Coaching Home Care Clients to Prepare Their Homes for Safe Care Visits: A Mixed-Methods Study to Evaluate a Nurse-Led Educational Intervention Process

Details

• Personal Author:
  Galligan CJ ; Gore RJ ; Lendberg JE ; Markkanen PK ; Quinn, Margaret M. ; Sama SR
• Description:
  Assuring home care (HC) workers' safety is challenging because the work environment is a private home. This paper presents the process evaluation for a proof-of-concept safety intervention study to assess whether nurse-led safety coaching, using motivational interviewing and a safety handbook, could enable HC clients to improve safety in their homes. The process evaluation objectives were to (i) document the intervention's implementation progress and (ii) assess the intervention's dose delivery, dose reception, and fidelity. Five agencies employing liaisons (n = 5) and nurse managers (NMs, n = 8) implemented this study's intervention and control arms. NMs assigned to the intervention arm (n = 6) coached 34 clients. Process evaluation metrics were assessed with mixed-methods data from (i) surveys completed by NMs during the intervention, (ii) postintervention audio-recorded and transcribed interviews (n = 6) with NMs and liaisons, and (iii) study progress tracking tools. The delivered dose efficiency was 85%, measured by the distribution of safety handbook copies to clients. About 94% of clients (n = 32) were considered "engaged" or "maybe engaged" during the safety coaching. Most coached clients (n = 30) were reachable for follow-up by NMs to assess intervention progress. Despite challenges, the intervention was implemented with good fidelity. Safety coaching can be applied in many HC contexts in larger populations. [Description provided by NIOSH]
• Subjects:
  Health Personnel Home Care Services Occupational Health Safety
• Keywords:
  Author Keywords: Caregiver Safety Client Safety Home Care Home Health Care Intervention Effectiveness Intervention Study Nurses Patient Safety Process Evaluation Safety Coaching Safety Education Worker Safety

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• ISSN:
  1660-4601
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  21
• Issue:
  3
• NIOSHTIC Number:
  nn:20069447
• Citation:
  Int J Environ Res Public Health 2024 Mar; 21(3):360
• Contact Point Address:
  Pia K Markkanen, Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell (UMASS Lowell), Lowell, MA 01854
• Email:
  pia_markkanen@uml.edu
• Federal Fiscal Year:
  2024
• Performing Organization:
  University of Massachusetts - Lowell
• Peer Reviewed:
  True
• Start Date:
  20040901
• Source Full Name:
  International Journal of Environmental Research and Public Health
• End Date:
  20230831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:58017f53f11b124193fa3434b725695d19c3a89a6214a0765e7970595f78eba8052e4fc61a430d7dbeea6117489f0b74b5919c42c0e4bd793da3c3a7920c3846
• Download URL:
  https://stacks.cdc.gov/view/cdc/207897/cdc_207897_DS1.pdf
• File Type:
  [PDF - 371.81 KB ]