Patient Education in Home Care

To address rehospitalization rates and emergency department rates that were above the state and national averages, a quality improvement project was implemented at a midsized home healthcare agency. In order to address these escalating rates, the Home Health Universal Best Practice Protocol was developed and implemented by a home healthcare consultant. The protocol is evidence-based, time-specific, comprehensive, and includes interventions that are linked to reducing avoidable hospital visits. Interventions include risk assessment for rehospitalization, initiation of telehealth, utilization of teach-back method, and timely documentation. The Home Health Universal Best Practice Protocol was effective in not only exceeding objectives regarding decreasing rehospitalization and emergency department rates within a 6-month period but also in improving home healthcare agency referral rates.

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Home Health Care During Physical Distancing Affects Physical and Psychosocial Aspects, Self-Efficacy, Family Function, and Quality of Life of Families in Indonesia

Susanto,

Yunanto,

Septiyono

et al. 2023

Nurs. Med. J. Nursing

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Background: Physical distancing during the COVID-19 pandemic has impacted the activities of daily living (ADLs) of families, such as physical and psychosocial aspects, self-efficacy, family social function, and overall quality of life. However, research investigating the effects of home health care in enhancing these aspects during the physical distancing period remains limited.Purpose: This study aimed to evaluate the effects of implementing home health care on physical and psychosocial aspects, self-efficacy, family social function, and quality of life of families in East Java Province, Indonesia.Methods: A quasi-experimental study was conducted among 768 healthy families that were purposively recruited from April to May 2020. The home health care program was implemented for one month to provide nursing care to the families. Data were collected using self-administered questionnaires, and SPSS software was employed for data analysis. Chi-square tests were applied for categorical variables, while paired t-tests were used for continuous variables.Results: Significant differences were observed in blood pressure, pulse, and temperature before and after the implementation of home health care during the physical distancing period (p<0.05). There was an increase in body mass index (23.29(5.59) vs. 23.78(7.53); p=0.001). Notably, significant differences were also found in COVID-19 exposure risk factors, personal risk factors, sleep patterns, and physical activity before and after home health care (p<0.05). Furthermore, improvements were noted in self-efficacy, family social function, and the quality of life of the families after one month of home health care (p<0.05).Conclusion: Home health care during physical distancing positively affected the physical and psychosocial aspects, self-efficacy, family social function, and quality of life of the families. Thus, the guidance and support offered through home health care should be further developed to help families navigate the “new normal” era of COVID-19.

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Patient Education in Home Care

Abstract: This article describes principles for patient education, beginning with assessment of learning needs through evaluation. Strategies for effective teaching in the home care setting are presented, including use of educational resources.

Cited by 5 publications

References 9 publications

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Disease management interventions for heart failure

The Home Healthcare Universal Best Practice Protocol

Home Health Care During Physical Distancing Affects Physical and Psychosocial Aspects, Self-Efficacy, Family Function, and Quality of Life of Families in Indonesia

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