Author ORCID Identifier

Elliane Irani

Document Type

Article

Publication Date

4-13-2018

Abstract

Despite patients referred to home health having diverse and complex needs, it is unknown how nurses develop personalized visit plans. In this qualitative descriptive study, we interviewed 26 nurses from three agencies about their decision-making process to determine visit intensity and analyzed data using directed content analysis. Following a multifactorial assessment of the patient, nurses relied on their experience and their agency’s protocols to develop the personalized visit plan. They revised the plan based on changes in the patient’s clinical condition, engagement, and caregiver availability. Findings suggest strategies to improve visit planning and positively influence outcomes of home health patients.

Keywords

clinical pathways, directed content analysis, home health care, needs assessment, nurse decision-making, patient care planning, qualitative descriptive, socioecological model, visit intensity

Publication Title

Home Health Care Services Quarterly

Volume

37

Issue

3

First Page

211

Last Page

231

Rights

© 2018 Taylor & Francis Group, LLC

Comments

This is a peer reviewed Accepted Manuscript of an article published by Taylor and Francis in Home Health Care Services Quarterly available at https://doi.org/10.1080/01621424.2018.1456997.

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