Subjects -> ENVIRONMENTAL STUDIES (Total: 913 journals)
    - ENVIRONMENTAL STUDIES (810 journals)
    - POLLUTION (31 journals)
    - TOXICOLOGY AND ENVIRONMENTAL SAFETY (54 journals)
    - WASTE MANAGEMENT (18 journals)

ENVIRONMENTAL STUDIES (810 journals)            First | 1 2 3 4 5     

Showing 201 - 378 of 378 Journals sorted alphabetically
Energy and Environment Research     Open Access   (Followers: 13)
Energy and Environmental Engineering     Open Access   (Followers: 5)
Energy, Ecology and Environment     Hybrid Journal  
Entrepreneurship and Sustainability Issues     Open Access  
EnviroLab Asia     Open Access  
Environment & Ecosystem Science     Open Access   (Followers: 2)
Environment and Behavior     Hybrid Journal   (Followers: 24)
Environment and Development Economics     Hybrid Journal   (Followers: 43)
Environment and Ecology Research     Open Access   (Followers: 9)
Environment and Natural Resources Research     Open Access   (Followers: 5)
Environment and Planning A : Economy and Space     Full-text available via subscription   (Followers: 57)
Environment and Planning B : Urban Analytics and City Science     Full-text available via subscription   (Followers: 39)
Environment and Planning C : Politics and Space     Full-text available via subscription   (Followers: 45)
Environment and Planning D : Society and Space     Full-text available via subscription   (Followers: 76)
Environment and Planning E : Nature and Space     Hybrid Journal   (Followers: 4)
Environment and Pollution     Open Access   (Followers: 10)
Environment and Society     Open Access   (Followers: 9)
Environment Conservation Journal     Open Access   (Followers: 6)
Environment International     Hybrid Journal   (Followers: 15)
Environment Systems & Decisions     Hybrid Journal   (Followers: 1)
Environment, Development and Sustainability     Hybrid Journal   (Followers: 39)
Environment, Space, Place     Full-text available via subscription   (Followers: 9)
Environment: Science and Policy for Sustainable Development     Hybrid Journal   (Followers: 40)
Environmental & Engineering Geoscience     Full-text available via subscription   (Followers: 5)
Environmental & Socio-economic Studies     Open Access   (Followers: 1)
Environmental Advances     Open Access  
Environmental and Climate Technologies     Open Access   (Followers: 3)
Environmental and Molecular Mutagenesis     Hybrid Journal   (Followers: 4)
Environmental and Sustainability Indicators     Open Access   (Followers: 6)
Environmental and Water Sciences, public Health and Territorial Intelligence Journal     Open Access   (Followers: 2)
Environmental Bioindicators     Hybrid Journal   (Followers: 2)
Environmental Challenges     Open Access   (Followers: 1)
Environmental Chemistry     Hybrid Journal   (Followers: 9)
Environmental Chemistry and Ecotoxicology     Open Access  
Environmental Chemistry Letters     Hybrid Journal   (Followers: 4)
Environmental Claims Journal     Hybrid Journal   (Followers: 1)
Environmental Communication: A Journal of Nature and Culture     Hybrid Journal   (Followers: 16)
Environmental Development     Hybrid Journal   (Followers: 3)
Environmental Disease     Open Access   (Followers: 3)
Environmental DNA     Open Access   (Followers: 1)
Environmental Economics     Open Access   (Followers: 3)
Environmental Education Research     Hybrid Journal   (Followers: 16)
Environmental Engineering Science     Hybrid Journal   (Followers: 9)
Environmental Ethics     Hybrid Journal   (Followers: 12)
Environmental Evidence     Open Access   (Followers: 1)
Environmental Fluid Mechanics     Hybrid Journal   (Followers: 11)
Environmental Forensics     Hybrid Journal  
Environmental Geosciences     Full-text available via subscription   (Followers: 6)
Environmental Geotechnics     Hybrid Journal   (Followers: 6)
Environmental Hazards     Hybrid Journal   (Followers: 3)
Environmental Health     Open Access   (Followers: 12)
Environmental Health Insights     Open Access   (Followers: 5)
Environmental History     Hybrid Journal   (Followers: 29)
Environmental Impact Assessment Review     Hybrid Journal   (Followers: 22)
Environmental Innovation and Societal Transitions     Hybrid Journal   (Followers: 9)
Environmental Justice     Hybrid Journal   (Followers: 12)
Environmental Law Review     Full-text available via subscription   (Followers: 23)
Environmental Management     Open Access   (Followers: 54)
Environmental Management and Sustainable Development     Open Access   (Followers: 9)
Environmental Microbiology Reports     Hybrid Journal   (Followers: 9)
Environmental Modeling & Assessment     Hybrid Journal   (Followers: 18)
Environmental Modelling & Software     Hybrid Journal   (Followers: 35)
Environmental Monitoring and Assessment     Hybrid Journal   (Followers: 39)
Environmental Nanotechnology, Monitoring and Management     Open Access   (Followers: 1)
Environmental Policy and Governance     Hybrid Journal   (Followers: 16)
Environmental Pollutants and Bioavailability     Open Access  
Environmental Pollution     Hybrid Journal   (Followers: 26)
Environmental Processes : An International Journal     Hybrid Journal  
Environmental Research     Hybrid Journal   (Followers: 11)
Environmental Science & Policy     Hybrid Journal   (Followers: 19)
Environmental Science & Technology     Hybrid Journal   (Followers: 193)
Environmental Science & Technology Letters     Hybrid Journal   (Followers: 8)
Environmental Science : Atmospheres     Open Access   (Followers: 1)
Environmental Science : Water Research & Technology     Hybrid Journal   (Followers: 8)
Environmental Science and Ecotechnology     Open Access   (Followers: 4)
Environmental Science and Pollution Research     Hybrid Journal   (Followers: 11)
Environmental Science and Sustainable Development : International Journal Of Environmental Science & Sustainable Development     Open Access   (Followers: 12)
Environmental Science: Advances     Open Access   (Followers: 3)
Environmental Sciences     Hybrid Journal   (Followers: 5)
Environmental Sciences Europe     Open Access   (Followers: 2)
Environmental Skeptics and Critics     Open Access  
Environmental Smoke     Open Access  
Environmental Sociology     Hybrid Journal   (Followers: 2)
Environmental Sustainability     Hybrid Journal   (Followers: 1)
Environmental Systems Research     Open Access   (Followers: 2)
Environmental Technology     Hybrid Journal   (Followers: 2)
Environmental Technology & Innovation     Full-text available via subscription  
Environmental Technology Reviews     Hybrid Journal  
Environmental Toxicology     Hybrid Journal   (Followers: 11)
Environmental Toxicology & Chemistry     Hybrid Journal   (Followers: 22)
Environmental Toxicology and Pharmacology     Hybrid Journal   (Followers: 9)
Environmental Values     Full-text available via subscription   (Followers: 10)
Environments     Open Access  
Erwerbs-Obstbau     Hybrid Journal  
eScience     Open Access   (Followers: 2)
Estuaries and Coasts     Hybrid Journal   (Followers: 23)
Ethics & the Environment     Full-text available via subscription   (Followers: 7)
Ethics in Science and Environmental Politics     Hybrid Journal   (Followers: 5)
