Nurse Practitioners Aiding Frail Elderly Through Home Visits

Duckworth, Joy M.; Repede, Elizabeth; Elliott, Lydia

doi:10.1177/1084822313484760

Cited by 6 publications

(3 citation statements)

References 13 publications

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“…Nurses are the primary care providers for older adults (Duckworth, Repede, & Elliott, 2013). Nurses represent the majority of health workers in Jordan (44%).…”

Section: Introductionmentioning

confidence: 99%

Predictors of job satisfaction of registered nurses providing care for older adults

et al. 2020

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Background The population worldwide is ageing. This has required the nursing profession to respond to the growing demands of providing nursing care to this population. Purpose To identify predictors of job satisfaction among registered nurses providing care for older adults. Methods A cross‐sectional correlational design was used with a convenience sample of nurses. The Quality Work Competence Questionnaire, Job Satisfaction Scale and Nurses' Occupational Stress Scale were used to measure study variables. Descriptive statistics and multiple regressions were used to analyse the data. Results The study included 500 nurses; and 68% dissatisfied with their job. Nurses were mostly dissatisfied with the physical conditions in which they work (55.2%) and the rate of payment (50.2%). Physical strain demonstrated the highest positive correlation with nurses' satisfaction (r = .36). More years of experience, skills and employee development, high nurses' competence, and more physical strain predicted high job satisfaction. Conclusion Job dissatisfaction among nurses providing care for older adults is high and is influenced by nurses' experience, professional development, competency and physical strain. Implications Health care organisations should apply strategies that enhance the development of the professional competency of their nursing staff.

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“…Nurses are the primary care providers for older adults (Duckworth, Repede, & Elliott, 2013). Nurses represent the majority of health workers in Jordan (44%).…”

Section: Introductionmentioning

confidence: 99%

Predictors of job satisfaction of registered nurses providing care for older adults

et al. 2020

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“…17 Studies indicate that NPs provide patient-centred, high quality of care to homebound elderlies resulting in reduced numbers of rehospitalisation and emergency department visits. 18,19 There have been many studies regarding the autonomy of nurses, specifically in home care. 20,21 Overall, NPs in the US perceive and show a high level of autonomy, even though there are variations among states.…”

Section: Introductionmentioning

confidence: 99%

Nurse Practitioners in Swiss Family Practices as Potentially Autonomous Providers of Home Visits: An Exploratory Study of Two Cases

Gysin

Bischofberger

Meier

et al. 2020

Home Health Care Management & Practice

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In Swiss primary care, general practitioner (GP) home visits have decreased due to impending GP shortages particularly in rural areas. Nurse practitioners (NP) are newly introduced in family practices and could potentially offer home visits to the increasing number of multimorbid elderly. We analysed consultation data from two pilot projects (Practice A and Practice B) with the goal to measure the frequency and patient characteristics of NP consultations both in the practice and on home visits, and to determine the NPs’ autonomy based on the required GP supervision. In Practice A, 17% of all NP consultations were home visits, in Practice B 51%. In both practices, the NPs saw older patients and reported higher autonomy on home visits compared to consultations in the practice. In Practice A, the NP encountered a higher share of multimorbid patients on home visits than in the practice, and the NP’s proportion of autonomously conducted consultations increased from 0% in the first month to 19% after 13 months of GP supervision. In Practice B, the NP was autonomous in about three-quarters of consultations after 2 years on the job. These first cases provide some evidence that NPs could reach a relatively high degree of autonomy and might pose a potential solution for the decreasing numbers of GP home visits to multimorbid elderly in Swiss primary care.

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“…Health care systems are expected to respond to these demographic changes (Shrivastava, Shrivastava, & Ramasamy, ). Among health care providers, nurses constitute the largest proportion and are considered the primary providers of care for older adults (Duckworth, Repede, & Elliott, ; Nazer & Tuffaha, ).…”

Section: Introductionmentioning

confidence: 99%

Predictors of quality of care provided for older adults

et al. 2019

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Background The work conditions in which the nurses provide care for older adults affect the quality of care. Study aim (a) To describe the quality of care for older adults as perceived by the nurse; (b) to examine the relationship between occupational stress, work climate, employee development and quality of care for older people; and (c) to determine the predictors of quality of care provided for older adults. Methods A descriptive correlational design was used in this study. A multi‐strategic sampling technique was used to recruit a sample of 500 nurses providing care for older adults in hospitals and health care centres. Results Almost 80% of the participating nurses reported that their workplace was insufficiently staffed. Quality of care was significantly associated with occupational stress, nurses’ competence and employee development. Significant predictors of quality of care were occupational stress, work climate and employee development. Conclusion Enhancing nurses' work climate, decreasing occupational stress and increasing chances for employee development would improve the quality of care provided for older adults. Implications for nursing management Health institutions have the opportunity to implement work environment improvements that increase support for advancing staff knowledge and skills by providing additional support for continuing education regarding the care of older adults.

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Nurse Practitioners Aiding Frail Elderly Through Home Visits

Cited by 6 publications

References 13 publications

Predictors of job satisfaction of registered nurses providing care for older adults

Predictors of job satisfaction of registered nurses providing care for older adults

Nurse Practitioners in Swiss Family Practices as Potentially Autonomous Providers of Home Visits: An Exploratory Study of Two Cases

Predictors of quality of care provided for older adults

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