Author ORCID Identifier

Elliane Irani

Document Type


Publication Date



Social, economic, and environmental factors contribute to patients’ recovery following hospitalization. However, little is known about how home health nurses make decisions based on their assessment of these factors. The purpose of the current study was to explore the nonclinical factors that home health nurses evaluate and describe how these factors influence care planning decisions. Semi-structured inter-views conducted with 20 visiting nurses from three home health agencies were analyzed using conven-tional content analysis. Three nonclinical factor themes emerged: Social Support, Home Environment and Neighborhood, and Finances and Insurance Barriers. Nurses’ assessments guided them to include family caregivers in the plan of care, evaluate their own safety to complete home visits, and refer patients to useful resources. Findings highlight the role of home health nurses in supporting older adults with limited resources and the need to address the social determinants of health across the care continuum.

Publication Title

Research in Gerontological Nursing





First Page


Last Page



© 2019, SLACK Incorporated


This is a peer reviewed Accepted Manuscript of an article published by Slack in Research in Gerontological Nursing available at

Included in

Nursing Commons


10.3928/19404921-20191210-01" data-hide-no-mentions="true">
10.3928/19404921-20191210-01" data-hide-zero-citations="true" data-style="small_circle">

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.