Home Health Nurses' Perspectives and Care Processes Related to Older Persons with Frailty and Depression: A Mixed Method Pilot Study

被引：14
作者：
Wang, Jinjiao [1 ]
Simmons, Sandra F. [2 ,3 ]
Maxwell, Cathy A. [4 ]
Schlundt, David G. [5 ]
Mion, Lorraine C. [6 ]
机构：
[1] Univ Rochester, Med Ctr, Sch Nursing, Room 2w-319,255 Crittenden Blvd, Rochester, NY 14642 USA
[2] Vanderbilt Univ, Med Ctr, Dept Med, Ctr Qual Aging,Div Geriatr, Nashville, TN USA
[3] VA Tennessee Valley Healthcare Syst, GRECC, Nashville, TN USA
[4] Vanderbilt Univ, Sch Nursing, Nashville, TN 37240 USA
[5] Vanderbilt Univ, Dept Psychol, Nashville, TN 37240 USA
[6] Ohio State Univ, Coll Nursing, Columbus, OH 43210 USA
来源：
JOURNAL OF COMMUNITY HEALTH NURSING | 2018年 / 35卷 / 03期
关键词：
GERIATRIC-PATIENTS; PATIENT SAFETY; ADULTS; DISABILITY; RISK; MANAGEMENT; LIFE; HOSPITALIZATION; ASSOCIATION; OUTCOMES;
D O I：
10.1080/07370016.2018.1475799
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
The objectives of this study were (1) to describe home health care (HHC) nurses' perception of and care processes related to geriatric depression and frailty, and (2) to identify barriers to care delivery for older persons with these two conditions. Ten semi-structured interviews were conducted with HHC nurses, and 16 HHC nursing visits to 16 older patients (65years) were observed. Mixed method analysis showed that HHC nurses did not routinely assess for frailty and depression. Major barriers to care delivery included insufficient training, documentation burden, limited reimbursement, and high caseload. Addressing these barriers would facilitate HHC nursing care for frail, depressed elders.
引用
收藏
页码：118 / 136
页数：19
相关论文
共 59 条
  • [1] Challenges associated with the recognition and treatment of depression in older recipients of home care services
    Ayalon, Liat
    Fialova, Daniela
    Arean, Patricia A.
    Onder, Graziano
    [J]. INTERNATIONAL PSYCHOGERIATRICS, 2010, 22 (04) : 514 - 522
  • [2] Frailty in Older Adults: A Nationally Representative Profile in the United States
    Bandeen-Roche, Karen
    Seplaki, Christopher L.
    Huang, Jin
    Buta, Brian
    Kalyani, Rita R.
    Varadhan, Ravi
    Xue, Qian-Li
    Walston, Jeremy D.
    Kasper, Judith D.
    [J]. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2015, 70 (11): : 1427 - 1434
  • [3] Effects of self-management support programmes on activities of daily living of older adults: A systematic review
    Bolscher-Niehuis, Marian J. T. van Het
    den Ouden, Marjolein E. M.
    de Vocht, Hilde M.
    Francke, Anneke L.
    [J]. INTERNATIONAL JOURNAL OF NURSING STUDIES, 2016, 61 : 230 - 247
  • [4] Brown E., 2007, Annals of Long Term Care, V15, P27
  • [5] Recognition of late-life depression in home care: Accuracy of the outcome and assessment information set
    Brown, EL
    Bruce, ML
    McAvay, GJ
    Raue, PJ
    Lachs, MS
    Nassisi, P
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2004, 52 (06) : 995 - 999
  • [6] Training Nursing Staff to Recognize Depression in Home Healthcare
    Brown, Ellen L.
    Raue, Patrick J.
    Roos, Bernard A.
    Sheeran, Thomas
    Bruce, Martha L.
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2010, 58 (01) : 122 - 128
  • [7] A randomized trial of depression assessment intervention in home health care
    Bruce, Martha L.
    Brown, Ellen L.
    Raue, Patrick J.
    Mlodzianowski, Amy E.
    Meyers, Barnett S.
    Leon, Andrew C.
    Heo, Moonseong
    Byers, Amy L.
    Greenberg, Rebecca L.
    Rinder, Susan
    Katt, Wendy
    Nassisi, Pamela
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2007, 55 (11) : 1793 - 1800
  • [8] Integrating Depression Care Management into Medicare Home Health Reduces Risk of 30-and 60-Day Hospitalization: The Depression Care for Patients at Home Cluster-Randomized Trial
    Bruce, Martha L.
    Lohman, Matthew C.
    Greenberg, Rebecca L.
    Bao, Yuhua
    Raue, Patrick J.
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2016, 64 (11) : 2196 - 2203
  • [9] Major depression in elderly home health care patients
    Bruce, ML
    McAvay, GJ
    Raue, PJ
    Brown, EL
    Meyers, BS
    Keohane, DJ
    Jagoda, DR
    Weber, C
    [J]. AMERICAN JOURNAL OF PSYCHIATRY, 2002, 159 (08) : 1367 - 1374
  • [10] The relationship between depression and frailty syndrome: a systematic review
    Buigues, Cristina
    Padilla-Sanchez, Celia
    Fernandez Garrido, Julio
    Navarro-Martinez, Rut
    Ruiz-Ros, Vicente
    Cauli, Omar
    [J]. AGING & MENTAL HEALTH, 2015, 19 (09) : 762 - 772
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