Ethics, Policy & Environment     Hybrid Journal   (Followers: 11)
Ethiopian Journal of Environmental Studies and Management     Open Access   (Followers: 3)
Études caribéennes     Open Access   (Followers: 1)
Euro-Mediterranean Journal for Environmental Integration     Hybrid Journal  
European Energy and Environmental Law Review     Full-text available via subscription   (Followers: 14)
European Environment: The Journal of European Environmental Policy     Hybrid Journal   (Followers: 5)
European Journal of Ecology     Open Access   (Followers: 1)
European Journal of Environmental and Civil Engineering     Hybrid Journal   (Followers: 5)
European Journal of Environmental Sciences     Open Access   (Followers: 1)
European Spatial Research and Policy     Open Access   (Followers: 9)
Evolutionary Ecology     Hybrid Journal   (Followers: 25)
Expert Opinion on Environmental Biology     Hybrid Journal  
Exposure and Health     Hybrid Journal  
Facta Universitatis, Series : Working and Living Environmental Protection     Open Access   (Followers: 1)
FIGEMPA : Investigación y Desarrollo     Open Access   (Followers: 1)
Fire Ecology     Open Access   (Followers: 2)
Food and Chemical Toxicology     Hybrid Journal   (Followers: 18)
Food and Ecological Systems Modelling Journal     Open Access  
Food and Environment Safety     Open Access   (Followers: 3)
Fordham Environmental Law Review     Open Access   (Followers: 4)
Forest Ecology and Management     Hybrid Journal   (Followers: 61)
Foresta Veracruzana     Open Access  
Forestry Chronicle     Full-text available via subscription   (Followers: 9)
Freshwater Biology     Hybrid Journal   (Followers: 32)
Fronteiras : Journal of Social, Technological and Environmental Science     Open Access  
Frontier of Environmental Science     Open Access   (Followers: 2)
Frontiers in Climate     Open Access   (Followers: 4)
Frontiers in Ecology and the Environment     Hybrid Journal   (Followers: 72)
Frontiers in Environmental Science     Open Access   (Followers: 1)
Frontiers in Water     Open Access  
Frontiers of Environmental Science & Engineering     Hybrid Journal   (Followers: 3)
Future Cities and Environment     Open Access   (Followers: 6)
FUTY Journal of the Environment     Full-text available via subscription  
Geo : Geography and Environment     Open Access   (Followers: 7)
Geo-Image     Open Access   (Followers: 1)
Geoacta     Open Access   (Followers: 2)
Geochemical Transactions     Open Access   (Followers: 2)
Geochronometria     Open Access   (Followers: 1)
Geoenvironmental Disasters     Open Access   (Followers: 3)
Geoforum     Hybrid Journal   (Followers: 25)
GeoHealth     Open Access  
Geology, Geophysics and Environment     Open Access   (Followers: 2)
Géomorphologie : relief, processus, environnement     Open Access   (Followers: 1)
GeoScience Engineering     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Geosystems and Geoenvironment     Open Access  
Global Challenges     Open Access  
Global Environment     Full-text available via subscription   (Followers: 1)
Global Environmental Change     Hybrid Journal   (Followers: 45)
Global Journal of Environmental Science and Management     Open Access   (Followers: 6)
Global Journal of Environmental Sciences     Full-text available via subscription  
Global Sustainability     Open Access   (Followers: 3)
Golden Gate University Environmental Law Journal     Open Access   (Followers: 3)
Grassland Science     Hybrid Journal  
Green Energy & Environment     Open Access   (Followers: 2)
Greenhouse Gas Measurement and Management     Hybrid Journal  
Groundwater for Sustainable Development     Full-text available via subscription   (Followers: 5)
Harvard Environmental Law Review     Free   (Followers: 13)
Health Services Management Research     Hybrid Journal   (Followers: 16)
Health, Safety and Environment     Open Access   (Followers: 34)
Hereditas     Open Access   (Followers: 1)
Hidrobiológica     Open Access  
Historia Ambiental Latinoamericana y Caribeña     Open Access   (Followers: 2)
História, Natureza e Espaço - Revista Eletrônica do Grupo de Pesquisa NIESBF     Open Access  
Home Health Care Management & Practice     Hybrid Journal   (Followers: 1)
Horticulture, Environment, and Biotechnology     Hybrid Journal   (Followers: 11)
Human & Experimental Toxicology     Hybrid Journal   (Followers: 8)
Human Ecology     Open Access   (Followers: 24)
Hydrology: Current Research     Open Access   (Followers: 9)
Ideas in Ecology and Evolution     Open Access   (Followers: 9)
IMA Journal of Management Mathematics     Hybrid Journal   (Followers: 1)
Indonesian Green Technology Journal     Open Access  
Indonesian Journal of Conservation     Open Access  
Indonesian Journal of Sustainability Accounting and Management     Open Access  
Indoor Air     Hybrid Journal   (Followers: 2)
Information Systems Management     Hybrid Journal   (Followers: 10)
Informs Journal on Applied Analytics:     Full-text available via subscription   (Followers: 15)
Ingeniería Hidráulica y Ambiental     Open Access  
Inhalation Toxicology     Hybrid Journal   (Followers: 8)
Innovative Infrastructure Solutions     Hybrid Journal  
Integrated Environmental Assessment and Management     Hybrid Journal   (Followers: 8)
Interdisciplinary Environmental Review     Hybrid Journal   (Followers: 3)
International Aquatic Research     Open Access   (Followers: 4)
International Archives of Occupational and Environmental Health     Hybrid Journal   (Followers: 7)
International Electronic Journal of Environmental Education     Open Access   (Followers: 1)
International Environmental Agreements: Politics, Law and Economics     Hybrid Journal   (Followers: 14)
International Journal of Acarology     Hybrid Journal   (Followers: 1)
International Journal of Agricultural and Environmental Information Systems     Full-text available via subscription   (Followers: 1)
International Journal of Alternative Propulsion     Hybrid Journal   (Followers: 23)
International Journal of Applied Earth Observations and Geoinformation     Open Access   (Followers: 1)
International Journal of Corrosion     Open Access   (Followers: 10)
International Journal of Critical Infrastructures     Hybrid Journal   (Followers: 2)
International Journal of Disaster Risk Reduction     Hybrid Journal   (Followers: 18)
International Journal of Disaster Risk Science     Open Access   (Followers: 14)
International Journal of Ecological Economics and Statistics     Full-text available via subscription   (Followers: 5)
International Journal of Ecology & Development     Full-text available via subscription   (Followers: 2)
International Journal of Energy and Environmental Engineering     Open Access   (Followers: 3)
International Journal of Energy and Water Resources     Hybrid Journal  
International Journal of Environment     Open Access   (Followers: 3)
International Journal of Environment and Climate Change     Open Access   (Followers: 22)
International Journal of Environment and Geoinformatics     Open Access   (Followers: 4)
International Journal of Environment and Health     Hybrid Journal   (Followers: 5)

