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Jones-Hooker C, Tyndall DE, Forbes TH. The Disruption of Patient Ambulation Care Processes by COVID-19: Revealing the Value of Visitor Assistance. J Nurs Adm 2023; 53:520-525. [PMID: 37747175 DOI: 10.1097/nna.0000000000001328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/26/2023]
Abstract
OBJECTIVE To explore the impact of COVID-19 on care processes and ambulation outcomes. BACKGROUND COVID-19 forced hospital leaders to make systems-level changes that disrupted patient ambulation. The impact of these changes on the ambulation of hospitalized patients was unknown. The Systems Engineering Initiative for Patient Safety model was used to explore ambulation from a systems perspective. METHODS A single-case study research design was used to investigate patient ambulation in a major medical center. Data from 12 interviews with interdisciplinary leaders were analyzed. RESULTS Staff shortages and visitor restrictions were identified as the main work system barriers to ambulation. These barriers disrupted usual ambulation processes and supported the value of visitor assistance with ambulation. CONCLUSIONS This study provides a systems-level perspective of missed ambulation during COVID-19, which revealed the value of ambulation assistance provided by visitors. Findings may be used to support the continued and increased involvement of family members and visitors in the process of ambulation.
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Affiliation(s)
- Christa Jones-Hooker
- Author Affiliations: Nursing Instructor (Dr Jones-Hooker), Wake Technical Community College, Raleigh; and Associate Professor (Dr. Tyndall), School of Nursing, UNC Wilmington, Wilmington, North Carolina; and Assistant Professor (Dr Forbes), College of Nursing, East Carolina University, Greenville, North Carolina
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Nurit GY, Ksenya S, Juliana S, Matanes B, Efrat S, Anna Z. Perceptions of staff and family responsibility to provide hospitalized older adults with basic activities care and emotional support. Geriatr Nurs 2021; 42:1247-1252. [PMID: 34555566 DOI: 10.1016/j.gerinurse.2021.05.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 05/07/2021] [Accepted: 05/11/2021] [Indexed: 01/26/2023]
Abstract
Many older adults need help with Activities of Daily Living (ADL) and emotional support during hospitalization. Hospital staff is officially responsible for care, but most older adults are accompanied by family members who provide at least some of the support. In this study, we asked physicians, nurses, nursing assistants, and relatives about hospital staff versus family responsibility for providing ADL care and emotional support, and about actual levels of help provision by the hospital staff in Israel. Staff members (except physicians) tended to see staff as more responsible for ADL care than family, while emotional support was a shared responsibility. Nursing assistants were the most likely to report that staff provided high levels of support, and all participants reported that staff provided more ADL care than emotional support. It is important for family members and hospital staff to have open discussions of their expectations and responsibilities when older adults are hospitalized.
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Affiliation(s)
- Gur-Yaish Nurit
- Oranim Academic College of Education, Kiryat Tiv'on, Israel; Center for research and study of aging, University of Haifa, Israel.
| | - Shulyaev Ksenya
- The Cheryl Spencer Department of Nursing, University of Haifa, Israel
| | - Smichenko Juliana
- The Cheryl Spencer Department of Nursing, University of Haifa, Israel
| | | | - Shadmi Efrat
- The Cheryl Spencer Department of Nursing, University of Haifa, Israel
| | - Zisberg Anna
- The Cheryl Spencer Department of Nursing, University of Haifa, Israel
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Girardi G, Farnese ML, Scarponi F, De Tanti A, Bartolo M, Intiso D, Formisano R, Antonucci G. User-centered practices in the eyes of informal caregivers of in-patients with severe acquired brain injury: needs, caring experience, and satisfaction. Brain Inj 2021; 35:1402-1412. [PMID: 34487469 DOI: 10.1080/02699052.2021.1972338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE This study examines the perceived needs, experience, and satisfaction of informal caregivers (ICGs) in in-hospital settings, related to their involvement in the design and delivery of services together with hospital staff, namely co-production. DESIGN To obtain a picture of current ICG-staff relationship, a multicenter observational study was carried out. Participants were 75 ICGs recruited in five dedicated in-patient neurorehabilitation wards. Participants answered a self-report questionnaire tapping perceived information/communication needs, emotional/social needs, and their satisfaction; family-centered practices implemented by the staff (namely involving practices and cooperative communication); and ICGs' satisfaction with the service. RESULTS Need satisfaction related positively to staff practices aimed at involving IGCs in treatment and training, but not in decision-making. Involving practices concerning treatment also related positively to ICGs' information/communication needs. In addition, the more the staff involved ICGs in decision-making and promoted cooperative communication regarding treatment, the more ICGs felt that their collaboration in the healthcare process was valuable. Finally, all involvement practices and cooperative communication were positively related to ICGs' overall satisfaction with the service. CONCLUSION The results of the study help to identify gaps in meeting ICGs' needs and to promote strategies to implement family participation toward co-production in in-hospital settings.
