Evaluation Of Nursing Functions In Home Health Services: A Retrospective Study

Year 2022, , 897 - 905, 30.12.2022

Şenay Şener , Dilek Cingil , Seda Göger

https://doi.org/10.33808/clinexphealthsci.970160

Abstract

Objective: This study aimed to evaluate the nursing functions of home health services.
Methods: The study was planned retrospectively and descriptively in a state hospital’s Home Health Care Unit. The study sample consists of all files of patients who received home health services between 16.01.2019 and 16-07.2019. Data Registration Form and Nursing Functions Evaluation Form were used in collecting the data. Kolmogorov-Smirnov test to test compliance with normal distribution in data analysis, descriptive statistics such as frequency, percentage, arithmetic mean, t-test and Mann Whitney U test in independent groups of 2, One-way ANOVA (Post-hoc Tamhane’s T2
test if the difference between groups was significant) and Kruskal-Wallis test were used in groups of 3.
Results: As a result of the data analysis, it was determined that there is a statistically significant difference between the independent, semidependent, and dependent function scores applied by nurses in patients with diabetes, recent operations, and heart failure(p<0.05). Also, a statistically significant difference was found in the nursing function scores applied in individuals who need palliative care and dieticians, use medical devices or assistive devices, and are fed enterally by tube(p<0.05).Asignificant positive relationship was found between the mean score of independent nursing functions and the frequency of home visits. (rs=0.142, p<0.05).
Conclusion: As a result of this study, it was determined that semi-dependent functions are used more for nursing practices. It is thought that the interventions implemented by nurses will be more visible with the development of nursing registration systems inhome health services.

