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Nursing practice in home care: an integrative literature review

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Blessing Home Care nurses get high tech skills update

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Chapter 2. Telecare, dialogue and debate the participative conference

Tembeka Ntusi and PatriciaSchumann deserve special mention for the significant contributions they. Mary Katherine Kraft provided helpful consultationin statistical processing during the course of the original research. Our thanks extend to various individuals within the Bryn Mawr Col-lege and Graduate School of Social Work and Social Research commu-nity who assisted in the administrative, budgetary, and technicalexecution of the project.

Included here are Ruth W.


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Val J. His staff also participated in reviewing drafts of the surveyquestionnaire used in conducting the research reported in this book. We extend our sincere thanks to the cooperating executive directorsand coordinating site staff at the participating Pennsylvania and Delawarehome health care agencies. The willing participation of the staff and patients at the local agencysites and the executive directors comprising the national sample of homehealth care agencies in this investigation was, of course, of crucialimportance in carrying out this analysis.

Their capacity to give of them-selves and share their organizational, professional, and personal expe-riences in home health care was pivotal in bringing our research to asuccessful conclusion. Regardless of what now appears to be a long-term state of resource scarcityin the public sector, one specialized field of the health and human services,home health care, has seemingly proven that it is not only able to survivebut even thrive.

However, thesimple fact that home care is such an attractive health care option may haveproven to be as influential as any factor, including its cost savings qualities,in the ultimate decision to expand in-home care Applebaum, As the health care system continues down the path toward a capitated,prospective payment system, home health care is likely to be the com-monly preferred route not only for patients but also for those who areexpected to foot the bill.

Reflective of the current popularity of home care, the number of organ-izations providing in-home services to functionally impaired individualscontinues to increase at an impressive rate. The home care service industryhas grown from a mere 1, such programs in to more than 20,currently. In the context of a home care boom, the structure, auspice, andservice repertoire of those organizations delivering in-home servicesremains diverse, with help provided to millions of individuals confrontedby chronic health conditions, acute illness, terminal illness, and permanentdisabilities each year.

However, ofthe 20, operating organizations, more than 8, home care agenciesare noncertified and include home care aide organizations and hospices National Association for Home Care, These programs remain out-side Medicare for various reasons, including the likelihood that they do notprovide the kinds of services that Medicare covers or do not provide skillednursing care, which is required for reimb Published on Dec View Download 2.

Home Care and Home Services

About the Contributor Raymond L. All rights reserved. Springer Publishing Company, Inc. Kaye, Joan K. Davitt; with a chapter by Raymond L. Medical technology.