2.50
Hdl Handle:
http://hdl.handle.net/10755/151187
Type:
Presentation
Title:
Developing of Home Care Record: Evidence-Based Review
Abstract:
Developing of Home Care Record: Evidence-Based Review
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Prasanatikom, Worranan, RN, PhD
P.I. Institution Name:Faculty of Medicine Ramathibodi Hospital, Mahidol University
Title:Nursing Instructor
[Research Paper or Poster Presentation] Objective: To develop the home care record in order to guarantee the completeness of the record as well as address any quality of care issues. Design: Ongoing action research (Phase 1) Population, Sample, Setting, Years: The sample of 12 home care nurses volunteered to participate in the focus groups and 61 records were randomized from home care files at Ramathibodi Hospital, Thailand during 2003-2005. Conceptual framework applied was the Andersen Model which included patients' and families' factors, home care provision and outcomes. Methods: Three focus groups of home care nurses discussed and summarized the data needed for care improvement. The evidence-based studies were review to determined variables related to home care provision and outcomes. The home care nurses were explained and clarified about the new record. After several trials to test for feasibility and the understanding of home care nurses, several changes were made during the first and second year of the project. In 2005, an auditor-team was set up and the total record of 61were reviewed and audited. Findings: The results showed that only 1-3% of the categories of family and caregiver profile, home environment and outcomes were below average. The completeness of assessment of the patient and family was 29.5% and 32.8%. Correctly determined nursing diagnosis and supporting data, nursing intervention and outcomes were 27.9%, 31.1% and 24.6%, respectively. Conclusions: The home care nurses have satisfied with the new record that is more convenience but the completeness of the data especially the subjective data still needs improvement. Implication: To complete the record, individual supervision and a continuing education of nursing process will help nurses understand the data needed for documentation.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDeveloping of Home Care Record: Evidence-Based Reviewen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151187-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Developing of Home Care Record: Evidence-Based Review</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Prasanatikom, Worranan, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Faculty of Medicine Ramathibodi Hospital, Mahidol University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing Instructor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">worranan01@yahoo.com</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Objective: To develop the home care record in order to guarantee the completeness of the record as well as address any quality of care issues. Design: Ongoing action research (Phase 1) Population, Sample, Setting, Years: The sample of 12 home care nurses volunteered to participate in the focus groups and 61 records were randomized from home care files at Ramathibodi Hospital, Thailand during 2003-2005. Conceptual framework applied was the Andersen Model which included patients' and families' factors, home care provision and outcomes. Methods: Three focus groups of home care nurses discussed and summarized the data needed for care improvement. The evidence-based studies were review to determined variables related to home care provision and outcomes. The home care nurses were explained and clarified about the new record. After several trials to test for feasibility and the understanding of home care nurses, several changes were made during the first and second year of the project. In 2005, an auditor-team was set up and the total record of 61were reviewed and audited. Findings: The results showed that only 1-3% of the categories of family and caregiver profile, home environment and outcomes were below average. The completeness of assessment of the patient and family was 29.5% and 32.8%. Correctly determined nursing diagnosis and supporting data, nursing intervention and outcomes were 27.9%, 31.1% and 24.6%, respectively. Conclusions: The home care nurses have satisfied with the new record that is more convenience but the completeness of the data especially the subjective data still needs improvement. Implication: To complete the record, individual supervision and a continuing education of nursing process will help nurses understand the data needed for documentation.</td></tr></table>en_GB
dc.date.available2011-10-26T10:54:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:54:28Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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