurses in Canada: A scoping review

Optimization of home care nurses in Canada: A scoping review

‘I know they are not trained in dementia’: Addressing the need for specialist dementia training for home care workers

Challenges and Barriers Faced by Home Care Centers: An Integrative Review

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