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Home Health Care Management & Practice
Journal Prestige (SJR): 0.228
Number of Followers: 1  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1084-8223 - ISSN (Online) 1552-6739
Published by Sage Publications Homepage  [1174 journals]
  • Curriculum Interventions and Pedagogical Approaches for Virtual Care
           Delivery: A Scoping Review

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      Authors: Debra Palesy, Gail Forrest, Margaret E. Crowley
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      The onset of the COVID-19 pandemic has accelerated the adoption of virtual care as a modality for home-based care delivery to individuals and cohorts who might not otherwise have access. While a number of positive outcomes have been reported, rapid growth has occurred without critical consideration of clinician education and training. Little is known about the curricular and pedagogical requirements for educating current and future clinicians in virtual care provision. This review was informed by Arksey and O’Malley’s five-stage methodological framework for scoping reviews, first published in 2005. Using a clearly articulated search strategy and reporting process, over 4000 pieces of literature were analysed to inform this review. A final 17 papers were included. Common themes emerging in relation to curricula content include the basics of virtual care, cultural awareness, interprofessional collaboration/training, telepresence, encompassing non-verbal, verbal and environmental considerations, and virtual care clinical skills. Standalone modules are recommended for delivering ‘the basics’ of virtual care, while the interactive/participative approach is endorsed as an appropriate method of instruction. The reviewed literature reviewed offers a set of core inclusions and pedagogical approaches for a virtual care education program, although these are often mentioned in general terms and are not always well described. Moving beyond the COVID-19 pandemic, virtual care education for current and future clinicians requires a consistent and cohesive approach to curricula and pedagogies. These approaches should be rigorously evaluated as part of a continuous quality improvement process.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-06-16T07:14:01Z
      DOI: 10.1177/10848223221105865
       
