Abstract:
BACKGROUND:Hospital discharge of older people receiving care at home offers a salient opportunity to identify and address their family caregivers' self-identified support needs. OBJECTIVES:This study tested the hypothesis that the extent to which family caregivers of older people discharged home from hospital felt prepared to provide care at home would be positively influenced by their inclusion in the new Further Enabling Care at Home program. DESIGN:This single-blind randomised controlled trial compared outcomes from usual care alone with those from usual care plus the new program. The program, delivered by a specially trained nurse over the telephone, included: support to facilitate understanding of the patient's discharge letter; caregiver support needs assessment; caregiver prioritisation of urgent needs; and collaborative guidance, from the nurse, regarding accessing supports. SETTING AND PARTICIPANTS:Dyads were recruited from the medical assessment unit of a Western Australian metropolitan public hospital. Each dyad comprised a patient aged 70 years or older plus an English speaking family caregiver. METHODS:The primary outcome was the caregiver's self-reported preparedness to provide care for the patient. Data collection time points were designated as: Time 1, within four days of discharge; Time 2, 15-21days after discharge; Time 3, six weeks after discharge. Other measures included caregivers' ratings of: their health, patients' symptoms and independence, caregiver strain, family well-being, caregiver stress, and positive appraisals of caregiving. Data were collected by telephone. RESULTS:Complete data sets were obtained from 62 intervention group caregivers and 79 controls. Groups were equivalent at baseline. Needs prioritised most often by caregivers were: to know whom to contact and what to expect in the future and to access practical help at home. Support guidance included how to: access help, information, and resources; develop crisis plans; obtain referrals and services; and organise legal requirements. Compared to controls, preparedness to care improved in the intervention group from Time 1 to Time 2 (effect size=0.52; p=0.006) and from Time 1 to Time 3 (effect size=0.43; p=0.019). These improvements corresponded to a change of approximately 2 points on the Preparedness for Caregiving instrument. Small but significant positive impacts were also observed in other outcomes, including caregiver strain. CONCLUSIONS:These unequivocal findings provide a basis for considering the Furthering Enabling Care at Home program's implementation in this and other similar settings. Further testing is required to determine the generalisability of results.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Toye C,Parsons R,Slatyer S,Aoun SM,Moorin R,Osseiran-Moisson R,Hill KDdoi
10.1016/j.ijnurstu.2016.09.012subject
Has Abstractpub_date
2016-12-01 00:00:00pages
32-41eissn
0020-7489issn
1873-491Xpii
S0020-7489(16)30159-6journal_volume
64pub_type
杂志文章abstract:BACKGROUND:The handover and transport of critically ill pediatric patients requires communication amongst multiple disciplines. Poor communication is a leading cause of sentinel events and human factors affect handover and transport. OBJECTIVES:To synthesize published data on pediatric handover and transport and ident...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Weaning from mechanical ventilation is a frequent nursing activity in critical care. Nature-based sound as a non-pharmacological and nursing intervention effective in other contexts may be an efficient approach to alleviating anxiety, agitation and adverse effects of sedative medication in patients undergoin...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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更新日期:1994-12-01 00:00:00
abstract:BACKGROUND:The significant drop in child mortality due to diarrhea has been primarily attributed to the use of oral rehydration solutions, continuous feeding and zinc supplementation. Nevertheless uptake of these interventions have been slow in developing countries and many children suffering from diarrhea are not rece...
journal_title:International journal of nursing studies
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更新日期:2017-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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abstract::The underlying philosophical assumptions associated with the current vogue for humanistic and holistic approaches to nursing have not been subjected to systematic scrutiny, laying nursing open to the charge of being anti-scientific and even irrational. This paper outlines some of these assumptions and their origins, a...
journal_title:International journal of nursing studies
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更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Chronic obstructive pulmonary disease (COPD) is predominantly caused by cigarette smoking and is considered a worldwide preventable chronic illness. Smoking cessation is considered the primary intervention for disease management and nurses should play a major role in assisting patients to stop smoking. Curre...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2008.06.008
更新日期:2008-12-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2014-12-01 00:00:00
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journal_title:International journal of nursing studies
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更新日期:2012-11-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2018.09.017
更新日期:2019-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/S0020-7489(03)00132-9
更新日期:2004-03-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2011-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.08.011
更新日期:2011-04-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2017-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.08.005
更新日期:2012-12-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.06.010
更新日期:2016-09-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.04.007
更新日期:2009-11-01 00:00:00
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pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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更新日期:2019-12-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1989-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ijnurstu.2011.09.005
更新日期:2012-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103527
更新日期:2020-04-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2002-11-01 00:00:00
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journal_title:International journal of nursing studies
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更新日期:2011-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(00)00111-5
更新日期:2001-12-01 00:00:00