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Affiliation(s)
- Giovanna Girardi
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | | | | | - Antonio De Tanti
- Istituto S. Stefano Riabilitazione, Centro Cardinal Ferrari, Fontanellato, PR, Italy
| | - Michelangelo Bartolo
- Neurorehabilitation Unit, Department of Rehabilitation, HABILITA Zingonia, Bergamo, Italy
| | - Domenico Intiso
- UOC di Medicina Fisica e Riabilitativa, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy
| | | | - Gabriella Antonucci
- Department of Psychology, Sapienza University of Rome, Rome, Italy.,IRCSS Santa Lucia Foundation, Rome, Italy
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Shulyaev K, Gur-Yaish N, Shadmi E, Zisberg A. Patterns of informal family care during acute hospitalization of older adults from different ethno-cultural groups in Israel. Int J Equity Health 2020; 19:208. [PMID: 33225953 PMCID: PMC7682070 DOI: 10.1186/s12939-020-01314-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Accepted: 10/27/2020] [Indexed: 02/07/2023] Open
Abstract
Introduction Informal caregiving during hospitalization of older adults is significantly related to hospital processes and patient outcomes. Studies in home settings demonstrate that ethno-cultural background is related to various aspects of informal caregiving; however, this association in the hospital setting is insufficiently researched. Objectives Our study explore potential differences between ethno-cultural groups in the amount and kind of informal support they provide for older adults during hospitalization. Methods This research is a secondary data analysis of two cohort studies conducted in Israeli hospitals. Hospitalized older adults are divided into three groups: Israeli-born and veteran immigrant Jews, Arabs, and Jewish immigrants from the Former Soviet Union (FSU). Duration of caregiver visit, presence in hospital during night hours, type of support (using the Informal Caregiving for Hospitalized Older Adults scale) are assessed during hospitalization. Results are controlled by background parameters including functional Modified Barthel Index (MBI) and cognitive Short Portable Mental Status Questionnaire (SPMSQ) status, chronic morbidity (Charlson), and demographic characteristics. Results Informal caregivers of “FSU immigrants” stay fewer hours during the day in both cohorts, and provide less supervision of medical care in Study 2, than caregivers in the two other groups. Findings from Study 1 also suggest that informal caregivers of “Arab” older adults are more likely to stay during the night than caregivers in the two other groups. Conclusions Ethno-cultural groups differ in their patterns of caregiving of older adults during hospitalization. Health care professionals should be aware of these patterns and the cultural norms that are related to caregiving practices for better cooperation between informal and formal caregivers of older adults.
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Affiliation(s)
- Ksenya Shulyaev
- The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Science, Haifa University, Mt. Carmel, 3498838, Haifa, Israel.
