2.50
Hdl Handle:
http://hdl.handle.net/10755/155714
Type:
Presentation
Title:
Time Distribution of Selected Caring Activities in Home Care
Abstract:
Time Distribution of Selected Caring Activities in Home Care
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:June, 2001
Author:Bartholomeyczik, Sabine
P.I. Institution Name:University of Applied Sciences
Objective: The purpose of this study was to find out, how much time family caregivers need for selected caring activities and what influences on their duration can be identified. The project was initiated by the German Long Term Care Insurance (LTCI), which reimburses home care depending on the time informal carers need to complete selected activities. The LTCI recommends certain time ranges for care activities that are wholly compensatory as a basis for the assessment. The purpose of the recommended time ranges is to enhance assessment justice and comparability. Design: Cross-sectional and descriptive. Population: All applicants for reimbursement of the LTCI after their first assessment and the assessment result that they needed at least one wholly compensatory caring intervention. Sample: Convenience sample of 200 households. Setting: Home of the care dependent. Years: 1998/1999. Variables: Time of caring interventions, influences: patient's personal situation, kind of care dependency; motivation and stress of the family caregiver and her socioeconomic background, household characteristics. Methods: Time was taken during direct observation by stop watch following a definition of starting and ending marks. The family care giver was interviewed using a standardized questionnaire. Descriptive analyses (means, medians, STDs, Cluster analysis) were made using SPSS. Findings: The guidelines for assessment, edited by the Medical Service of the German Health Insurances, seem to define nursing activities (e.g. compensatory bathing of the whole body) at length, however caring activities differ in duration from household to household and from day to day. Moreover, it is nearly impossible to differentiate between selected activities, because they often are integrated in each other or are performed at the same time. Measuring time in home care is also very difficult because of the always-changing activities. These findings are important reasons for the huge standard deviations of the measured time. The frequency distributions are positively skewed, some are bimodal. The distribution analyses show that in many activities less than 50% of the cases fall into the recommended time range. No significant influences on the different durations could be found. Conclusions: It is impossible to enhance assessment justice and comparability by the recommended time ranges. The comparability could probably be improved by defining caring activities in smaller details. This, however, would make the assessment much more difficult. Implications: The results underline the uselessness of the care dependency concept in the German Long Term Care Insurance. Some results suggest that even the duration of the selected caring activities, as they are defined in the assessment guidelines, depends on the kind and severity of the care recipient (nursing diagnosis). Therefore, we suggest assessing the client's health status or his nursing diagnosis. However, this would mean to change the law of the LTCI in order to integrate a clear nursing concept.
Repository Posting Date:
26-Oct-2011
Date of Publication:
Jun-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTime Distribution of Selected Caring Activities in Home Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155714-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Time Distribution of Selected Caring Activities in Home Care</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">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">June, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bartholomeyczik, Sabine</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Applied Sciences</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sbartholo@aol.com</td></tr><tr><td colspan="2" class="item-abstract">Objective: The purpose of this study was to find out, how much time family caregivers need for selected caring activities and what influences on their duration can be identified. The project was initiated by the German Long Term Care Insurance (LTCI), which reimburses home care depending on the time informal carers need to complete selected activities. The LTCI recommends certain time ranges for care activities that are wholly compensatory as a basis for the assessment. The purpose of the recommended time ranges is to enhance assessment justice and comparability. Design: Cross-sectional and descriptive. Population: All applicants for reimbursement of the LTCI after their first assessment and the assessment result that they needed at least one wholly compensatory caring intervention. Sample: Convenience sample of 200 households. Setting: Home of the care dependent. Years: 1998/1999. Variables: Time of caring interventions, influences: patient's personal situation, kind of care dependency; motivation and stress of the family caregiver and her socioeconomic background, household characteristics. Methods: Time was taken during direct observation by stop watch following a definition of starting and ending marks. The family care giver was interviewed using a standardized questionnaire. Descriptive analyses (means, medians, STDs, Cluster analysis) were made using SPSS. Findings: The guidelines for assessment, edited by the Medical Service of the German Health Insurances, seem to define nursing activities (e.g. compensatory bathing of the whole body) at length, however caring activities differ in duration from household to household and from day to day. Moreover, it is nearly impossible to differentiate between selected activities, because they often are integrated in each other or are performed at the same time. Measuring time in home care is also very difficult because of the always-changing activities. These findings are important reasons for the huge standard deviations of the measured time. The frequency distributions are positively skewed, some are bimodal. The distribution analyses show that in many activities less than 50% of the cases fall into the recommended time range. No significant influences on the different durations could be found. Conclusions: It is impossible to enhance assessment justice and comparability by the recommended time ranges. The comparability could probably be improved by defining caring activities in smaller details. This, however, would make the assessment much more difficult. Implications: The results underline the uselessness of the care dependency concept in the German Long Term Care Insurance. Some results suggest that even the duration of the selected caring activities, as they are defined in the assessment guidelines, depends on the kind and severity of the care recipient (nursing diagnosis). Therefore, we suggest assessing the client's health status or his nursing diagnosis. However, this would mean to change the law of the LTCI in order to integrate a clear nursing concept.</td></tr></table>en_GB
dc.date.available2011-10-26T14:06:17Z-
dc.date.issued2001-06en_GB
dc.date.accessioned2011-10-26T14:06:17Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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