Search results for "care services"

CONFLICT DYNAMICS IN HEALTHCARE SERVICES: AN EXPERIMENTAL STUDY USING THE SYSTEM DYNAMICS METHODOLOGY

Σκοπός Η μελέτη αυτή χρησιμοποιεί τη συστημική προσέγγιση για να διερευνήσει τη δυναμική της μάθησης και του αρνητικού συναισθήματος στις συγκρούσεις μεταξύ εργαζομένων στο χώρο της υγείας. Η δυναμική μας υπόθεση ήταν ότι η αλληλεπίδραση μεταξύ των επιπέδων σύγκρουσης, πληροφορίας/μάθησης και αρνητικών συναισθημάτων που συσσωρεύονται στο χώρο εργασίας ως παραπροϊόντα της σύγκρουσης προκαλούν ενδογενώς την διακύμανση (ταλαντώσεις) των επιπέδων σύγκρουσης. Υλικό-Μέθοδος Πραγματοποιήθηκε αρχικά μια συστηματική ανασκόπηση της βιβλιογραφίας και εντοπίσθηκαν 2 προβληματικά πρότυπα εξέλιξης των εργασιακών συγκρούσεων με την πάροδο του χρόνου (Group Disintegration, Groupthink) και ένα "επιθυμητό" π…

The use of complementary alternative medicines in advanced cancer patients followed at home

2021

Objectives: To assess the use of complementary alternative medicines (CAM) in advanced cancer patients followed at home. Methods: A consecutive sample of advanced cancer patients admitted to a home palliative care program was invited to participate in the study in a period of two months. Demographic characteristics, religious belief, education level, diagnosis, and socio-economic condition were recorded. Patients were asked about the use of CAM, considered to be a health-related treatment practiced outside the established health services. Information about CAM indications and those who prescribed or suggested CAM were also collected. Results: Two hundred and eighty-three advanced cancer pat…

Physical Activity After a Hip Fracture: Effect of a Multicomponent Home-Based Rehabilitation Program—A Secondary Analysis of a Randomized Controlled …

2017

Objectives To investigate the effect of a yearlong multicomponent rehabilitation program on the level of physical activity (PA) and the maintenance of the level of PA over 1-year follow-up among older people recovering from a recent hip fracture. Design Secondary analysis of a randomized, controlled, parallel-group trial. Setting Home-based rehabilitation; measurements in university laboratory. Participants Community-dwelling people (N=81) aged ≥60 years recovering from a hip fracture. Participants were randomly assigned to an intervention (n=40) or a control (n=41) group, on average, 42±23 days after discharge from the hospital. Intervention A yearlong intervention included evaluation and …

Registered nurses' clinical reasoning in home healthcare clinical practice: A think-aloud study with protocol analysis.

2016

Abstract Background The home healthcare context can be unpredictable and complex, and requires registered nurses with a high level of clinical reasoning skills and professional autonomy. Thus, additional knowledge about registered nurses' clinical reasoning performance during patient home care is required. Objectives The aim of this study is to describe the cognitive processes and thinking strategies used by recently graduated registered nurses while caring for patients in home healthcare clinical practice. Design An exploratory qualitative think-aloud design with protocol analysis was used. Settings Home healthcare visits to patients with stroke, diabetes, and chronic obstructive pulmonary…

Pattern of drug use by advanced cancer patients followed at home

2001

The aim of this study was to document the drugs most commonly prescribed to control symptoms in advanced cancer patients being followed at home. We analyzed data for 128 patients admitted to a home palliative care program from January 1993 to January 1995. All patients were followed at home until death by a team consisting of doctors and nurses, and were given two or three medical examinations a week. The most frequently prescribed drugs were analgesics and drugs commonly used to prevent NSAID-induced gastric toxicity. Slow-release morphine was the analgesic used most often. Most patients received more than four drugs. Younger people received morphine more often than did older patients. Co…

Outsourcing within the Nordic context: Care services for older people in Finland.

2018

The early 1990s economic setback brought significant reforms favoring the outsourcing of care in Finnish municipalities. Here, outsourcing refers to the practice of municipalities employing private organizations through different means (e.g., open tendering) to deliver public care services. In this context, this study examines the growth in the outsourcing of service housing and home-help services in 311 municipalities from 2001 to 2015 and investigates the municipal factors associated with outsourcing using four dimensions: care needs, population size, economic situation, and political ideology of the municipality. The findings reveal a steep increase in the outsourcing of home-help and se…

Wydatki gmin na usługi opiekuńcze a zmiany demograficzne w Polsce

2020

Local governments as the smallest units of territorial self‑government in Poland are responsible for providing care services. The growing number of the elderly can influence the expenditures level connected with ensuring proper care for them, and it may constitute a growing problem for local government, especially for districts with a lower level of socio‑economic development. In recent years, a quite high increase in benefits amount due to care services and specialist care services has been observed. Therefore, a question arises whether a significant dependence can be observed between the share of the elderly in the population and the degree of local governments’ financial burden due to pr…

Family caregivers’ involvement in caring for frail older family members using welfare technology: a qualitative study of home care in transition

2022

Abstract Background Demographic, economic and organisational changes challenge home care services. Increased use of welfare technology and involvement of family members as co-producers of care are political initiatives to meet these challenges. However, these initiatives also involve ethical aspects. Method The aim of this qualitative study was to explore family caregivers’ experience of involvement and possible ethical aspects of caring for frail older family members receiving home care services supported by welfare technology. This study used a qualitative explorative and descriptive design within a phenomenological-hermeneutical approach. Sixteen interviews with eighteen family caregiver…

Effectiveness of Healthcare Coordination in Patients with Chronic Respiratory Diseases

2018

Coordination of healthcare effectively prevents exacerbations and reduces the number of hospitalizations, emergency visits, and the mortality rate in patients with chronic respiratory diseases. The purpose of this study was to determine clinical effectiveness of ambulatory healthcare coordination in chronic respiratory patients and its effect on the level of healthcare services as an indicator of direct medical costs. We conducted a retrospective health record survey, using an online database of 550 patients with chronic respiratory diseases. There were decreases in breathing rate, heart rate, and the number of cigarettes smoked per day, and forced vital capacity (FVC) and forced expired vo…

Difficulties in mobility among elderly people and their association with socioeconomic factors, dwelling environment and use of services.

1995

The purpose of this study was to clarify the extent to which elderly people have difficulties in mobility, and determine their association with socioeconomic factors, dwelling environment and use of services. The study groups were composed of two random samples of 800 persons aged 65–74 and 75–84, respectively. In all, 1224 non- institutionalized persons (80%) were interviewed at home. The respondents were asked to assess their ability to get about the house, negotiate stairs and walk outdoors, as well as manage certain physical exercise tasks. Difficulties in getting about outdoors were found most frequently among the women in the older age group (52% reported difficulties), and least freq…