| | - Nurit Gur-Yaish
- The Center for Research and Study of Aging, Faculty of Social Welfare and Health Science, Haifa University, Haifa, Israel.,Oranim Academic College of Education, Kiryat Tiv'on, Israel
| | - Efrat Shadmi
- The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Science, Haifa University, Mt. Carmel, 3498838, Haifa, Israel
| | - Anna Zisberg
- The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Science, Haifa University, Mt. Carmel, 3498838, Haifa, Israel
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Farnese ML, Girardi G, Fida R, Bivona U, Bartolo M, De Tanti A, Intiso D, Scarponi F, Antonucci G. Caregivers' engagement during in-hospital care of sABI's patients: Evaluation of informal co-production from the health providers' perspective. HEALTH & SOCIAL CARE IN THE COMMUNITY 2020; 28:2086-2094. [PMID: 32483930 DOI: 10.1111/hsc.13019] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2019] [Revised: 03/13/2020] [Accepted: 04/15/2020] [Indexed: 06/11/2023]
Abstract
One of the challenges of providing healthcare services is to enhance its value (for patients, staff and the service) by integrating the informal caregivers into the care process, both concretely managing their patient's health conditions and treatment (co-executing) and participating in the whole healthcare process (co-planning). This study aims at exploring the co-production contribution to the healthcare process, analysing whether and how it is related to higher caregivers' satisfaction with service care and reduced staff burnout, in the eyes of the staff. It also investigated two possible factors supporting caregivers in their role of co-producers, namely relationship among staff and informal caregivers related to knowledge sharing (i.e. an ability determinant supporting co-production) and related to role social conflict (i.e. a willingness determinant reducing co-production). Results of a structural equation model on a sample of 119 healthcare providers employed by neurorehabilitation centers in Italy with severe acquired brain injury confirmed that knowledge sharing positively related with caregivers' co-executing and co-planning. Also, social role conflict was negatively related with co-executing but positively with co-planning. Furthermore, co-planning resulted in being unrelated to both outcomes, whereas co-executing was associated with caregivers' satisfaction, as measured by staff perceptions. Overall, our data provided initial empirical evidence supporting the ability of the determinant's contribution in allowing informal caregivers to assume an active role in both co-production domains. Furthermore, as expected, the role of conflict willingness determinant was found to be a hindering factor for co-executing but, conversely, a trigger for co-planning. This result should be considered more carefully in future studies.
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Affiliation(s)
| | - Giovanna Girardi
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - Roberta Fida
- Norwich Business School, University of East Anglia, Norwich, UK
| | | | - Michelangelo Bartolo
- Neurorehabilitation Unit, Department of Rehabilitation, HABILITA, Bergamo, Italy
| | - Antonio De Tanti
- Istituto S.Stefano Riabilitazione, Centro Cardinal Ferrari, Fontanellato (PR), Italy
| | - Domenico Intiso
- UOC di Medicina Fisica e Riabilitativa, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy
| | | | - Gabriella Antonucci
- Department of Psychology, Sapienza University of Rome, Rome, Italy
- IRCCS Fondazione S. Lucia, Roma, Italy
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Brofidi K, Vlasiadis K, Philalithis A. Greek hospital environments. Int J Health Care Qual Assur 2019; 32:645-652. [PMID: 31018792 DOI: 10.1108/ijhcqa-05-2018-0102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this paper is three-fold: first, to assess nurse satisfaction levels with working environment (known as favourability) in five Greek public hospitals using the practice environment scale (PES); second, to compare perceptions among nurses employed in surgical and medical departments; and third, to examine relationships between perceptions and nurse educational level and experience. DESIGN/METHODOLOGY/APPROACH In total, 532 nurses from five major public hospitals in Greece completed the PES. Descriptive statistics, t-tests and Spearman correlations were employed to analyse the data. FINDINGS Nurses perceived their work settings as unfavourable in all five hospitals, with collegial nurse-physician relations emerging as the only positive factor. Compared to medical wards, surgical departments emerged as slightly more positive working environments. Work department notwithstanding, in some cases, education and experience levels affected their perceptions on management, poor care quality, limited nurse involvement in hospital affairs and nursing shortage. PRACTICAL IMPLICATIONS Hospital managers do not provide sufficient support for Greek nurses in their working environments. ORIGINALITY/VALUE The authors attempted to evaluate nursing practice environments in Greek hospitals, viewed from nurse perspectives. The authors identified insufficient support for nurses' working in these hospitals.
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Pliatsika KA, Sakellari E, Kafkia T, Krepia V, Sapountzi-Krepia D. Informal carers' experiences and feelings during rehabilitation. ACTA ACUST UNITED AC 2019; 28:792-797. [PMID: 31242109 DOI: 10.12968/bjon.2019.28.12.792] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The purpose of this study was to explore the experiences and feelings of people caring for patients with long-term diseases in a rehabilitation centre. A qualitative research approach was used. Fifteen informal carers were interviewed. The study was conducted in a rehabilitation centre in Greece. Three themes emerged. The first was feelings regarding the patient and the carers themselves, as well as the type of care provided and life at home after discharge from the rehabilitation unit. The second was experiences regarding health professionals and delivered care, and other carers. The third theme was expectations and thoughts about the future. Health professionals should plan and implement support interventions within rehabilitation settings in order to address carers' needs in terms of practical guidance not only within the framework of patient care but also relating to the psychological and physical wellbeing of informal carers.