  • “It’s Just Too Much”: The Financial Calculus in Medicare
           Hospice

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      Authors: William Cabin
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      There is extensive literature on the significance of financial incentives in the Hospice Medicare Benefit (HMB) and the growth of proprietary ownership of hospices in the United States. A literature review indicates a paucity of information on hospice nurses’ and hospice social workers’ perceptions of the impact of the HMB’s financial structure on care planning and delivery decisions. In a previous issue of this journal, the author addressed the literature gap by presenting a study on hospice nurses’ perceptions of the impact of financial factors on their decision-making regarding care for Medicare hospice beneficiaries. The study presented in this article is a companion qualitative study to the nurses’ study. This article presents background on the topic and an initial, exploratory study to address the literature gap, based on interviews of a convenience sample of 37 hospice social workers from 6 different hospices between December 1, 2018 and January 31, 2020, in the New York City metropolitan area. Six themes emerged from the interviews: finances are the guiding principle in care planning and service delivery decisions; balancing patient care needs, cost, and finance-related length of stay (LOS) is a challenge; the emphasis on finance diminishes the social workers’ ability to address hospice patient needs; the emphasis on finance diminishes the social workers’ ability to address hospice caregiver needs; the social work role is diminished because of the role of nurses in developing and implementing the plan of treatment, which influences finances; and the Interdisciplinary Team (IDT) is the crucial clinical and financial decision-making setting, but gives limited weight to social work input.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-06-09T06:08:10Z
      DOI: 10.1177/10848223221102544
       
  • Heart Smart: A Virtual Self-Management Intervention for Homebound People
           With Heart Failure: A Pilot Study

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      Authors: Sara Kate Frye, Alison Bell
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      Heart failure is a chronic medical condition that requires lifelong self-management to optimize health. Self-management strategies include self-monitoring symptoms, managing medications, modifying the diet, and maintaining healthy activity levels. However, knowledge of self-management skills is insufficient; people with heart failure must develop self-efficacy in order to take action to improve their health. Self-management programs rely on group interaction to build self-efficacy, but specialized group interventions are inaccessible to individuals who are homebound. The purpose of this pilot study was to examine the feasibility of Heart Smart, a 5-week, virtual program to increase self-efficacy for heart failure self-management. Three participants were enrolled from a large academic home health system in the greater Philadelphia area. All 3 participants demonstrated improved scores on the Self-Efficacy for Managing Chronic Diseases 6-Item Scale. Two out of the 3 participants had clinically important gains on the Kansas City Cardiomyopathy Questionnaire. All 3 participants made gains on the Atlanta Heart Failure Knowledge Test. Participants were able to log in and access the virtual meeting platform effectively with minimal training. Participant satisfaction within the group was high. These pilot study results indicate the potential for positive self-management gains, and larger scale trials of the Heart Smart intervention are recommended.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-06-03T10:18:08Z
      DOI: 10.1177/10848223221101194
       
  • Examining Characteristics and Service Utilization of South Korean Home
           Health Care Patients: Secondary Analysis of 10-Year Data From a Tertiary
           Hospital

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      Authors: Hana Lee, Aeri Kim, Hyunsook Heo, Jisoo Lee, Kyungmi Woo
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      This study aimed to identify the characteristics of home health care (HHC) patients, main diagnoses, service type, home visit patterns, and primary caregiver type from a major tertiary hospital in South Korea to provide basic data for tailored nursing care. We used Electronic Health Records (EHRs) data of 1776 patients, from 2011 to 2020, from a premier tertiary hospital in South Korea and conducted secondary data analysis using descriptive statistics, a chi-squared test, and an independent samples t-test. Patients’ mean age (i.e., 50.9% men and 49.1% women) was 74.50 ± 15.48 years. Further, admission to HHC via the outpatient and inpatient department comprised 1047 (59.0%) and 729 patients (41.0%), respectively. Based on the Korean Standard Classification of Diseases, neoplasms (49.9%) were identified as the most common main diagnosis, followed by diseases of the nervous system (10.3%) and musculoskeletal system and connective tissue disease (6.2%). An average of 2.2 homecare nursing services were provided per visit, with lab sampling (43.9%), other intravenous injections (31.0%), and ventilator care (23.0%) being the most frequent services. The total HHC service period for patients via the outpatient department was 76.88 days longer (292.24 vs 215.36 days) than those from the inpatient department. Younger patients were cared for by parents and siblings and older patients by spouses, offspring, and formal caregivers. It is pivotal to identify general characteristics of HHC patients through long-term monitoring and retrospective analysis to provide high-quality and tailored interventions to them.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-06-03T10:00:30Z
      DOI: 10.1177/10848223221099603
       
  • Effects of the Discharge Education Program on Family Caregivers Caring for
           Patients on Mechanical Home Ventilation in Korea: A Pilot Test

