Examining Health Problems and Intensity of Need for Care in Family-Focused Community and Public Health Nursing

Kaiser, Katherine Laux; Hays, Beverly J.; Cho, Won Jung; Agrawal, Sangeeta

doi:10.1207/s15327655jchn1901_03

Cited by 6 publications

(8 citation statements)

References 12 publications

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“…Some existing methods for calculating patient complexity use complicated formulas, but simple methods may be as successful as complex measures for predicting outcomes (Huntley et al, ). Comprehensive inventories, such as the Community Health Intensity Rating Scale (CHIRS), have been used to measure intensity of need for public health nursing care in community‐based families (Kaiser, Hays, Cho, & Agrawal, ). Our conceptualization of patient complexity is, at this point, limited to individual‐level care in the context of family and community for patients having high intensity of need.…”

Section: Discussionmentioning

confidence: 99%

Care coordination to target patient complexity and reduce disparities in primary care

Miller

Swartwout

Schoeny

et al. 2019

Public Health Nursing

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Objective The purpose of this study was to describe our Activation and Coordination Team (ACT) model for interprofessional care coordination in primary care and examine feasibility of using ACT medical and social complexity criteria to categorize patients into Quadrants that determine resource utilization. Research questions were: (a) Are there significant differences in demographic, medical, and social characteristics by Quadrant; (b) Do patients with combined high medical and social complexity differ from those with either high medical or social complexity; and (c) Is there an association between initial screening risk level and ACT Complexity Quadrant placement? Design Cross‐sectional, descriptive. Sample Patients (N = 167) aged 18–65 enrolled in an urban Medicaid managed care network. Measurements Screening and comprehensive health risk assessment questionnaires and clinical data collection from electronic health records. Results Patient characteristics differed significantly by Quadrant. Combined medical and social complexity produced greater impact than additive effects. Patients who initially screened low risk nevertheless met ACT criteria for medical and/or social complexity. Conclusions Greater effects for individuals with medical and social issues are due to interactions among factors. Traditional screening may miss patients with complex needs who need care coordination. Care coordination skills should be incorporated into population health curricula.

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Section: Discussionmentioning

confidence: 99%

Care coordination to target patient complexity and reduce disparities in primary care

Miller

Swartwout

Schoeny

et al. 2019

Public Health Nursing

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“…A relation was found between the number of family health problems and intensity of need for care (74.1%). This finding indicates that family problem labels and intensity of need for care both provide essential information for health need determination in C/PHN practice (Kaiser et al, 2002).…”

Section: Instrument Development In the Usmentioning

confidence: 93%

“…The TSS is the sum of the scores of each of the 15 parameters. The TSS can range from 0 (however, it is not possible practically) to 60 points (Hays et al, 1997; Kaiser et al, 2002).…”

Section: Instrument Description—turkish Versionmentioning

confidence: 99%

“…Hence, tools ought to be available to assess the intensity of all these family/community health care needs in order to provide the practicing nurse with a clear direction for effective care. Such tools are available in the United States of America (U.S.) (Kaiser, Hays, Cho, & Agrawal, 2002; Peters, 1988; Zink, 1994), but they do not exist in Turkey. Because nursing has not yet reached that desired level in Turkey, measurement tools that will supply evidence‐based improvement to health care in Turkey are insufficient (Bayraktar, 1999).…”

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confidence: 99%

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Study of the Reliability and Validity of the Community Health Intensity Rating Scale (CHIRS) in the Turkish Community

Çelebioğlu

Özsoy

Peters

2007

Public Health Nursing

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The purpose of this study was to examine the reliability and validity of the Community Health Intensity Rating Scale (CHIRS) that was translated into the Turkish language and applied in the Turkish community. The CHIRS is a tool that assesses the intensity of need for care of persons/families in the community. The original version of the tool was translated into Turkish, examined for face validity and language appropriateness by the Turkish experts, and then applied to 372 families living in Odemis, Turkey. Significant correlations were found between total scale score (TSS) and total number of household members, and between the TSS and the total number of visits to any health institution within the previous month. In addition, the self-health care needs evaluation scores supported predictive validity. For reliability, min-max values, standard errors and deviations, skewness, and kurtosis coefficients of parameter scores, domain scores, and TSS were examined. The mean TSS was 26.7 (+/- 5.32) and the mean age of the participants was 35.0 years. For internal consistency, Cronbach's alpha (.525) and Guttman split-half coefficient (.629) values were established for the TSS. In conclusion, the reliability and validity of the Turkish version of CHIRS have been established.

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“…However, health care and services in the West are largely focused on individuals. The needs of families, while numerous, often receive little consideration . Families are thus often left on their own to face the challenges posed by their health situation and can experience feelings of helplessness, worthlessness and distress when confronted with the difficulty of coping with the impacts of a health problem or a transitional situation on the family as a whole .…”

Section: Introductionmentioning

confidence: 99%

Creating a space to talk about one's experience of suffering: families’ experience of a family nursing intervention

Gervais

Verdon

deMontigny

et al. 2019

Scandinavian Caring Sciences

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Study rationale The impacts of health problems on individual and family functioning, as well as the influence of family on health, are well documented. However, health care and services in the West are mostly oriented towards individuals, and the needs of families often receive little consideration. The Family Support Service (FSS) was developed to address this situation. Its aim is to improve the education of nursing students and contribute to the health of the community by offering family conversations to families whose members have a health problem or who have difficulty adjusting to certain transitions. Aims and objectives The objective of this study was to explore families’ experience of the family conversations in which they participated and their satisfaction with the FSS. Methodological design and justification This study used a descriptive qualitative design based on semi‐structured interviews and thematic analysis. The study followed ethical codes of conduct and conformed to the Canadian Tri‐Council Policy Statement (TCPS). Research methods Qualitative interviews were conducted with 22 participants who had participated in family conversations as interventions, to evaluate their experience of those family conversations and their satisfaction with the FSS. Results The families reported a very positive experience of the family conversations. Three themes emerged from their statements and explained this satisfaction: (i) the nurse's attitudes and skills as the foundation for meaningful encounters; (ii) a family systems intervention where families feel recognised; and (iii) a structure adapted to the needs of families. Conclusions This study adds to the existing body of knowledge on families’ experience of family system nursing and invites nurses to develop attitudes that are conducive to meaningful encounters with families.

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Examining Health Problems and Intensity of Need for Care in Family-Focused Community and Public Health Nursing

Cited by 6 publications

References 12 publications

Care coordination to target patient complexity and reduce disparities in primary care

Care coordination to target patient complexity and reduce disparities in primary care

Study of the Reliability and Validity of the Community Health Intensity Rating Scale (CHIRS) in the Turkish Community

Creating a space to talk about one's experience of suffering: families’ experience of a family nursing intervention

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