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Affiliation(s)
| | - Evanthia Sakellari
- Assistant Professor, Department of Public and Community Health, University of West Attica, Athens, Greece
| | - Theodora Kafkia
- Clinical Lecturer, Department of Nursing, School of Health and Welfare Professions, Alexander Technological and Educational Institute of Thessaloniki, Greece
| | - Vassiliki Krepia
- PhD Candidate, School of Human Movement and Quality of Life Sciences, Faculty of Nursing, University of Peloponnese, Sparta, Greece, and Registered Nurse, Sismanogleion Hospital of Attica, Marousi, Greece
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Uysal N, Gürol Arslan G, Mete S. The feelings and experiences of hospitalized patients regarding informal caregivers: a qualitative study. SOCIAL WORK IN HEALTH CARE 2019; 58:166-181. [PMID: 30321130 DOI: 10.1080/00981389.2018.1531102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Revised: 09/21/2018] [Accepted: 09/28/2018] [Indexed: 06/08/2023]
Abstract
The purpose of this study was to understand the views of hospitalized patients regarding family/informal caregivers (ICs). In this study thematic content analysis was used, interviews were audio-recorded, transcribed verbatim, and coded. The 4 themes and 11 subthemes were determined. Themes: Identity of IC, expectations of IC, feelings about the presence or absence of an IC. Along with feeling positive emotions when ICs were present, patients also felt as though they were a burden on caregivers. Family caregivers are an important social support for patients and they may lead to more meaningful patient outcomes globally.
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Affiliation(s)
- Nurcan Uysal
- a Faculty of Health Science Nursing Department, Florya Halit Aydin Campus , Istanbul Aydin University , Küçükçekmece , Turkey
| | - Gülşah Gürol Arslan
- b Department of Fundamentals Nursing , Dokuz Eylül University Faculty of Nursing , Balçova, İzmir , Turkey
| | - Samiye Mete
- c Faculty of Health Sciences , University of Kyrenia , Girne, KKTC , Turkish Republic of Northern Cyprus
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Stavrianou A, Kafkia T, Mantoudi A, Minasidou E, Konstantinidou A, Sapountzi-Krepia D, Dimitriadou A. Informal Caregivers in Greek Hospitals: a Unique Phenomenon of a Health System in Financial Crisis. Mater Sociomed 2018; 30:147-152. [PMID: 30061807 PMCID: PMC6029920 DOI: 10.5455/msm.2018.30.147-152] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2018] [Accepted: 05/18/2018] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND In Greece it is quite common for family members to provide informal unpaid care for another family member during hospitalization, alongside healthcare professionals. Understaffing and lack of nursing personnel, due to austerity measures implemented in Greece during the last eight years, force families to provide informal care during hospitalization. The aim of the research was to study the role of informal caregivers (IC) during a family's member hospitalization, factors affecting their presence and patient's needs that were met by them. MATERIAL AND METHODS This cross-sectional study was conducted in five medical wards of a tertiary general hospital in big city of Northern Greece, during 14 weeks using a questionnaire with demographics, clinical data, and type and frequency of interventions performed by ICs. Patient/nurse ratio was also recorded. RESULTS On the total, 210 ICs participated (63.42% response rate). The vast majority of ICs were females, married, close relatives and in their late forties. More than half of them (58.1%, n=122) stayed by their patient bedside for more than 17 hours per day, as it was found that 13.8 patients were allocated to each nurse. Less than one quarter of ICs reported that their patient's status was not serious at all and according to them, one third of the patients were totally dependent and one fifth were totally self-sufficient and able to take care of themselves. Nineteen out of the twenty three interventions performed by caregivers were interventions of basic nursing care. CONCLUSION The GHS administration officials are called to consider nursing understaffing in order to provide adequate and safe care. As new personnel is very difficult to be hired, family members could be trained, through structured programs, in basic nursing skills and interventions, so that they could participate in their family member's care and provide continuity of care at home.
