Assessing Health-Related Quality of Life in the Greek Home Health Care Setting

Αδαμακίδου, Θεοδούλα; Galanis, Petros; Kallergis, G; Katostaras, Theofanis; Patiraki, Elisabeth; Kalokerinou, Athena

doi:10.1177/1084822314559028

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…A study indicates that nurses assessed home care patients’ quality of life in a reliable and valid way that results in the improvement of their quality of life and quality of care (Adamakidou et al. ).…”

Section: The Manpower Staffing Hhc Servicesmentioning

confidence: 99%

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Home health nursing care services in Greece during an economic crisis

Αδαμακίδου

Kalokerinou-Anagnostopoulou

2016

International Nursing Review

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Section: The Manpower Staffing Hhc Servicesmentioning

confidence: 99%

“…Α brave effort is being made by HHC staff to satisfy patients’ needs and improve their quality of life (Adamakidou et al. ; Adamakidou et al. ).…”

Section: The Provision Of Nursing Care In Hhc Servicesmentioning

confidence: 99%

Home health nursing care services in Greece during an economic crisis

Αδαμακίδου

Kalokerinou-Anagnostopoulou

2016

International Nursing Review

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Team Members' Roles in Home Healthcare

Αδαμακίδου

Triantafyllopoulou

Feleki

et al. 2020

Home Healthcare Now

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Home healthcare has just recently won the interest of policy decision makers in Greece and there is a lack of knowledge regarding the contributions provided by each team member. The aim of this study was to describe the home care interventions carried out by nurses, physicians, and physiotherapists during the AKEΣΩ-1 project. We examined the data from 1,094 patients who received home healthcare (HHC) from an interdisciplinary team from the Hellenic Red Cross HHC services in three major cities in Greece during a 20-month period. The visits and interventions by nurses, physicians, and physiotherapists were grouped and measured. Patients were mostly older adults (80.73%), women (68.37%) with medical problems (46.8%). Nurses conducted 70.76% of the visits, and provided 21,017 interventions. Physiotherapists conducted 22.83% of the visits and 4,627 interventions, and physicians conducted 6.4% of the visits and 2,117 interventions. Nurses provided a wide range of complex skilled nursing interventions that required knowledge of the community and ability to network. Physiotherapy and educating patients and caregivers were the most frequent interventions of physiotherapists. The main role of physicians was to conduct clinical exams. The Greek healthcare system is hospital- and physician-oriented. We documented that in HHC, nurses take a lead role in providing care, organizing services, and collaborating with other community services. From a health and social policy perspective, proper planning and staffing of HHC services are required. From an academic and licensing perspective, it is important to ensure that nurses working in the community have appropriate preparation.

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A Stepwise, Mixed-Method Study Approach to Identify the Barriers to Dysphagia Care in Hospice Care Nurses

Tan

Gan

Hum

et al. 2018

J Hosp Palliat Nurs

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Dysphagia is common in palliative patients and worsens quality of life. Nurses are the main provider of dysphagia care. An audit showed poor compliance with dysphagia measures among nurses, but little is known about what the barriers are. We sought to evaluate barriers to dysphagia care among hospice nurses. This was a stepwise, mixed-method study. Baseline knowledge and attitudes were assessed, and a lecture was crafted based on the assessment. The knowledge and attitudes were then reassessed to investigate for any change. A focus group and an open-ended questionnaire were then used to assess for other barriers and for the effectiveness of training. Knowledge scores were low at baseline, and training improved the scores. Nurses cited the lack of time and lack of families' involvement as barriers to dysphagia care. While nurses believed that preventing aspiration is important, they also felt that most patients would refuse a modified diet and that respecting their wishes is important. Most nurses felt that the training increased their ability to care for patients with dysphagia. Our study demonstrated that knowledge deficit was an important barrier in dysphagia care for nurses, and this can be improved with a short training. Even though nurses rightly believed that patients' preferences are important, they struggled with trying to balance these preferences with preventing aspiration. Supporting them in making these decisions, having more time for feeding patients, and involving family members may be important to reduce barriers to care for patients with dysphagia.

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Assessing Health-Related Quality of Life in the Greek Home Health Care Setting

Cited by 4 publications

References 28 publications

Home health nursing care services in Greece during an economic crisis

Home health nursing care services in Greece during an economic crisis

Team Members' Roles in Home Healthcare

A Stepwise, Mixed-Method Study Approach to Identify the Barriers to Dysphagia Care in Hospice Care Nurses

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