19 Jul 2022

65

The Benefits and Risks of Practitioner Home Visits

Format: APA

Academic level: Ph.D.

Paper type: Assignment

Words: 1249

Pages: 25

Downloads: 0

Author, Year

Study Design

Setting

Sample

Evidence Level

Outcomes

Liang et al., 2014.

Cross-sectional survey

Tertiary referral hospital in China

120 caregivers

I

The CES-D scale predicts the level of caregiver burden.

Depressive symptoms also observed in caregivers.

Vandepitte et al., 2016.

General systematic review

N/A

Web of Science and PubMed publications

II

Supporting caregivers improves their wellbeing.

Support to caregivers also alleviates depression and allows caregivers to engage in leisure

Brodaty & Donkin, 2009.

Literature review

N/A

Publications by different researchers and organizations reviewed.

III

Caregivers experience strain

Ill-health and financial challenges are other hardships caregivers endure

Doyle et al., 2017.

Survey (Japan)

Secondary data analysis (Australia)

Facilities treating Dementia patients in Japan and Australia

475 visiting nurse stations in Japan

II

Families with members ailing from Dementia endure hardship

Nurses provide physical and psychological support to families

Park, 2010.

Exploratory descriptive study

Nursing homes in Korea

267 nurses who cared for Dementia patients

II

Nurses reduced the burden that families of patients shoulder.

However, the welfare of the nurses suffered as they reported increased stress levels.

Fange et al., 2017.

RCT

Community of Dementia patients and their caregivers

640 Dementia suffers and their informal caregivers

I

Caregivers endure strain

Penkunas et al., 2016.

Semi-structured interviews

Khoo Teck Puat Hospital in Singapore

32 caregivers

I

Caregivers suffered strain

Nurse intervention alleviated burden

Amen, 2010.

Literature review

N/A

Literature focusing on caregiver strain and effective strategies for alleviating strain

III

Caregivers experience strain

Support from practitioners helps to alleviate strain

Fortinsky et al., 2014.

RCT

Geriatric primary care group

Dementia sufferers and their caregivers

I

Caregivers shoulder heavy burden

Nurse interventions including home visits helped to reduce burden

Patient outcomes also improved

Zwerling et al., 2016.

Expert opinion

NA

NA

V

Strain witnessed in caregivers

Fowler et al., 2015.

Experimental study

NA

55 caregivers of Dementia patients

I

Caregivers who received support from nurses recorded significant improvements in health outcomes

Williams et al., 2012.

Experimental study

Midwestern University Alzheimer’s Disease Center

Dementia patients and their caregivers

I

The nurse visits do not have to be physical for strain to be alleviated

Technology can be used to support caregivers.

Gonzalez et a., 2014

RCT

NA

102 white and African American caregivers

I

CES-D is a valid tool for assessing caregiver stress and depression

Practitioner intervention improves wellbeing of caregiver

Dementia patients witness improvement in behavior following intervention

Naylor et al., 2007.

Pilot study

Hospitals in Philadelphia

Dementia patients and their caregivers

I

CES-D can be used to determine if caregiver stress and depression

Various interventions including home visits are effective in alleviating caregiver hardship and improving patient outcomes

Siegler et al., 2010

Survey

Duke University Medical Center

87 caregivers

II

CES-D sheds light on the depression that caregivers endure

Majerovitz, 2007.

Structured interview

NA

103 family caregivers

 

Family caregivers experience depression and strain

Support from nurses helps to relieve strain and depression

Schulz et al., 2014.

RCT

University of Pittsburg

217 Dementia caregivers

I

CES-D useful in measuring depression

Psychosocial interventions including visits improved depression, burden and anxiety among caregivers

Cheng, et al., 2014.

Literature review

NA

Literature addressing experiences of older adults and their caregivers

III

There is little evidence of the effectiveness of psychosocial interventions in alleviating the burden and strain that caregivers experience.

Oken et al., 2011.

Cross-sectional study

Oregon

Caregivers of Dementia patients

I

CES-D measures depression

Dementia caregivers exhibit depressive symptoms

Lopez-Hartmann et al., 2012.

Literature review

NA

Literature from Medline, PsychINFO, etc. focusing on lives of older adults ailing from such illnesses as Dementia and their caregivers

III

Psychosocial support improves experiences of caregivers.

