Care process and satisfaction analysis of a transmural home care program

This study investigated both professional caregiver workload as well as the patients' and caregivers' satisfaction with a transmural home care program. Seventy-nine patients were included in the intervention program. The specialist nurse coordinator, general practitioner, community nurse p...

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Bibliographic Details
Published in:International journal of nursing studies 1998-06, Vol.35 (3), p.146-154
Main Authors: SMEENK, F. W. J. M, VAN HAASTREGT, J. C. M, GUBBELS, E. M. A. C, DE WITTE, L. P, CREBOLDER, H. F. J. M
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Attitude to Health
Biological and medical sciences
Cancer
Caregivers - psychology
Community Health Nursing
Family Practice
Female
General aspects
Health systems. Social services
Home care
Home Care Services - organization & administration
Humans
Male
Medical sciences
Middle Aged
Models, Organizational
Netherlands
Nurse Clinicians
Nursing
Outcome and Process Assessment (Health Care) - organization & administration
Patient Satisfaction
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
Satisfaction
Terminally ill people
Workload
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Summary:This study investigated both professional caregiver workload as well as the patients' and caregivers' satisfaction with a transmural home care program. Seventy-nine patients were included in the intervention program. The specialist nurse coordinator, general practitioner, community nurse providing 'intensive' community care, community nurses providing 'standard' community care, and the home helper spent in total an average of 7.5, 4.4, 55.6, 55.0, and 112.3 h, respectively, on each patient during the care process (mean survival of the 79 patients was 101.2 days). The 24 h telephone service and transmural home team were contacted in total 100 and 8 times, respectively. Patient and caregiver satisfaction with the care provided scored (very) high. Considering this acceptable workload and given that the program did not interfere with existing standard health care structures, it can be concluded that such care may easily be introduced by other hospitals and related primary care teams.
ISSN:0020-7489
1873-491X
DOI:10.1016/S0020-7489(98)00022-4