Title: Relationships among nursing care requirements, selected patient factors, selected nurse factors, and nursing resource consumption in home health care
Abstract:Nursing care requirements and nursing resource
consumption are essential data for programming and staffing
decisions made by nurse administrators in home health care.
However, it is not known how nurs...Nursing care requirements and nursing resource
consumption are essential data for programming and staffing
decisions made by nurse administrators in home health care.
However, it is not known how nursing needs of home health care
patients relate to the amount of nursing care consumed. This
retrospective exploratory study examined nursing care requirements
and nursing resource consumption within a systems framework in the
home health setting. The input variable of interest was nurse
expertise. Throughout was the identification of nursing care
requirements and was assessed using two measures: (a) patient
classification, and (b) patient factors that do not produce a
classification. The output measure was hours of direct care
provided by the nurse and the home health aide. The findings
indicate that nursing care requirements explained a significant but
limited amount of variation in hours of direct nursing care but not
in hours of direct care by the home health aide. Nursing diagnosis
as a patient factor explained a significant amount of variation in
hours of direct nursing care provided. The patient factors referral
source and initial payment source did not add to the variation
explained. The test of whether patient factors explain variatio n
in hours of home health aide care was not significant but lacked
sufficient power to be an adequate test. Nursing diagnosis
explained a significant amount of variation in the nursing care
requirements. The nurse factor expertise did not relate
significantly to either nursing care requirements or nursing
resource consumption. The findings support the importance of the
nurse-patient interaction in home health care but indicate that
further study is needed to refine measures of nursing care
requirements. The use of nursing diagnosis holds promise as a means
for predicting nursing resource consumption, with further work
needed to develop techniques for grouping and weighting the various
diagnoses. Additional work is needed in defining measures of
resource consumption both for use in agency management and for
reimbursement. Further work is also needed to understand what nurse
factors influence the nurse-patient interaction in regard to
nursing care requirements and nursing resource
consumption.Read More
Publication Year: 1990
Publication Date: 1990-01-01
Language: en
Type: dissertation
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