College of Nursing and Public Health, Adelphi University, 1 South Avenue Garden City, NY 11530, United States.
College of Nursing and Public Health, Adelphi University, 1 South Avenue Garden City, NY 11530, United States.
Geriatr Nurs. 2022 Jan-Feb;43:1-6. doi: 10.1016/j.gerinurse.2021.10.017. Epub 2021 Nov 16.
Home health aides (HHAs) are a vital workforce essential to meet the complex care needs of the persons living with dementia (PLWD) who remain at home. Care plans for PLWD in the home healthcare setting should incorporate HHAs perspectives. We sought to understand HHAs' perspectives about their information needs in caring for PLWD, from June to August 2020, semi-structured interviews telephone interviews (n = 25) with English and Spanish-speaking HHAs with limited English proficiency in the New York metropolitan area. Interviews were audio-recorded, transcribed verbatim and transcripts were analyzed using conventional content analysis. Four key themes emerged reflective of information needs of HHAs caring for PLWD: (1) ambiguities of scope of HHA tasks related to medication management; (2) clinical information needs of HHAs; (3) dementia-related concerns; and (4) going above and beyond. Findings from this research can guide efforts to develop dementia-specific care plans, and training to support the HHA workforce caring for the growing population of PLWD.
家庭健康助手（HHAs）是满足居家痴呆症患者（PLWD）复杂护理需求的重要劳动力。家庭医疗保健环境中 PLWD 的护理计划应纳入 HHA 的观点。我们试图了解 HHA 照顾 PLWD 时的信息需求，从 2020 年 6 月到 8 月，在纽约大都市区对英语和西班牙语的 HHA 进行了电话访谈（n=25），他们的英语水平有限。访谈进行了录音，并逐字转录，使用常规内容分析对转录本进行了分析。研究结果反映了 HHA 照顾 PLWD 的信息需求，出现了四个主要主题：（1）与药物管理相关的 HHA 任务范围的模糊性；（2）HHA 的临床信息需求；（3）与痴呆症相关的问题；（4）超越常规。这项研究的结果可以指导制定专门针对痴呆症的护理计划的努力，并为照顾不断增长的 PLWD 人群的 HHA 劳动力提供培训。
