Measuring interpersonal continuity in high‐frequency home healthcare services

Abstract

High-frequency home health care was characterized by interpersonal discontinuity, but with potential for improvement. Objective measures of interpersonal continuity, when the benchmark is adapted to the context, are useful tools for planning and surveying continuity of care.

Impact of Home Care Management on the Involvement of Informal Caregivers by Formal Caregivers

“…Previous research has shown that the presence of multiple, successive formal caregivers hinders the development of a constructive relationship with clients (Byrne et al, 2011;Forbes et al, 2008;Gjevjon, Eika, et al, 2014;Gjevjon, Romøren, Kjøs, & Hellesø, 2013). Our findings suggest that the same applies to informal caregivers: in Agency A the high level of task differentiation resulted in a "succession of strangers" (Aronson, 2004) and decreased the chance of formal and informal caregivers meeting each other.…”

“…Similar factors can play a role in home care settings, exerting a negative influence on professional-client relationships (Gjevjon, Eika, Romøren, & Landmark, 2014;Hall & McWilliam, 2006;Martin-Matthews & Sims-Gould, 2008); we suggest the same could apply also to the professional-caregiver relationship. As stated before, however, a fruitful relationship is important in home care settings, because professionals enter the private domain of both the client and caregivers (Aronson, 2004).…”

Continuity of home-based care for persons with dementia from formal and family caregivers’ perspective

“…Regarding continuity of care in home-based care, a Norwegian study showed that the degree of relational continuity of care was low (Gjevjon, Eika, Romoren, & Landmark, 2014) and that managers emphasized the number of formal caregivers to strengthen continuity of care (Gjevjon, Romøren, Kjøs, & Hellesø, 2013). One study (Gjevjon, Romøren, Bragstad, & Hellesø, 2016) considering the patient and family caregivers' perspective reported a high number of health care personnel involved in care.…”

Pårørende til hjemmeboende med hjertesvikt: «medarbeidere» i ukjent tjenesteterreng

“…Studier har rapportert at kompleksiteten ved hjertesvikt krever at sykepleiere må ha spisskompetanse for å informere og følge opp pasienter med hjertesvikt på en hensiktsmessig måte, og at det er mangel på denne kompetansen (31,35). En spesiell utfordring i kommunehelsetjenesten er mangel på både spesialistkompetanse og kontinuitet i oppfølgingen (38,39).…”