Use of Home Care Nursing Resources by the Elderly

Helberg, June L.

doi:10.1111/j.1525-1446.1994.tb00776.x

Cited by 11 publications

(4 citation statements)

References 15 publications

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“…The demographics of the two groups were comparable. A cardiac condition was the most frequent diagnosis in this study; as has been reported in other studies of community dwelling seniors (Esposito, 1992;Helberg, 1994). The larger proportion of women to men in this age range and marital status of the subjects are also consistent with the literature on home care and aging (Dellaseger & Stricklin, 1993;Glick, 1994;Health and Welfare Canada, 1992;Kempen & Suurmeijer, 1991;Statistics Canada, 1991).…”

Section: Discussionsupporting

confidence: 91%

Validity of the Alberta Assessment and Placement Instrument (AAPI) for Use in Admitting Long-Term Care Clients to Home Care

Liu

Lazaruk²

1998

Can. J. Aging

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RÉSUMÉL'instrument d'évaluation multidimensionnelle Alberta Assessment and Placement Instrument (AAPI) sert à évaluer la clientèle des soins prolongés en Alberta. Nous avons réalisé un examen rétrospectif des fiches afin de déterminer la validité des éléments de l'AAPI utilisés avec des clients à long terme qui sont dirigés vers les soins à domicile. Nous voulions déterminer aussi l'état des clients un an après avoir été admis aux soins à domicile. On a choisi au hasard, pour l'année 1992 (l'année la plus récente au cours de laquelle une copie de tous les résultats de l'AAPI a été conservée), les fiches de 60 clients admis à des soins à domicile et de 60 clients non admis à ces soins. Les groupes ne différaient pas quant aux caractéristiques démographiques, aux mesures de besoins perçus, au nombre de médicaments, à la nutrition, à l'état cognitif, à l'état psychosocial, et à l'utilisation de dispensateurs de soins formels et informels, comme cela est expliqué dans l'AAPI. Cependant, ces groupes différaient considérablement quant à la gestion de la médication: les personnes qui ont été admises aux soins à domicile nécessitaient plus d'aide quant à la gestion des médicaments que les personnes non admises. Par conséquent, l'utilisation de l'AAPI à lui seul ne détermine pas si un client ou une cliente est admis(e) aux soins à domicile. Quand on a fait le suivi des fiches un an après le début de l'administration de l'AAPI, seulement 18 pour cent des personnes admises aux soins à domicile se trouvaient toujours aux soins àdomicile, tandis que 42 pour cent des personnes non admises aux soins à domicile l'étaient à ce moment-là. L'admission d'un client ou d'une cliente aux soins àdomicile était associée à une probabilité accrue d'être admis(e) à un etablissementde soins prolongés (OR = 6,56) ou d'être décédé(e) (OR = 5,36) après un an.

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Section: Discussionsupporting

confidence: 91%

Validity of the Alberta Assessment and Placement Instrument (AAPI) for Use in Admitting Long-Term Care Clients to Home Care

Liu

Lazaruk²

1998

Can. J. Aging

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“…19-23 One of the findings was that an increase in the number of nursing problems was associated with higher resource use. 19, 22 Helberg’s study 21 also supported the relationship between increased nursing interventions and resource utilization. Other studies focused on predicting outcomes.…”

Section: Introductionmentioning

confidence: 79%

The Feasibility of Integrating the Omaha System Data Across Home Care Agencies and Vendors

Westra

Oancea

Savik

et al. 2010

CIN: Computers, Informatics, Nursing

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Federal and state initiatives are aligning around the goal that by 2014 all Americans will have electronic health records to support access to their health information any time and anywhere. As a key health care provider, nursing data must be included to enhance patient safety, effectiveness, and efficiency of care that is patient-centric. The purpose of this study was to test the feasibility of abstracting, integrating, and comparing the effective use of a standardized terminology, the Omaha System, across software vendors and 15 homecare agencies. Results showed that the 2,900 patients in this study had an average of four problems on care plans, with interventions most frequently addressing surveillance (39%) and teaching (30%). Findings in this study support the feasibility of integrating data across software vendors and agencies as well as the usefulness for describing care provided in homecare. However, before exchanging data across systems data quality issues found in this study need attention. There was missing data for 10.8% of patients as well as concerns about the validity of using the problem rating scale for outcomes. Strategies for effective use of standardized nursing terminologies are recommended.

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“…NANDA‐I nursing diagnoses were associated or significantly predictive for the nursing workload in hospital medical and surgical setting (Halloran, 1985; O'Brien‐Pallas et al, 1997), while both NANDA‐I and OS nursing diagnoses were associated or significantly predictive for the length and/or number of nursing care visit in home care (Hays, 1992; Helberg, 1994; Marek, 1996; Morales‐Asencio et al, 2009; O'Brien‐Pallas et al, 2001).…”

Section: Resultsmentioning

confidence: 99%

Impact of standardized nursing terminologies on patient and organizational outcomes: A systematic review and meta‐analysis

Bertocchi

Dante

Cerra

et al. 2023

J of Nursing Scholarship

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AimsTo explore the impact of 12 American Nurses Association recognized standardized nursing terminologies (SNTs) on patient and organizational outcomes.BackgroundPrevious studies reported an effect of SNTs on outcomes, but no previous frameworks nor meta‐analyses were found.DesignSystematic review and meta‐analyses.Review MethodsPubMed, Scopus, CINAHL, and OpenGrey databases were last consulted in July 2021. All abstracts and full texts were screened independently by two researchers. The review included primary quantitative studies that reported an association between recognized SNTs and outcomes. Two reviewers independently assessed the risk of bias and certainty of evidence for each meta‐analyzed outcome using the “Grading of Recommendations, Assessment, Development and Evaluation” (GRADE) approach.ResultsFifty‐three reports were included. NANDA‐NIC‐NOC and Omaha System were the most frequently reported SNTs used in the studies. Risk of bias in randomized controlled trials and not‐randomized controlled trials ranged from high to unclear, this risk was low in cross‐sectional studies. The number of nursing diagnoses NANDA‐I moderately correlated with the intensive care unit length of stay (r = 0.38; 95% CI = 0.31–0.44). Using the Omaha System nurse‐led transitional care program showed a large increase in both knowledge (d = 1.21; 95% CI = 0.97–1.44) and self‐efficacy (d = 1.23; 95% CI = 0.97–1.48), while a reduction on the readmission rate (OR = 0.46; 95% CI = 0.09–0.83). Nursing diagnoses were found to be useful predictors for organizational (length of stay) and patients' outcomes (mortality, quality of life). The GRADE indicated that the certainty of evidence was rated from very low to low.ConclusionsStudies using SNTs demonstrated significant improvement and prediction power in several patients' and organizational outcomes. Further high‐quality research is required to increase the certainty of evidence of these relationships.Clinical relevanceSNTs should be considered by healthcare policymakers to improve nursing care and as essential reporting data about patient's nursing complexity to guide reimbursement criteria.

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Use of Home Care Nursing Resources by the Elderly

Cited by 11 publications

References 15 publications

Validity of the Alberta Assessment and Placement Instrument (AAPI) for Use in Admitting Long-Term Care Clients to Home Care

Validity of the Alberta Assessment and Placement Instrument (AAPI) for Use in Admitting Long-Term Care Clients to Home Care

The Feasibility of Integrating the Omaha System Data Across Home Care Agencies and Vendors

Impact of standardized nursing terminologies on patient and organizational outcomes: A systematic review and meta‐analysis

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