Schulz et al., 2016

Experimental study

NA

108 Africa-American Dementia caregivers

I

Caregivers experience strain and depression

Kim et al., 2016

Experimental study

NA

774 caregivers

I

Caregivers endure depression

Foldes et al., 2017

Quasi-experimental study

New York University

Costs of caregiving over 15 years

II

Caregivers carry financial burden

Nurse intervention alleviates burden and presents Medicaid savings

Roth et al., 2008

Experimental study

Birmingham, Palo Alto, Philadelphia, Miami, Memphis, Boston

1,183 Alzheimer’s caregivers

I

Caregivers suffer depression

CES-D helpful in determining caregiver depression

Longmire et al., 2010

Experimental study

Los Angeles County

167 African American and 214 white Dementia caregivers

I

Caregivers suffer depression

CES-D can be used to reliably determine depression among caregivers

Jha et al., 2015

Case study and Literature review

NA

Nepalese refugee family

III

Caregivers suffer depression and strain

Home visits help to relieve depression

Schulz et al., 2008

Cross-section and longitudinal analysis

Birmingham, Palo Alto, Philadelphia, Miami, Memphis, Boston

1222 Dementia patients and their caregivers

I

Caregivers suffer depression

CES-D scale helpful in establishing caregiver and Dementia patient depression

Reinhard et al., 2008

Literature review

NA

Literature on experiences of caregivers and patients

III

Caregivers suffer depression and stress

Patients endure abuse and neglect

Nurse home visits helpful in alleviating suffering

Imanigoghary et al., 2017

Qualitative study

Kerman province

14 caregivers

III

Nurses play important role in supporting caregivers

Rose et al., 2012

Expert opinion

NA

NA

IV

Nurses helpful in reducing caregiver strain and depression.

Gaugler et al., 2009

Secondary longitudinal analysis

Medicare Alzheimer’s Disease Demonstration Evaluation (MADDE) catchment areas in US

1610 Dementia caregivers

II

Caregivers suffered strain

Nurse intervention effective in alleviating strain

Graneheim et al., 2014

Literature review

NA

Literature examining experiences of Dementia caregivers

III

Caregivers experienced strain

Allowing nurses to take charge of attending to the needs of Dementia patients brought relief

Google Scholar is the primary database that was consulted for the sources above. The following search phrase was used “nurse home visits alleviate Dementia caregiver strain.”

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References 

Amen, K. (2010). Caring for Caregivers: What is Proven to Relieve Caregiver Strain and

Burden? American Nurse Today, 5 (8). Retrieved 10 th November 2017 from

https://www.americannursetoday.com/caring-for-caregivers-what-is-proven-to-relieve-caregiver-strain-and-burden/ 

Brodaty, H. & Donkin, M. (2009). Family Caregivers of People with Dementia. Dialogues in 

Clinical Neuroscience, 11 (2), 217-228.

Cheng, H. Y., Chair, S. Y. & Chau, J. P. (2014). The Effectiveness of Psychosocial

Interventions for Stroke Family Caregivers and Stroke Survivors: A Systematic Review and Meta-Analysis. Patient Education and Counseling, 95, 30-44.

Doyle, C., Setoya, N., Goeman, D. & Kayama. (2017). The Role of Home Visits in Supporting

People Living with Dementia in Japan and Australia: Cross-National Learnings and Future System Reform. Health Systems & Reform, 3 (3), 203-213.

Fange, A. M., Schmidt, S. M., Nilsson, M. H., Carlsson, G., Liwander, A., Bergstrom, C. D.,

Olivetti, P., Johansson, P. & Chiatti, C. (2017). The TECH@HOME Study, a

Technological Intervention to Reduce Caregiver Burden for Informal Caregivers of People with Dementia: Study Protocol for a Randomized Controlled Trial. Trials, 18 

63. DOI: https://doi.org/10.1186/s13063-017-1796-8 

Foldes, S. S., Moriarty, J., Farseth, P. H., Mittelman, M. S. & Long, K. H. (2017). Medicaid

Savings from the New York University Caregiver Intervention for Families with

Dementia. The Gerontologist. DOI: https://doi.org/10.1093/geront/gnx077 

Fortinsky, R. H., Delaney, C., Harel, O., Pasquale, K., Schjavland, E., Lynch, J.,

Kleppinger, A. & Crumb, S. (2014).Results and Lessons Learned from Nurse Practitioner-

Guided Dementia Care Intervention for Primary Care Patients and their

Family Caregivers. Research in Gerontological Nursing, 7 (3), 126-137.

