How Do Home Health Nurses Spend Their Time?

Hedtcke, Carol Sue; MacQueen, Laura; Carr, A. J.

doi:10.1097/00005110-199201000-00019

Cited by 6 publications

(5 citation statements)

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“…The mean length of nursing visits was consistent with past work where it has been found that the average nursing visit lasts between 40 and 50 minutes ( Bishop et al, 1996; Brooten et al, 1998; Caie‐Lawrence, 1990; Hedtcke et al, 1992; Payne et al, 1996), while the average home care aide visit lasts 79 minutes. Comparable information is not available for the other disciplines, although results from the present study suggest that visit length is similar regardless of the discipline providing the care.…”

Section: Discussionsupporting

confidence: 85%

“…There is little information in the literature on the length of time spent in the home (the second measure), either in total or by the various disciplines. Information on nursing visits indicates that the average visit lasts between 40 and 50 minutes ( Bishop, Brown, Phillips, Ritter, & Skwara, 1996; Brooten, Brooks, Madigan, & Youngblut, 1998; Caie‐Lawrence, 1990; Hays, 1992; Hedtcke, MacQueen, & Carr, 1992; Payne, Thomas, Fitzpatrick, Kayne, & Abdel‐Rahman, 1996). Home care aide visits were reported to last 79 minutes ( Bishop et al, 1996).…”

Section: Review Of the Literaturementioning

confidence: 99%

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Alternative Measures of Resource Consumption in Home Care Episodes

Madigan

Fortinsky

1999

Public Health Nursing

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Expected changes in home health care reimbursement will require a shift in focus from a visit-based unit to some other yet-to-be-defined unit of resource consumption. Little research has been done to understand other measures of resource consumption, however, especially those examining disciplinary differences. The purpose of this study was to provide empirical evidence on other measures of resource consumption as a way to frame discussions on alternative measures. Information is presented from a study of 102 home health care patients from 10 agencies in Ohio who completed an episode of care and remained at home. While the mean time per visit was similar for all disciplines (46 to 55 minutes), there were differences in the number of visits provided by various disciplines (home care aide services had the highest mean number of visits with 11.8). The mean cost per day for all services was $43.80 while the mean cost per episode was $1,160. Recommendations for further research include similar examinations using a more rigorous sampling methodology and including disparate populations of patients.

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Section: Discussionsupporting

confidence: 85%

Section: Review Of the Literaturementioning

confidence: 99%

Alternative Measures of Resource Consumption in Home Care Episodes

Madigan

Fortinsky

1999

Public Health Nursing

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“…This might have been caused by the isolated work situation of HVN. HVN spend most of their time in the field (Hedtcke, MacQueen, & Carr, ), isolated from other staff members. This situation ensures HVN autonomy and control over provision of care, but also causes feelings of isolation and anxiety about care‐related judgments (Flynn & Deatrick, ).…”

Section: Discussionmentioning

confidence: 99%

Individual and organizational factors related to work engagement among home‐visiting nurses in Japan

Naruse

Sakai

Watai

et al. 2013

Japan Journal Nursing Sci

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“…As HVNs spent about 60% of their working time caring and moving (Hedtcke, MacQueen, & Carr, 1992), enriching their job resources for caring and moving would influence their workplace experience. For this reason, we propose a system in which a non‐nursing assistant joins the home‐visiting nurse and provides non‐nursing personal care or completes trivial tasks, and thus enriches the HVNs’ time resource for nursing care (Dewar, 1992).…”

Section: Discussionmentioning

confidence: 99%

Relationship between perceived time pressure during visits and burnout among home visiting nurses in Japan

Naruse

Taguchi

Kuwahara

et al. 2012

Japan Journal Nursing Sci

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Aim: The rapidly rising number of older people has inevitably caused an increasing demand for home visiting nurses. Nursing managers must develop a healthy workplace to recruit and retain a workforce of nurses. This study focused on home visiting nurses' perceptions of time pressure as a changeable work demand. The aim was to investigate perceptions of time pressure and reveal the relationship between perceived time pressure and burnout among home visiting nurses. Methods: From 32 agencies in three districts, 28 home visiting nurses agreed to participate in this study. Two hundred and eight home visiting nurses received an anonymous self-administered questionnaire by mail, and 177 (85.1%) filled out and returned the questionnaire to the researchers. The Job DemandsResources model for burnout, which explains the relationship between a work environment and employee well-being, was used as a conceptual guide. Three survey instruments were employed: questions on sociodemographic variables and worksite environments, including time pressure; the Japanese burnout inventory; and a Japanese version of the job content questionnaire. Multiple regression analyses were performed to examine the relationships between time pressure and burnout inventory scores. Results: About 30% of home visiting nurses perceived time pressure frequently. When home visiting nurses perceived time pressure more frequently, they experienced higher emotional exhaustion and depersonalization. Conclusion: Time pressure was often perceived as another job demand and had a significant relationship with burnout. This indicates the importance of lessening time pressure to develop healthy work places for community health nurses.

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How Do Home Health Nurses Spend Their Time?

Cited by 6 publications

References 0 publications

Alternative Measures of Resource Consumption in Home Care Episodes

Alternative Measures of Resource Consumption in Home Care Episodes

Individual and organizational factors related to work engagement among home‐visiting nurses in Japan

Relationship between perceived time pressure during visits and burnout among home visiting nurses in Japan

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