Understanding challenges in the front lines of home health care: A human-systems approach

被引:48
作者
Beer, Jenay M. [1 ]
McBride, Sara E. [1 ]
Mitzner, Tracy L. [1 ]
Rogers, Wendy A. [1 ]
机构
[1] Georgia Inst Technol, Atlanta, GA 30332 USA
基金
美国国家卫生研究院;
关键词
Healthcare; Human-systems; Human factors;
D O I
10.1016/j.apergo.2014.05.019
中图分类号
T [工业技术];
学科分类号
08 ;
摘要
A human-systems perspective is a fruitful approach to understanding home health care because it emphasizes major individual components of the system persons, equipment/technology, tasks, and environments as well as the interaction between these components. The goal of this research was to apply a human-system perspective to consider the capabilities and limitations of the persons, in relation to the demands of the tasks and equipment/technology in home health care. Identification of challenges and mismatches between the person(s) capabilities and the demands of providing care provide guidance for human factors interventions. A qualitative study was conducted with 8 home health Certified Nursing Assistants and 8 home health Registered Nurses interviewed about challenges they encounter in their jobs. A systematic categorization of the challenges the care providers reported was conducted and human factors recommendations were proposed in response, to improve home health. The challenges inform a human-systems model of home health care. (C) 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.
引用
收藏
页码:1687 / 1699
页数:13
相关论文
共 31 条
[1]  
Administration on Aging U. S. Department of Health and Human Services, 2006, PROF OLD AM 2006
[2]  
[Anonymous], HLTH CAR COM HOM HUM
[3]  
[Anonymous], NAT HOM HOSP SURV CU
[4]   Mobile Remote Presence Systems for Older Adults: Acceptance, Benefits, and Concerns [J].
Beer, Jenay M. ;
Takayama, Leila .
PROCEEDINGS OF THE 6TH ACM/IEEE INTERNATIONAL CONFERENCE ON HUMAN-ROBOT INTERACTIONS (HRI 2011), 2011, :19-26
[5]  
Bercovitz A., 2011, NATL HLTH STAT REPOR
[6]  
Centers for Disease Control and Prevention (CDC) National Center for Health Statistics United States Department of Health and Human Services, 2004, HLTH DAT INT
[7]   Factors predicting the use of technology: Findings from the center for research and education on aging and technology enhancement (CREATE) [J].
Czaja, Sara J. ;
Charness, Neil ;
Fisk, Arthur D. ;
Hertzog, Christopher ;
Nair, Sankaran N. ;
Rogers, Wendy A. ;
Sharit, Joseph .
PSYCHOLOGY AND AGING, 2006, 21 (02) :333-352
[8]  
Czaja SJ, 2012, AGING SKILL ACQUISIT
[9]  
Davies Sarah, 2010, Br J Community Nurs, V15, P141
[10]   Job Stress and Job Satisfaction: Home Care Workers in a Consumer-Directed Model of Care [J].
Delp, Linda ;
Wallace, Steven P. ;
Geiger-Brown, Jeanne ;
Muntaner, Carles .
HEALTH SERVICES RESEARCH, 2010, 45 (04) :922-940