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Affiliation(s)
| | - Theodora Kafkia
- Department of Nursing, Alexander Technological Educational Institute of Thessaloniki, Greece
| | - Alexandra Mantoudi
- Department of Nursing, Technological Educational Institute of Athens, Greece
| | - Eugenia Minasidou
- Department of Nursing, Alexander Technological Educational Institute of Thessaloniki, Greece
| | | | | | - Alexandra Dimitriadou
- Department of Nursing, Alexander Technological Educational Institute of Thessaloniki, Greece
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Ambrosi E, Biavati C, Guarnier A, Barelli P, Zambiasi P, Allegrini E, Bazoli L, Casson P, Marin M, Padovan M, Picogna M, Taddia P, Salmaso D, Chiari P, Frison T, Marognolli O, Benaglio C, Canzan F, Saiani L, Palese A. Factors affecting in-hospital informal caregiving as decided by families: findings from a longitudinal study conducted in acute medical units. Scand J Caring Sci 2016; 31:85-95. [PMID: 27163738 DOI: 10.1111/scs.12321] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2015] [Accepted: 11/25/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND Informal caregiving offered by family members has been widely studied in the community setting, but little attention to date has been dedicated to that offered at the hospital level. AIMS To describe the proportion of patients admitted to acute medical units receiving care from informal caregivers as decided by the family and to identify the factors affecting the numbers of care shifts performed by informal caregivers. DESIGN AND METHODS A longitudinal study was performed involving 12 acute medical units located in 12 northern Italian hospitals. RESULTS All patients (N = 1464) admitted to medical units were included, and 77.1% of them received at least one shift of informal care during their in-hospital stay, especially during the mornings and afternoons. At the patient level, those at higher risk of prolonged hospitalisation and difficult discharge at admission, and those reporting higher occurrence of adverse events, such as pressure sores, confusion events and use of physical restraints during hospitalisation, were more likely receiving informal care. At the nursing care level, a higher amount of missed nursing care was associated with an increased number of care shifts offered by informal caregivers during patient hospitalisation, whereas the amount of care offered by staff was a protective factor. CONCLUSIONS Families play a care role in the care of older patients admitted to acute medical units. They contribute substantially to the care of patients, especially during morning and afternoon shifts.
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Affiliation(s)
| | - Catia Biavati
- Azienda Ospedaliera S.Orsola - Malpighi, Bologna, Italy
| | | | | | | | | | | | - Paola Casson
- Azienda Unità Sanitaria Locale n. 9, Treviso, Italy
| | - Meri Marin
- Azienda per i Servizi Sanitari n. 2 'Isontina', Gorizia, Italy
| | - Marisa Padovan
- Azienda Unità Sanitaria Locale n. 6 Vicenza, Vicenza, Italy
| | - Michele Picogna
- Azienda per i Servizi Sanitari n.4 'Medio Friuli', Udine, Italy
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Hospital policies and nurses' attitudes in Israel towards paid carers' tasks during patient hospitalization. Can J Aging 2014; 33:185-95. [PMID: 24824671 DOI: 10.1017/s0714980814000075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Many hospitalized older patients are functionally dependent and, during their hospitalization, employ paid caregivers to perform various tasks. This study examined nurses' attitudes regarding the tasks these care workers should or should not be allowed to perform in providing care during hospitalization, and the factors underlying nurses' attitudes towards these paid carers. The study involved interviews of five key informants such as head nurses and medical directors in two general hospitals and surveys of 265 nurses in internal medicine and geriatric wards. Although no formal policies or guidelines existed with respect to the tasks that paid carers perform, most nurses believed that paid carers caregivers should be allowed to perform certain tasks except for those involving professional nursing. Hospital and nurses' characteristics were significant in explaining nurses' attitudes towards paid carers' involvement with older care recipients. The study results indicate a need for explicit policies and practice guidelines for paid carers of older patients during hospitalization.
