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Home care as a gestalt: The lived experience of families receiving nursing care in the home
Title
Home care as a gestalt: The lived experience of families receiving nursing care in the home.
Creator
Ruth, Marla Claire., Florida Atlantic University, Coffman, Sherrilyn
Abstract/Description
The purpose of this nursing research study was to gain a deeper understanding of the experience of families receiving nursing care in the home. The question guiding the study was: What is the meaning (for families) of the experience of receiving nursing care in the home? Using van Manen's phenomenological approach, six families described their experience of receiving nursing care in their homes during taped conversational interviews. Following hermeneutical thematic analysis of the...
Show moreThe purpose of this nursing research study was to gain a deeper understanding of the experience of families receiving nursing care in the home. The question guiding the study was: What is the meaning (for families) of the experience of receiving nursing care in the home? Using van Manen's phenomenological approach, six families described their experience of receiving nursing care in their homes during taped conversational interviews. Following hermeneutical thematic analysis of the transcribed texts, one common metatheme emerged: Home Nursing Care Experienced within the Gestalt of Home Health Care. Four associated sub-themes emerged: (1) Being in Relationship with the Nurse; (2) Feeling Decreased Stress/Increased Comfort; (3) Having the Nurse as Family Advocate/Mediator; and (4) Finding the Way Through Chaos to Control.
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Date Issued
1994
PURL
http://purl.flvc.org/fcla/dt/15108
Subject Headings
Home nursing, Home care services, Family nursing, Nursing
Format
Document (PDF)
integrated framework for home healthcare delivery
Title
An integrated framework for home healthcare delivery.
Creator
Conaster, Mark., College of Engineering and Computer Science, Department of Computer and Electrical Engineering and Computer Science
Abstract/Description
With the increasing demands of rising medical costs in combination with a boom in elderly patients in need of quality patient care medical practices are being stressed. Patient to nurse ratios are increasing and government spending in the medical domain is at an all-time high threatening the futures of government medical programs such as Medicare and Medicaid. In this thesis we propose a framework for the monitoring of a patient's vital statistics in a home-based setting using a mobile smart...
Show moreWith the increasing demands of rising medical costs in combination with a boom in elderly patients in need of quality patient care medical practices are being stressed. Patient to nurse ratios are increasing and government spending in the medical domain is at an all-time high threatening the futures of government medical programs such as Medicare and Medicaid. In this thesis we propose a framework for the monitoring of a patient's vital statistics in a home-based setting using a mobile smart device. We believe that in taking advantage of the wireless sensor technology which is readily available today we can provide a solution that is both economically and socially viable offering a solid quality of healthcare in a comfortable and familiar environment. Our framework exposes both 802.11 and Bluetooth wireless protocol transmitting medical sensor devices using an Android platform device as a monitoring hub.
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Date Issued
2011
PURL
http://purl.flvc.org/FAU/3174510
Subject Headings
Home care services, Technological innovations, Telecommunication in medicine, Internet in medicine, Medical informatics, Medical telematics
Format
Document (PDF)
Medicaid incentive reimbursement programs in long-term care: An evaluation of the Florida Medicaid AIDS nursing home admission program
Title
Medicaid incentive reimbursement programs in long-term care: An evaluation of the Florida Medicaid AIDS nursing home admission program.
Creator
Cruise, Peter L., Florida Atlantic University, Clare, Donald A.
Abstract/Description
This study evaluated the Florida Medicaid Acquired Immunodeficiency Syndrome (AIDS) nursing home admission incentive program using goal attainment and constituency satisfaction criteria. The program provides additional reimbursement to nursing homes which admit Medicaid-covered persons with AIDS (PWAs). Goal attainment, i.e., increasing the rate of PWA admissions, was assessed using ICD-9-CM coded (for AIDS) Medicaid-covered hospital discharges to nursing homes as a surrogate nursing home...
Show moreThis study evaluated the Florida Medicaid Acquired Immunodeficiency Syndrome (AIDS) nursing home admission incentive program using goal attainment and constituency satisfaction criteria. The program provides additional reimbursement to nursing homes which admit Medicaid-covered persons with AIDS (PWAs). Goal attainment, i.e., increasing the rate of PWA admissions, was assessed using ICD-9-CM coded (for AIDS) Medicaid-covered hospital discharges to nursing homes as a surrogate nursing home admission measure. To assess satisfaction, both program constituencies--hospitals (N = 120) which place and nursing homes (N = 308) which agree to admit PWAs--were surveyed in 10 counties. For both constituencies, the surveys were designed to measure satisfaction along two dimensions: (1) the degree of satisfaction with the Florida program, and (2) the level of agreement with the general concept of incentive reimbursement. For nursing homes, the survey also measured: institutional characteristics, financial characteristics, and medical and technological issues. The goal attainment results revealed that the PWA admission rate showed no meaningful change over the five years studied. The constituency satisfaction results revealed that both constituencies were moderately satisfied with the Florida program and incentive programs generally, but that such satisfaction was not related to the number of PWAs admitted to nursing homes. Nursing home institutional characteristics and medical issues were not related to the number of PWAs admitted, but financial characteristics and technological issues were significantly (but negatively) related. The following policy implications were drawn. Although the Florida program did not meet its goal, both constituencies were satisfied with the program and incentives generally, leaving open the possibility for program modification. The previously unconfirmed concern that nursing homes fear intergenerational problems if PWAs were to be admitted was supported by the findings, but nursing home assertions that their lack of appropriate technology restricts PWA admissions were not.
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Date Issued
1995
PURL
http://purl.flvc.org/fcla/dt/12397
Subject Headings
Nursing homes--Florida--Cost control, Medicaid--Florida, AIDS (Disease)--Patients--Services for--Florida--Cost effectiveness, AIDS (Disease)--Patients--Long-term care--Florida--Cost effectiveness
Format
Document (PDF)