Identification of the need for home visiting nurse: development of a new assessment tool
Objective: To develop a Home Visiting Nursing Service Need Assessment Form (HVNS-NAF) to standardize the decision about the need for home visiting nursing service. Methods: The sample consisted of older adults who had received coordinated services by care managers. We defined the need for home visit...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2014-03-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/articles/1159 |
| _version_ | 1818481798071451648 |
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| author | Atsuko Taguchi Satoko Nagata Takashi Naruse Yuki Kuwahara Takuhiro Yamaguchi Murashima Sachiyo |
| author_facet | Atsuko Taguchi Satoko Nagata Takashi Naruse Yuki Kuwahara Takuhiro Yamaguchi Murashima Sachiyo |
| author_sort | Atsuko Taguchi |
| collection | DOAJ |
| description | Objective: To develop a Home Visiting Nursing Service Need Assessment Form (HVNS-NAF) to standardize the decision about the need for home visiting nursing service. Methods: The sample consisted of older adults who had received coordinated services by care managers. We defined the need for home visiting nursing service by elderly individuals as the decision of the need by a care manager so that the elderly can continue to live independently. Explanatory variables included demographic factors, medical procedure, severity of illness, and caregiver variables. Multiple logistic regression was carried out after univariate analyses to decide the variables to include and the weight of each variable in the HVNS-NAF. We then calculated the sensitivity and specificity of each cut-off value, and defined the score with the highest sensitivityand specificity as the cut-off value. Results: Nineteen items were included in the final HVNS-NAF. When the cut-off value was 2 points, the sensitivity was 77.0%, specificity 68.5%, and positive predictive value 56.8%. Conclusions: HVNS-NAF is the first validated standard based on characteristics of elderly clients who required home visiting nursing service. Using the HVNS-NAF may result in reducing the unmet need for home visiting nursing service and preventing hospitalization. |
| first_indexed | 2024-12-10T11:39:51Z |
| format | Article |
| id | doaj.art-0332da044c2f4a1d9372095c4853ed39 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-10T11:39:51Z |
| publishDate | 2014-03-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-0332da044c2f4a1d9372095c4853ed392022-12-22T01:50:16ZengUbiquity PressInternational Journal of Integrated Care1568-41562014-03-0114110.5334/ijic.11591327Identification of the need for home visiting nurse: development of a new assessment toolAtsuko Taguchi0Satoko Nagata1Takashi Naruse2Yuki Kuwahara3Takuhiro Yamaguchi4Murashima Sachiyo5Tohoku UniversityThe university of TokyoThe university of TokyoThe university of TokyoTohoku UniversityOita University of Nursing and Health ScienceObjective: To develop a Home Visiting Nursing Service Need Assessment Form (HVNS-NAF) to standardize the decision about the need for home visiting nursing service. Methods: The sample consisted of older adults who had received coordinated services by care managers. We defined the need for home visiting nursing service by elderly individuals as the decision of the need by a care manager so that the elderly can continue to live independently. Explanatory variables included demographic factors, medical procedure, severity of illness, and caregiver variables. Multiple logistic regression was carried out after univariate analyses to decide the variables to include and the weight of each variable in the HVNS-NAF. We then calculated the sensitivity and specificity of each cut-off value, and defined the score with the highest sensitivityand specificity as the cut-off value. Results: Nineteen items were included in the final HVNS-NAF. When the cut-off value was 2 points, the sensitivity was 77.0%, specificity 68.5%, and positive predictive value 56.8%. Conclusions: HVNS-NAF is the first validated standard based on characteristics of elderly clients who required home visiting nursing service. Using the HVNS-NAF may result in reducing the unmet need for home visiting nursing service and preventing hospitalization.http://www.ijic.org/articles/1159home visiting nursing service, need assessment, assessment tool |
| spellingShingle | Atsuko Taguchi Satoko Nagata Takashi Naruse Yuki Kuwahara Takuhiro Yamaguchi Murashima Sachiyo Identification of the need for home visiting nurse: development of a new assessment tool International Journal of Integrated Care home visiting nursing service, need assessment, assessment tool |
| title | Identification of the need for home visiting nurse: development of a new assessment tool |
| title_full | Identification of the need for home visiting nurse: development of a new assessment tool |
| title_fullStr | Identification of the need for home visiting nurse: development of a new assessment tool |
| title_full_unstemmed | Identification of the need for home visiting nurse: development of a new assessment tool |
| title_short | Identification of the need for home visiting nurse: development of a new assessment tool |
| title_sort | identification of the need for home visiting nurse development of a new assessment tool |
| topic | home visiting nursing service, need assessment, assessment tool |
| url | http://www.ijic.org/articles/1159 |
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