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Iecovich E, Rabin B. Practices used in Israel by nurses who care during hospitalization for older patients with dementia or who are bedridden. Am J Alzheimers Dis Other Demen 2014; 29:166-76. [PMID: 24211869 PMCID: PMC10852597 DOI: 10.1177/1533317513511287] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2024]
Abstract
The study's purpose was to examine (a) bedside nurses' care practices when providing care to patients with dementia or those who are physically disabled and (b) the extent to which these actions vary by type of hospital, type of ward, and nurse's characteristics. The sample included 265 nurses in internal medicine and geriatric wards in 2 general hospitals in Israel. The results showed that the most prevalent practices were giving greater attention to these patients, locating them in a room near the nurses' station and asking family members to stay with the patient or to hire paid carers. Use of restraints was more prevalent in patients with dementia than those who were physically disabled. Use of specific practices significantly varied by type of ward and hospital, suggesting that nurses' care practices are more connected with organizational characteristics than other factors.
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Affiliation(s)
- Esther Iecovich
- Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, BeerSheva, Israel
| | - Barbara Rabin
- Social Services, Meir Medical Center, Kfar Saba, Israel
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Iecovich E. Development of a measure to examine nurses’ attitudes towards the presence of paid carers who provide care to older patients in hospitals. J Res Nurs 2014. [DOI: 10.1177/1744987113518213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Many older adults who are hospitalised are functionally disabled and/or are cognitively impaired and need help with basic activities. The nursing staff are overloaded with work and families are not always available to look after their hospitalised older family members. Therefore, a growing number of older patients hire paid carers of whom many are migrant live-in care workers who provide them with care at home and in hospitals during hospitalisation. The study was aimed to develop a measure that will examine nursing staff’s attitudes towards these paid carers in hospital wards. The measure that was developed includes two dimensions: negative and positive attitudes. The study was conducted in 10 internal medicine and 4 geriatric wards in two general hospitals in Israel. Participants included 265 nurses. Factor analysis loaded two factors that resembled the two dimensions. The final version of the measure included six positive and six negative items, showed good convergent and divergent validity, and good internal consistency for each of the dimensions. Further studies are needed to examine the measure’s validity and reliability in different cultural and social contexts.
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Affiliation(s)
- Esther Iecovich
- Associate Professor, Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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Gur-Yaish N, Zisberg A, Sinoff G, Shadmi E. Effects of instrumental and psychological support on levels of depressive symptoms for hospitalized older adults. Aging Ment Health 2013; 17:646-53. [PMID: 23330681 DOI: 10.1080/13607863.2012.758234] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
OBJECTIVES To explore the effects of four types of support (psychological support, instrumental support, supervision of instrumental support, and explanation of medical care) on the level of depressive symptoms among hospitalized older adults. METHOD The sample consisted of 468 older adults admitted to the internal medicine units of a large tertiary care medical center in northern Israel. Respondents filled out self-report questionnaires upon admission and discharge. Information regarding severity of illness, chronic health status, and length of hospital stay was gathered from their medical records. Multivariate regression was used to test the association between the four types of caregiving support and depressive symptoms. RESULTS Psychological support from informal caregivers was found to be negatively related to depressive symptoms, and instrumental support to be positively related to depressive symptoms among respondents who were more independent in their functioning before the hospitalization. These relationships remained significant after controlling for previously-identified precursors of depressive symptoms: age, gender, education, widowhood, functional and cognitive status, severity of illness, co-morbidities, and length of hospital stay. Supervision of instrumental support and explanation of medical care were not related to depressive symptoms. CONCLUSION Results of this study suggest that functional status, the kind of support, and the setting in which it is given are important in understanding the influence of informal support on the well-being of older adults. The potentially positive as well as negative consequences of various types of support in the hospital setting should be recognized and addressed.
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Affiliation(s)
- Nurit Gur-Yaish
- The Cheryl Spencer Department of Nursing, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel.
