Nursing workload predictors in Catalonia (Spain) : a home care cohort study
Copyright © 2010 SESPAS. Published by Elsevier Espana. All rights reserved..
OBJECTIVE: To identify the characteristics of chronic patients and their environment in order to predict the nursing workload required 1 year after their inclusion in a home care program.
METHODS: A longitudinal study was carried out in 72 primary health care teams in Catalonia (Spain) with a 1-year follow-up of 1,068 home care patients over 64 years old. The variables collected from each patient included data on health and social status (Charlson and Barthel indexes and the Pfeiffer, Braden and Gijon scales), carer overburden (Zarit scale), hospital admissions, use of emergency services, self-perceived health (SF-12) and the number of health worker visits.
RESULTS: Patients received 7.2 (SD 10.4) visits per year from their nurse-in-charge, out of a total of 8.7 (SD 13.1) nursing visits per year. Risk factors for receiving more nursing visits at home were male gender (IRR=1.42, 95%CI: 1.20-1.67), dependency for daily activities (IRR=1.65, 95%CI: 1.29-2.13), decubitus ulcers (IRR=4.03, 95%CI: 2.27-7.14) and receiving emergency medical care at home (IRR=1.65, 95%CI: 1.31-2.07). In contrast, patients with major cognitive impairment (IRR=0.78, 95%CI: 0.63-0.98) had a lower probability of receiving nursing visits at home.
CONCLUSIONS: Workload can be predicted by patients' clinical characteristics. The positive correlation of workload with variables related to disease severity and the negative correlation with variables related to cognitive impairment show that home care nursing in Catalonia is basically demand-oriented.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2011 |
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| Erschienen: |
2011 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
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| Enthalten in: |
Gaceta sanitaria - 25(2011), 4 vom: 15. Juli, Seite 308-13 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Gené Badia, Joan [VerfasserIn] |
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| Anmerkungen: |
Date Completed 19.12.2011 Date Revised 10.12.2019 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.gaceta.2010.12.011 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM207473277 |
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| 245 | 1 | 0 | |a Nursing workload predictors in Catalonia (Spain) |b a home care cohort study |
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| 500 | |a Date Revised 10.12.2019 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2010 SESPAS. Published by Elsevier Espana. All rights reserved. | ||
| 520 | |a OBJECTIVE: To identify the characteristics of chronic patients and their environment in order to predict the nursing workload required 1 year after their inclusion in a home care program | ||
| 520 | |a METHODS: A longitudinal study was carried out in 72 primary health care teams in Catalonia (Spain) with a 1-year follow-up of 1,068 home care patients over 64 years old. The variables collected from each patient included data on health and social status (Charlson and Barthel indexes and the Pfeiffer, Braden and Gijon scales), carer overburden (Zarit scale), hospital admissions, use of emergency services, self-perceived health (SF-12) and the number of health worker visits | ||
| 520 | |a RESULTS: Patients received 7.2 (SD 10.4) visits per year from their nurse-in-charge, out of a total of 8.7 (SD 13.1) nursing visits per year. Risk factors for receiving more nursing visits at home were male gender (IRR=1.42, 95%CI: 1.20-1.67), dependency for daily activities (IRR=1.65, 95%CI: 1.29-2.13), decubitus ulcers (IRR=4.03, 95%CI: 2.27-7.14) and receiving emergency medical care at home (IRR=1.65, 95%CI: 1.31-2.07). In contrast, patients with major cognitive impairment (IRR=0.78, 95%CI: 0.63-0.98) had a lower probability of receiving nursing visits at home | ||
| 520 | |a CONCLUSIONS: Workload can be predicted by patients' clinical characteristics. The positive correlation of workload with variables related to disease severity and the negative correlation with variables related to cognitive impairment show that home care nursing in Catalonia is basically demand-oriented | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 700 | 1 | |a Borràs Santos, Alícia |e verfasserin |4 aut | |
| 700 | 1 | |a Carles Contel Segura, Joan |e verfasserin |4 aut | |
| 700 | 1 | |a Camprubí Casellas, M A Dolors |e verfasserin |4 aut | |
| 700 | 1 | |a Cegri Lombardo, Francisco |e verfasserin |4 aut | |
| 700 | 1 | |a Heras Tebar, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Noguera Rodríguez, Ramón |e verfasserin |4 aut | |
| 700 | 1 | |a González Martínez, Susana |e verfasserin |4 aut | |
| 700 | 1 | |a Oliver Olius, Anna |e verfasserin |4 aut | |
| 700 | 1 | |a Piñeiro González, Martiño |e verfasserin |4 aut | |
| 700 | 1 | |a Montanuy Baró, Teresa |e verfasserin |4 aut | |
| 700 | 1 | |a Limón Ramírez, Esther |e verfasserin |4 aut | |
| 700 | 1 | |a Aranzana Martínez, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Pedret Llaberia, Roser |e verfasserin |4 aut | |
| 700 | 1 | |a Borrell Muñoz, Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Hidalgo García, Antonio |e verfasserin |4 aut | |
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