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      Authors: Hyang Sook Kim, Gwang Suk Kim, Hyangkyu Lee, JiYeon Choi, Young Sam Kim, Eui Geum Oh
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      Patients on home ventilators rely on mechanical ventilation until their death; hence, family caregivers should perform additional caregiving, including tracheostomy, equipment management, and positive pressure ventilation by ambu-bag in emergencies. Therefore, a systematic discharge education program and evaluation of actual caregiver performance are necessary for safe home management. The program consists of suction and tracheostomy management, home ventilator management, emergency management, fundamental caregiving, and video material. To test clinical validity, family caregivers of patients about to be discharged to their homes from S hospital in Seoul, Korea, were selected by convenience sampling with a non-equivalent control group design. Of 18 participants, one refused, one died, and two became unstable after their agreement; therefore, 14 participants were finally included. To compare caregiving performance scores between the groups, we ran repeated measures ANOVA. Intergroup and period interaction of suction (F = 6.08, p = .001) and tracheostomy management (F = 3.00, p = .038) crucial for airway management, showed significant statistical differences. In short, the intervention group showed a faster increase in suction and tracheostomy management than the control group. Home ventilator management (F = 22.53, p 
      Citation: Home Health Care Management & Practice
      PubDate: 2022-05-04T08:47:20Z
      DOI: 10.1177/10848223221096344
       
  • Strengths, Weaknesses, Threats, and Opportunities a Pediatric Home Care
           Program in Covid 19 Virus Pandemic: A Qualitative Study

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      Authors: Faramarzeh Kalhor, Marzieh Adel Mehraban, Majied Keyvanfar, Zobeideh Behjeh, Mahboobeh Namnabati
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      Covid 19 has made a huge difference in all aspects of life, especially in care and treatment. Hospitalization is limited because of infected family members and fear of getting Covid 19 has limited. The purpose of this study is to analyze the existing conditions based on the SWOT analysis for the home care program for children in Coronavirus crisis. This study is a qualitative study with a conventional content analysis approach. Participants were 18 nurses, physicians, and faculty members, selected based on their willingness to participate in the study and through purposeful sampling. Two specialized panels and 10 presence and in-presence interview sessions were held to collect data. Then, the data were analyzed using SWOT analysis. Four main categories were emerged of the study including: (a) need for a legal protocol, (b) mutual fear of Covid-19, (c) self-responsibility in Corona, and (d) team working approach in the program development. In addition, solutions based on the SWOT analytical were suggested. The results of the study showed that it is necessary to develop a formal protocol, along with self-responsibility, and a program based on the needs of the community and the Covid crisis incorporating the team opinion.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-04-27T06:41:29Z
      DOI: 10.1177/10848223221090674
       
  • The Hospice Algorithm: Capitalizing on Death and Dying

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      Authors: William Cabin
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      There is extensive literature on the significance of financial incentives in the Hospice Medicare Benefit (HMB) and the growth of proprietary ownership of hospices in the United States. A literature review indicates a paucity of information on hospice nurses’ perceptions of the impact of the HMB’s financial structure on care planning and delivery decisions. This article presents background on the topic and an initial, exploratory study to address the literature gap, based on interviews of a convenience sample of 48 hospice nurses from 6 different hospices between December 1, 2018, and January 31, 2020, in the New York City metropolitan area. Six themes emerged from the interviews: finances are the guiding principle in care planning and service delivery decisions; appropriate patient selection allows hospices to maximize profit by maximizing length of stay (LOS) and minimizing service utilization; balancing patient care needs, cost, and LOS is a challenge; live discharge decisions save money, but can compromise care; the Interdisciplinary Team (IDT) is where most major decisions are made regarding patient care and finances; and money drives patient care decisions, regardless of ownership type.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-03-18T09:46:15Z
      DOI: 10.1177/10848223221085992
       
  • Home-Based Palliative Care and Home Health Care in Saudi Arabia: An
           Integrative Literature Review

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      Authors: Halah Almulla, Dena Hassouneh
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      Aging populations and a rising disease burden have increased the need for palliative care (PC). Despite the growing demand for PC, only 14% of patients worldwide receive this service. Home-based PC is necessary because many people prefer to receive care and die at home. Nurses are well equipped to address diverse health care needs in the community and are critical to successful delivery of home-based PC. The purpose of this review is to synthesize and analyze literature relevant to home-based PC in Saudi Arabia with an emphasis on nursing. This purpose required us to examine literature in two areas: PC and home health care (HHC). We identified studies through database searches. We found 24 studies published between 2005 and 2021 that met quality and inclusion criteria. Although PC and HHC are associated with positive outcomes, lack of nurses’ knowledge and awareness of PC and the underdevelopment of HHC in Saudi Arabia have contributed to underuse of these services. Nurses are vital to the functioning of interdisciplinary teams and effective interfacing with patients, caregivers, and families. Education and training of nurses in Saudi Arabia is essential to promoting access to PC and HHC and the development of home-based PC in the kingdom.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-03-14T10:18:18Z
      DOI: 10.1177/10848223221085684
       
  • Long-term Outcomes of Pediatric Tracheostomy Home Care in a Limited
           Resource Setting of Professional Home Nurse