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15
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Iecovich E, Rabin B, Penchak M. Tasks Performed by Migrant Live-In Care Workers During Hospitalization of Their Older Care Recipients. Home Health Care Serv Q 2013; 32:178-96. [DOI: 10.1080/01621424.2013.813886] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Gur-Yaish N, Zisberg A, Sinoff G, Shadmi E. Development and psychometric testing of a measure of informal caregiving for hospitalized older adults. J Adv Nurs 2011; 68:931-8. [DOI: 10.1111/j.1365-2648.2011.05846.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lavdaniti M, Raftopoulos V, Sgantzos M, Psychogiou M, Areti T, Georgiadou C, Serpanou I, Sapountzi-Krepia D. In-hospital informal caregivers' needs as perceived by themselves and by the nursing staff in Northern Greece: A descriptive study. BMC Nurs 2011; 10:19. [PMID: 21982344 PMCID: PMC3200151 DOI: 10.1186/1472-6955-10-19] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2010] [Accepted: 10/07/2011] [Indexed: 11/10/2022] Open
Abstract
Background Informal care is common in many countries, especially in Greece, where families provide care in hospitals. Health education and informational needs are important factors for family members which are often underestimated by nursing staff. The aim of this study was to compare the perceptions of the nurses and the in-hospital informal caregivers about the in-hospital informal caregivers' knowledge and informational needs, as well as the factors that influence these perceptions. Methods This was a non-experimental descriptive study conducted in three general hospitals in Greece. The sample consisted of 320 nurses and 370 in-hospital informal caregivers who completed questionnaires. Descriptive statistics were analyzed using t-tests; group comparisons were conducted using ANOVA. Results The score of the questionnaire for health education and informational needs was significantly greater for informal caregivers (57.1 ± 6.9 and 26.6 ± 2.8) than for nurses (53.4 ± 5.7 and 22.4 ± 3.1) (p < 0.001). For the nursing staff, the factors that influence the informational needs of patients' caregivers were level of education and working experience, while for the caregivers the level of education was independently associated with the score for the health education needs. Finally, age, marital status, and level of education of informal caregivers' were independently associated with informational needs. Conclusions The in-hospital informal caregivers perceived that they have more educational and informational needs than the nurses did. The findings of this study also show that the nursing staff has to identify the needs of in-hospital informal caregivers in order to be able to meet these needs.
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Affiliation(s)
- Maria Lavdaniti
- Nursing Department, Cyprus University of Technology, Mediterranean Research Centre for Public Health and Quality of Care, 215 Paleos dromos Lefkosias-Lemesou, Strovolos, 2029, Nicosia, Cyprus.
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Luengo-Fernandez R, Gray AM, Rothwell PM. Costs of stroke using patient-level data: a critical review of the literature. Stroke 2008; 40:e18-23. [PMID: 19109540 DOI: 10.1161/strokeaha.108.529776] [Citation(s) in RCA: 102] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND PURPOSE With decision-analytic models becoming more popular to assess the cost-effectiveness of health care interventions, the need for robust estimates on the costs of cerebrovascular disease is paramount. This study reports the results from a literature review of the costs of cerebrovascular diseases, and assesses the quality of the published evidence against a set of defined criteria. METHODS A broad literature search was conducted. Those studies reporting mean/median costs of cerebrovascular diseases derived from patient-level data in a developed country setting were included. Data were abstracted using standardized reporting forms and assessed against 4 predefined criteria: use of adequate methodologies, use of a population-based study, inclusion of premorbid resource use, and reporting of costs by different patient subgroups. RESULTS A total of 120 cost studies were identified. The cost estimates of stroke were compared by taking into account the effects of inflation and price differentials between countries. Average costs of stroke ranged from $468 to $146 149. Differences in costs were also found within country, with estimates in the USA varying 20-fold. Although the costing methodologies used were generally appropriate, only 5 studies were based on population-based studies, which are the gold standard study design when comparing incidence, outcome, and costs. CONCLUSIONS This review showed large variations in the costs of stroke, mainly attributable to differences in the populations studied, methods, and cost categories included. The wide range of cost estimates could lead to selection bias in secondary health economic analyses, with authors including those costs that are more likely to produce the desired results.
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Affiliation(s)
- Ramon Luengo-Fernandez
- Department of Public Health, Health Economics Research Centre, University of Oxford, Oxford, USA.
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Sapountzi-Krepia D, Lavdaniti M, Psychogiou M, Arsenos P, Paralikas T, Triantafylidou P, Georgiadou C. Nursing staff shortage and in-hospital informal care in an oncology hospital in Greece: The nursing staff's perceptions. Int J Nurs Pract 2008; 14:256-63. [DOI: 10.1111/j.1440-172x.2008.00688.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Sapountzi-Krepia D, Raftopoulos V, Psychogiou M, Sakellari E, Toris A, Vrettos A, Arsenos P. Dimensions of informal care in Greece: the family's contribution to the care of patients hospitalized in an oncology hospital. J Clin Nurs 2008; 17:1287-94. [DOI: 10.1111/j.1365-2702.2007.02033.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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