Nurses’ experiences of measuring nursing intensity in home healthcare: A qualitative study

Flo, Jill; Landmark, Bjørg Th.; Tønnessen, Siri; Fagerström, Lisbeth

doi:10.1177/2057158518807569

Cited by 2 publications

(1 citation statement)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, work intensity and workload [ 51 , 52 ] are closely related concepts that are often used interchangeably although they are not equivalent, leading to confusion: the former is a concept closely related to `patient dependence´, `acuity´ and `severity´, while the latter also includes indirect time, factors unrelated to patients such as, contextual and/or organisational factors and staff-related factors [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the workload of health professionals in hospital at home: a systematic review

Cordero-Guevara

Parraza-Diez

Vrotsou

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background Understanding the factors related to workload, could help hospital at home (HaH) managers to make decisions on the most appropriate and efficient use of the HaH services. Published studies on this topic are scarce, so we have conducted a systematic review to identify such factors according to published evidence. Methods Due to the heterogeneity of HaH models, HaH was defined as a care that provides a set of medical and nursing care and attention of hospital rank to patients at home, when they no longer require hospital infrastructure but still need active monitoring and complex care. The electronic data base literature search was conducted in MEDLINE (Ovid), EMBASE (Ovid), and Cinahl (EBSCOhost) from inception to December 2021, including grey literature. Search terms related to `hospital at home´, `workload´ and `care time´ were used. There was no restriction on language, type of study or year of publication. Quality of included studies was assessed using the Critical Appraisal Skills Programme (CASP) checklist and certainty in the body of evidence was assessed using the GRADE Pro Tool. Results were summarised in a tabulated format. Results Eighteen studies with 56,706 patients were included. Workload was measured as time, number of visits or both. The predictive factors of the workload included variables related to patient characteristics and other valid and reliable patient classification systems, as well as characteristics of the institutions where the studies were conducted. The factors associated with higher workloads were: being older, male, living in a rural environment, presenting a higher number of diagnoses, having worse functional status and being unable to assume self-care. Conclusions The identified predictors of workload are mostly associated with home nursing care. The results could be useful and applicable to different organisational models of HaH health systems. More studies that include physicians and proxy measures of workload are needed.

show abstract

Section: Discussionmentioning

confidence: 99%