Keywords

Home health Care, nursing functions, nursing

References

• [1] Çolak R, Işık AH, Yiğit TA. New method for routing in home health care services. Braın 2019; 10(4): 14-27.
• [2] Önder T, Anuk T, Kahramanca Ş, Yıldırım AC. Evaluating sociodemographic and medical conditions of patients under homecare service. Dicle Medical Journal. 2015;42(3):342-345.
• [3] Yılmaz M, Sametoğlu F, Akmeşe G, Tak A, Yağbasan B, Gökçay S, Sağlam M, Doğanyılmaz D, Erdem S. In-Home health services as an alternative form of presentation of patient care. Istanbul Medical Journal 2010; 11(3): 125-132.
• [4] Çayır Y. Home health care. Turkish Journal of Family Medicine and Primary Care 2020;14(1):147-152.
• [5] Eser U. Integration of home care and palliative care. Clinical Medicine Family Medicine. 2016; 8(3): 45-47.
• [6] Özgünay ŞE, Akça F, Karasu D, Kılıç İ. The relationship between patient care burden and empathy in caregivers of intensive care unit survivors. JARSS. 2019; 27(1): 15-21.
• [7] Işık O, Kandemir A, Erişen MA, Fidan C. Profile of patients who use home care health services and evaluation of provided service. Hacettepe Sağlık İdaresi Dergisi. 2016; 19(2):171-186.
• [8] Yörük S, Çalışkan T, Gündoğdu H. Determining the reasons for taking care of and the services provided for the elderly individuals age 65 and over who take care from the balıkesir state hospital home care unit. Balıkesir Health Sciences Journal. 2012;1(1): 12-15.
• [9] Çubukçu M. Falling risk assesment in home care patients. Turkish Journal of Family Practice. 2018;22(2): 50-57.
• [10] Erkan H, Altuntaş M. Evaluation of care burden for the patients receiving home health care. Ankara Medical Journal. 2019;19(3):591-601.
• [11] Sezer A, Demirbaş H, Kadıoğlu H. Home care nursing: Professional competencies and education standards. Florence Nightingale Journal of Nursing 2015;23(2): 160-165.
• [12] Dawani HA, Hamdan-Mansour AM, Ajlouni AT. Users’ perception and satisfaction of current situation of home health care services in Jordan. Health. 2014;6 (7): 549-558.
• [13] Cimete G. Evde bakım hemşireliği. Türk Yoğun Bakım Dergisi. 2008;6(4).(Turkish)
• [14] Taylan S, Alan S, Kadıoğlu S. Roles of Nursing and Autonomy. HEMAR-G. 2012;14(3): 66-74.
• [15] Akdemir N, Bostanoğlu H, Yurtsever S, Kutlutürkan S, Kapucu S, Özer ZC. Needs of home care services for the bed ridden patient’s problems living in their home. Dicle Medical Journal 2011;38(1):57-65.
• [16] Çatak B, Kılınç AS, Badıllıoğlu O, Sütlü S, Sofuoğlu AE, Aslan D. Profile of elderly patients who use health services in their homesand in-home care. Turkish Journal of Public Health 2012;10(1): 13-21.
• [17] Karaman D, Kara D, Atar YN. Care needsand disease states of individuals, who home health care services are provided evaluating: example of Zonguldak province. Gümüşhane University Journal of Health Sciences 2015; 4(3):347-359.
• [18] Ohashi K, Adachi A, Hosoda T. A Survey on home care needs of patients with hematological diseases. Europe PMC. 2019;46(1): 157-160.
• [19] Urbietė L, Lesauskaitė V, Macijauskienė J. Discharge planning and home care needs assessment for older patients in a nursing hospital. Medicina 2020;56(60): 2-12.
• [20] Gümüş R, Sarıbaş S. Analysis of home health care services provided by health ministry of Turkey in Diyarbakır and its districts in 2015. International Journal of Health Management and Strategies Research 2017;3(1): 17-27.
• [21] Velioğlu P, Babadağ K. Hemşirelik ve Gelişimi Tarihi, Eskişehir: Açıköğretim Yayınları, 1992. (Turkish)
• [22] Sundberg CS. Fundamentals of Nursıng. 2nd. Ed., Boston: Jones and Bartlett Publishers, 1989
• [23] Lindeman CA, McAthie M. Fundamentals of Contemporary Nursıng Practice. USA: W.B. Saunders Company. 1999.
• [24] Humphrey CJ, Nuzzo MP. Transitioning Nurses to Homecare. Horris, M. D. (Ed.). Handbook of Home Health Care Administration. Jones And Barlett Publisher. India 2009; 515- 528.
• [25] Akaltun H, Ersin F. Determining the attitude and behavior of the diabetic patients that receive home care. DEUHFED 2016; 9(4):126-133.
• [26] Ergün S, Sivrikaya S. Home care applications and management in children with type 1 diabetes. Balıkesir Journal of Health Sciences 2012;1(2):90-94.
• [27] O’Reilly CA. Managing the care of patients with diabetes in the home care setting. Diabetes Spectrum 2005;18(3):162-166.
• [28] Bilik Ö. Travel to home from the clinic: Home care of the surgery patients. Journal of Ege University Nursing Faculty 2017;33(1):114-127.
• [29] Kasapoğlu ES, Enç NA. Guide for the nurses in care management of heart failure. Journal of Cardiovascular Nursing 2017;8(16):35-44
• [30] Tsuchihashi-Makaya M, Matsuo H, Kakinoki S, Takechi S, Kinugawa S, Tsutsui H; J-HOMECARE Investigators. Home-based disease management program to improve psychological status in patients with heart failure in Japan. Circ J. 2013;77(4):926- 33.
• [31] Kebudi R, Çakır FB, Gultekin M. Palliative care to the cancer patient in Turkey. In: Sılbermann M (eds) Palliative Care to the Cancer Patient New York: Nova Science Publishers 2014;193- 210.
• [32] Şahan Uslu F, Terzioğlu F. Palliative care education and organization in the world and Turkey. Cumhuriyet Nursing Journal 2015;4 (2):81-90.
• [33] Sijabata M, Dahliaa D, Waluyoa A. Experiences of palliative care nurses in providing home-based care for patient wiht advanced cancer. Enfermeria Clinical 2019; 29(2):413-417.
• [34] Schneider SM, Pouget I, Staccini P, Rampal P, Hebuterne X. Quality of life in long-term home enteral nutrition patients. Clinical Nutrition 2000;19(1):23-28.
• [35] Visvanathan R, Macintosh C, Callary M, Penhall R, Horowitz M, Chapman I. The nutritional status of 250 older Australian recipients of domiciliary care services and its association with outcomes at 12 months. Journal of the American Geriatrics Society 2003;51:1007-1011.
• [36] Nordin N, Kamaruzzaman SB, Chin AV, Poi PJH, Tan MP. A descriptive study of nasogastric tube feeding among geriatric inpatients in Malaysia: Utilization, complications, and caregiver opinions. Journal of Nutrition in Gerontology and Geriatrics 2015;34(1):34-49.
• [37] Lim ML, Yong BYP, Mar MQM, Ang SY, Chan MM, Lam M, Chong NCJ, Lopez V. Caring for patients on home enteral nutrition:Reported complications by home carers and perspectives of community nurses. J Clin Nurs. 2018;27(13- 14):2825-2835.
• [38] Nagai H et al. Present situation of home care and roles of nurses at Tokyo Women’s. Medical Unıversity – throughthe 5 – year home care support activities. Gan To Kagaku Ryoho. 2003;30(1):176-179.
• [39] Warren ML. An inter disciplinary ventilato-dependent patients to home. J Nurs Care Qual. 2004;19(1):67-73.
• [40] Düzkaya SD, Bozkurt G. Home care of intensive care patients. Journal of Intensive Care Nursing 2012;16 (1):21-28.
• [41] Liebel DV, Friedman B, Watson NM, Powers BA. Which components of a primary care affiliated home visiting nurse program are associated with disability maintenance/ improvement? Home Health Care Serv Q. 2012;31(2):155-80.
• [42] Nadarevic-Stefanec V, Malatestinic D, Mataija-Redzovic A, Nadarevic T. Patient satisfaction and quality in home health care of elderly Islanders.Collegium Antropologicum 2011;35(2):213-216.
• [43] Öztürk GZ, Toprak D. Evde sağlık hizmetleri birimine kayıtlı hastaların sosyo-demografik özellikleri ve sunulan sağlık hizmetlerinin değerlendirilmesi. The Medical Bulletin of Sisli Etfal Hospital 2018;52(1):41-46. (Turkish)
• [44] Bouman A, Van Rossum E, Nelemans P, Kempen G, Knipschild P. Effects of intensive home visiting programs for older people with poor health status: A systematic review. BMC Health Service Research. 2008;8(74):1-11