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Journal of Community Health Nursing Volume 35, 2018 - Issue 3
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Original Articles

Home Health Nurses’ Perspectives and Care Processes Related to Older Persons with Frailty and Depression: A Mixed Method Pilot Study

Jinjiao WangSchool of Nursing, University of Rochester Medical Center, Rochester, New YorkCorrespondence[email protected]
,
Sandra F. SimmonsCenter for Quality Aging, Division of Geriatrics, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee;Geriatric Research, Education and Clinical Center (GRECC), VA Tennessee Valley Healthcare System, Nashville, Tennessee
,
Cathy A. MaxwellSchool of Nursing, Vanderbilt University, Nashville, Tennessee
,
David G. SchlundtDepartment of Psychology, Vanderbilt University, Nashville, Tennessee
&
Lorraine C. MionCollege of Nursing, The Ohio State University, Columbus, Ohio
Pages 118-136 | Published online: 19 Jul 2018
 
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ABSTRACT

The objectives of this study were (1) to describe home health care (HHC) nurses’ perception of and care processes related to geriatric depression and frailty, and (2) to identify barriers to care delivery for older persons with these two conditions. Ten semi-structured interviews were conducted with HHC nurses, and 16 HHC nursing visits to 16 older patients (≥65 years) were observed. Mixed method analysis showed that HHC nurses did not routinely assess for frailty and depression. Major barriers to care delivery included insufficient training, documentation burden, limited reimbursement, and high caseload. Addressing these barriers would facilitate HHC nursing care for frail, depressed elders.

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