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      Authors: Chutima Phuaksaman, Watit Niyomkarn, Prapasri Somboon, Wicharn Boonjindasup, Sumalee Hantragool, Suchada Sritippayawan
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      Long-term outcomes of pediatric patients with a tracheostomy in developing countries where professional home nurse is not accessible has rarely been reported. We, therefore, investigated the prevalence and associating factors of long-term outcomes in these children. Retrospective chart review was conducted in 85 tracheostomized children who were discharged to home during January 2012 to December 2020. Tracheostomy home care was provided by caregivers who completed the tracheostomy home care program. Prevalence of unplanned readmission with acute respiratory problems within 30 days after the first hospital discharge was 17.6%. Lower respiratory tract infection (LRTI) after hospital discharge was found in 72.9% (median frequency of 1.0 episode/case/year). Among 80 children who had surveillance airway endoscopy, 46.3% demonstrated late tracheostomy-related airway complications. Independent factor associated with late tracheostomy-related airway complications was a follow-up period longer than 1 year. Decannulation success was found in 21.2%. Most of them had tracheostomy for their upper airway anomalies. The mortality rate was 7%. Most of them died from their underlying diseases. In conclusion, pediatric tracheostomy home care undertaken by caregivers is feasible in developing countries where home nurse is not available. The prevalence of unplanned readmission with acute respiratory problems within 30 days after hospital discharge and late tracheostomy-related airway complications were comparable with those reported in developed countries. However, we still had a high prevalence of post-tracheostomy LRTI which was a challenging problem that needed to be investigated and resolved.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-03-10T09:37:13Z
      DOI: 10.1177/10848223221082661
       
  • Home Infusion Therapy: Utilization Under the Medicare Part B Temporary
           Transitional Payment

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      Authors: Morris Hamilton, Mary Juergens, Qing Zheng, Elizabeth Campbell, Michael Plotzke
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      The Bipartisan Budget Act (BBA) of 20181 created a temporary transitional payment (TTP) through Medicare Part B, which establishes fee-for-service (FFS) payment for eligible home infusion suppliers when they furnish home infusion therapy (HIT) service visits by skilled professionals in a beneficiary’s home on the day of HIT drug administration. Payment varies by 3 condition-specific payment categories. The Centers for Medicare & Medicaid Services (CMS) implemented the TTP on January 1, 2019. The TTP ended when the permanent HIT benefit began on January 1, 2021. To better understand how beneficiaries utilized this benefit during the TTP period, we examine trends in HIT services utilization between January 2019 and December 2020. Despite being new, the HIT benefit showed only a slight ramp-up phase, with a stable level of visits evolving over the remainder of 2019 and early 2020. Utilization decreased during the COVID-19 public health emergency, especially for infusion drugs related to heart failure and cancer. Additionally, relative to the geographic distribution of the Medicare FFS population, HIT service visit users are concentrated in the mid-Atlantic states. HIT service visit users are more likely to be young, white or black, and urban dwelling, compared to the general Medicare FFS beneficiaries.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-03-10T09:32:55Z
      DOI: 10.1177/10848223221079630
       
  • Emergency Department Use and Advance Care Planning in Home Health
           Value-Based Purchasing

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      Authors: Sharon E. Bigger, Lee Glenn
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      Advance care planning (ACP) is a conversation about values, future treatment choices, and designation of a surrogate decision-maker, held in advance of a health crisis. ACP protocols are established by home health agencies (HHAs) to support the staff in talking about patients’ future treatment choices, which can include opting against acute care use. In 2016, Medicare implemented an experimental incentive program called Home Health Value-Based Purchasing (HHVBP) in 9 regionally representative states. These agencies were required to compete on value, where reimbursement rates were tied to outcomes in a Total Performance Score (TPS). With home health’s aim of avoiding unplanned acute care use, in-patient hospitalization was weighted the heaviest as a poor outcome, followed by emergency department (ED) use. The purpose of this quasi-interventional study was to determine the relationship between advance care planning protocols and ED use among HHAs in the U. S. by the status of participation HHVBP intervention group. The Advance Care Planning Protocol (ACPP) score was measured by scoring survey questions. Our findings show (1) ACPP score intensity was higher in states that participated in the HHVBP program; (2) high measurement reliability for the ACPP scores; (3) no significant relationship between ACPP and ED use overall; but (4) the relationship between ACPP intensity and ED use was equal-and-opposite for the HHVBP and non-HHVBP groups. These findings suggest that the HHVBP intervention altered the influence of ACPP intensity on ED use. Recommendations are made for the HHVBP program regarding ACP’s role in goal-concordant care.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-03-03T09:28:21Z
      DOI: 10.1177/10848223221082660
       
  • Meeting the Needs of a Rural Community: A BSN Home-Visit Program
           Integrating Classroom and Clinical Skills

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      Authors: Jackie S. Daniel, Kimberly T. Little
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      To conduct a home-visit program for nursing students, to improve student confidence and comfort completing home visits in the underserved region of Southside, Virginia. The project was conducted in a rural community, where 24 nursing students and 1 family nurse practitioner made home visits once a week from September to December 2020. Students were evaluated on both their understanding of community health nursing and home-visit comfort levels via an anonymous pre- and post-home-visit assessment. Thirteen of the twenty-four students (54%) completed both the pre- and post-surveys. Results of the paired sample t-tests showed a significant increase in students’ comfort level from before the visit (3.0769) to after the visit (3.3077, p = .005). Students’ confidence levels also increased from before the visit (2.6923) to after the visit (3.3846, p = .006). Nursing educators are challenged to provide nursing students with the knowledge and skills needed to provide competent and compassionate evidence-based care in the field. Nursing student reported confidence in their nursing skills in the field after completing the home visit. Future research is needed on the benefit of completing home visits in nursing education programs.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-02-08T08:42:56Z
      DOI: 10.1177/10848223221078581
       
  • An Examination of Washington State Workers’ Compensation Claims for
           Home-Based Health Care Workers, 2006 to 2016: Part 2. Injury Rates and
           Trends

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      Authors: Ninica L. Howard, Darrin Adams, Jennifer Marcum, Jena Cole
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      Research of home-based health care (HBHC) has shown that care providers suffer from a high rate of injuries. Analysis of workers’ compensation records, a reliable source for injury and illness data, enables the identification of trends within a specific working population. HBHC workers’ compensation compensable claims in Washington State from 2006 to 2016 were compared to clinical health care (CHC) claims. Injury event and source attributed to HBHC claims were also analyzed, with a focus on work-related musculoskeletal disorders (WMSDs). Though CHC had 5 times the number of full-time employees during the study period, HBHC grew by 61.1%, compared to 28.7% in CHC. Claim rates for all compensable claims and WMSD claims consistently decreased year-over-year for both HBHC and CHC. WMSD claims experienced a year-over-year decline of 5.3%; for all compensable claims the decline was 4.5%. Analysis of HBHC claim rates by injury event found WMSD had the highest rates, followed by falls from the same level. However, the largest annual change was for the injury event overexertion (−10.1%, 95%CI: −13.4, −6.8). HBHC injuries attributable to the health care patient were the most common. Claims with this injury source declined annually by 6.0%. Claim rates for injuries to the back region, and specifically back WMSDs, were consistently higher year-over-year compared to other body regions and WMSD types. Claims for injuries to the back declined by an annual rate of 6.6% (95% CI: −7.9, −5.3), while back WMSD claims decreased by 6.4% (94% CI: −7.8, −4.9).
      Citation: Home Health Care Management & Practice
      PubDate: 2022-02-04T07:12:30Z
      DOI: 10.1177/10848223221076491
       
  • An Examination of Washington State Workers’ Compensation Claims for
           Home-Based Health Care Workers, 2006 to 2016: Part 1. Description of
           Claims and Claimants

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      Authors: Ninica L. Howard, Darrin Adams, Jena Cole
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      Home-based health care can be physically and emotionally demanding, resulting in injury or illness. Washington State’s workers’ compensation compensable claims between 2006 and 2016 were analyzed to describe the characteristics of injured home-based health care (HBHC) providers and the burden created by these injuries. Comparisons were made with clinical health care (CHC) providers, as well as between all compensable claims and work-related musculoskeletal disorder (WMSD) claims. Over 90% of claimants for both HBHC and CHC were female. The mean age of all compensable HBHC claimants (45.7 years) was significantly older than for CHC, with the majority (54.5%) between the ages of 40 and 59. However, HBHC claimants with WMSDs were younger, overall. Across health care type and claim type, the majority of injured care providers were overweight or obese (BMI ≥ 25). The highest mean age occurred among claimants injured from falls, either on the same level or to a lower level (HBHC: 48.3-48.6 years, CHC: 46.1-48.1 years). This same group also had the highest BMIs. WMSDs accounted for 47.3% of HBHC compensable claims and 50.3% for CHC. Falls on the same level were the second most common injury event among HBHC claims. For both HBHC and CHC, back injuries were the most common body part for both claim types (all compensable claims: 28.8% HBHC and 23.9% CHC, WMSD claims: 60.8% HBHC and 47.5% CHC). Overexertion was the injury event most attributed to WMSDs (HBHC: 82.6%, CHC: 71.6), overexertion during lifting being the most prevalent overexertion type (HBHC: 27.8%, CHC: 19.6%).
      Citation: Home Health Care Management & Practice
      PubDate: 2022-02-04T07:11:13Z
      DOI: 10.1177/10848223221075052
       
  • Comparing Public Quality Ratings for Joint Commission Accredited and
           

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      Authors: Beth A. Longo, Stephen P. Schmaltz, Scott C. Williams
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      This was a descriptive replication study comparing 2083 home health agencies accredited by The Joint Commission (TJC) and 8695 non-TJC-accredited home health agencies over a 3-year period using the Centers for Medicare and Medicaid Services Home Health Compare data set. Metrics included the star ratings and 17 quality measures. A longitudinal model was used to determine differences between TJC-accredited and non-TJC-accredited organizations on the quality measures. Categorical differences in star ratings were analyzed using a Cochran-Mantel-Haenszel test. TJC-accredited home health agencies had better average ratings than non-TJC-accredited home health agencies for each of the 3 years (3.4 vs 3.2, p 
      Citation: Home Health Care Management & Practice
      PubDate: 2022-01-22T05:59:41Z
      DOI: 10.1177/10848223211073900
       
  • Examination of Home Quarantine Experiences of Individuals Diagnosed With
           COVID-19 Living in Turkey

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      Authors: Ayşe Gök
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      The primary purpose of this research is to examine the experiences of individuals diagnosed with COVID-19 regarding the quarantine process. This research was carried out in a phenomenological design, one of the qualitative research approaches. A total of 212 volunteers, 153 women (72.2%) and 59 men (27.8), took part in this research via an online questionnaire. As a data collection tool, an online questionnaire prepared by the researcher was used. The data were analyzed within the framework of content analysis. In the findings of the research, 4 themes named as being diagnosed with COVID-19, quarantine process, worst-case scenario and coping with uncertainty were got. Based on the research findings, in staying in quarantine at home, besides the physiological effects of the virus, it can be concluded that individuals are trying to struggle with the emotional burden of the situation they are in. For this reason, it is of great importance to provide mental health support to individuals who are in quarantine at home, considering the social, psychological, and economic effects of the COVID-19 pandemic.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-01-22T05:56:41Z
      DOI: 10.1177/10848223211073896
       
  • Cardiac and Pulmonary Diagnoses and Advance Care Planning in Home Health

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      Authors: Sharon E. Bigger, Lisa Haddad, Lee Glenn
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      Chronic cardiovascular and pulmonary diseases are prevalent in the US home health population. Heart failure and chronic obstructive pulmonary disease are both chronic and terminal, but they are not always perceived as serious illnesses with imminent death. Therefore, they provide a context for advance care planning that is distinct from the diagnostic contexts of cancer, end-stage renal disease, or dementia. Advance care planning is defined as a process that supports adults at any age or stage of health in understanding and sharing their goals, values, and preferences about future medical care, including the designation of a surrogate decision-maker. This study tests the hypothesis that US home health agencies with higher percentages of patients with chronic cardiovascular and pulmonary conditions have less robust advance care planning protocols. The Spearman correlation coefficient was r = 0.22 (S = 74684, P = .025, 1-tailed), which was statistically significant and an unexpected finding. The greater percentage of patients with chronic cardiac and pulmonary diagnoses in an agency, the more robust the advance care planning protocol was. This supports our previous findings and existing literature indicating that agencies may be using exacerbation events marked by acute care use as opportunities to initiate or repeat advance care planning.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-01-22T05:53:41Z
      DOI: 10.1177/10848223211073711
       
  • Management of COPD in a Hospital-at-Home Setting at a Peripheral Spanish
           Hospital: 8-Year Experience

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      Authors: Rafael Garcia-Carretero, Oscar Vazquez-Gomez, Esther Luna-Heredia, Borja Vargas-Rojo, Maria-Jose Fernandez-Cotarelo, Gema Naranjo-Mansilla
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      We performed exploratory and descriptive analyses of data from our 8 years of experience in hospital-at-home (HaH) treatment to characterize the clinical profile of patients with exacerbated underlying chronic obstructive pulmonary disease (COPD). Our study had a retrospective research design, using historical electronic health records from patients admitted to the HaH setting between 2012 and 2019. We collected demographic, administrative, and clinical data from patients diagnosed with exacerbated COPD. Between 2012 and 2019, 420 patients diagnosed with acute respiratory infectious disease related to COPD were treated in our HaH setting (18% of all admissions to HaH). Most patients were referred from the Internal Medicine Department. The median length of the hospital stay was 10 days. Most patients (78.8%) presented acute exacerbation with no pneumonia. One-third of the patients required domiciliary oxygen therapy, and half required ventilatory devices for nebulized bronchodilator therapy. All patients were successfully discharged as clinically stable. Our HaH experience in managing patients with exacerbated COPD indicates a means of obtaining cost savings and increased quality of life for patients in which antibiotic and ventilatory therapy is not compromised.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-01-22T05:49:02Z
      DOI: 10.1177/10848223211073710
       
  • Cultural Factors and Social Changes Affecting Home Healthcare in Iran: A
           Qualitative Study

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      Authors: Toktam Kianian, Vahid Pakpour, Vahid Zamanzadeh, Mojgan Lotfi, Ahad Rezayan, Maryam Hazrati, Masumeh Gholizadeh
      Abstract: Home Health Care Management & Practice, Ahead of Print.
      In Iran, home healthcare (HHC) is provided in a diverse socio-cultural context. Health professionals’ inadequate knowledge of the socio-cultural factors of the society can lead to poor quality HHC. Even so, the ways these factors influence HHC remain unclear. This study aimed to explore the effects of cultural factors and social changes on HHC in Iran. This qualitative study which follows a conventional content analysis approach was conducted in Tabriz, Iran. Eighteen individuals including nurses, home health directors, physicians, policy-makers, patients, and their families participated in the study. Participants were selected using purposive sampling. Data collection involved focus group discussion (FGD) and 16 semi-structured in-depth interviews. In order to analyze the data, Graneheim and Lundman’s techniques were used and data collection continued until saturation was reached. Five main themes emerged from the data analysis including cultural diversity issues, society’s understanding of HHC, shifting demographics affecting healthcare needs, transitioning from traditional to modern lifeways, and increasing unaffordability of healthcare. Health managers can improve the accessibility and acceptability of HHC services by identifying the socio-cultural needs of the society. Future research should develop and test patients and families’ cultural care models in the HHC setting.
      Citation: Home Health Care Management & Practice
      PubDate: 2022-01-11T08:19:55Z
      DOI: 10.1177/10848223211072224
       
 
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