DOI: 10.3928/19404921-20140113-01

Fowler, C. & Kim, M. T. (2015). Home Visits by Care Providers- Influences on Health

Outcomes for Caregivers of Homebound Older Adults with Dementia. Geriatric 

Nursing, 36 (1), 25-29.

Gaugler, J. E., Mittelman, M. S., Hepburn, K. & Newcomer, R. (2009). Predictors of Change in

Caregiver Burden and Depressive Symptoms Following Nursing Home Admission. Psychology and Aging, 24 (2), 385-396.

Gonzalez, E. W., Polansky, M., Lippa, C. F., Gitlin, L. N. & Zausniewski, J. A. (2014).

Enhancing Resourcefulness to Improve Outcomes in Family Caregivers and Persons With Alzheimer’s Disease: A Pilot Randomized Trial. International Journal of Alzheimer’s Disease. DOI: http://dx.doi.org/10.1155/2014/323478 

Graneheim, U. H., Johansson, A. & Lindgren, B. (2014). Family Caregivers’ Experiences of 

Relinquishing the Care of a Person with Dementia to a Nursing Home: Insights from a 

Meta-Ethnographic Study. Scandinavian Journal of Caring Sciences, 28 (2), 215-224. 

Imanigoghary, Z., Peyrovi, H., Nouhi, E. & Kazemi, M. (2017). The Role of Nurses in Coping 

Process of Family Caregivers of Vegetative Patients: A Qualitative Study. 

International Journal of Community Based Nursing and Midwifery, 5 (1), 70-81. 

Jha, B., Seavy, J., Young, D. & Bonner, A. (2015). Positive Mental Health Outcomes in 

Individuals with Dementia: The Essential Role of Cultural Competence. Online 

Journal of Issues in Nursing, 20 (1), 5. 

Kim, M. H., Dunkle, R. E., Lehning, A. J., Shen, H., Feld, S. & Perone, A. K. (2016). 

Caregiver Stressors and Depressive Symptoms among Older Husbands and Wives in the United States. Journal of Women & Aging, 29 (6), 494-504. 

Majerovitz, S. D. (2007). Predictors of Burden and Depression among Nursing Home Family 

Caregivers. Aging & Mental Health, 11 (3), 323-329. 

Longmire, C. V. F. & Knight, B. G. (2010). Confirmatory Factor Analysis of the Center for 

Epidemiologic Studies- Depression Scale in Black and White Dementia Caregivers. Aging & Mental Health, 14 (8), 962-970. 

Lopez-Hartmann, M., Wens, J., Verhoeven, V. & Remmen, R. (2012). The Effect of Caregiver

Support Interventions for Informal Caregivers of Community-Dwelling Frail Elderly: A Systematic Review. International Journal of Integrated Care, 12, 1-16.

Liang, Y. D, Wang, Y., Li, Z., He, L., Xu, Y., Zhang, Q., You, G. & Mi, X. (2018). Caregiver

Burden and Depression in Paid Caregivers of Hospitalized Patients: A Pilot Study in China. BMC Public Health, 18 (53), 1-7.

Naylor, M. D., Hirschman, K. B., Bowles, K. H., Bixby, M. B., Konick-McMahan, J. &

Stephens, C. (2007). Care Coordination for Cognitively Impaired Older Adults and Their Caregivers. Home Health Care Services Quarterly, 26 (4), 57-78.

Oken, B. S., Fonareva, I. & Wahbeh, H. (2011). Stress-Related Cognitive Dysfunction in

Dementia Caregivers. Journal of Geriatric Psychiatry and Neurology, 24 (4), 191-198.

Park, M. (2010). Nursing Staff Stress from Caregiving and Attitudes toward Family Members of

Nursing Home Residents with Dementia in Korea. Asian Nursing Research, 4 (3), 130-141.

Penkunas, M. J., Chan, A. W. M., Wong, C. H., De Korne, F. D. Tan, S. M. & Wong, S. F.

(2016). The Role of Mutlicomponent Home-Health Intervention in Reducing Caregiver Stress in Singapore: A Qualitative Study. The Journal of Gerontology. DOI: https://doi.org/10.1093/geronb/gbw008 

Reinhard, S. C., Given, B., Petlick, N. H. & Bernis, A. (2008). Supporting Family Caregivers in

Providing Care. In Hughses, R. G. (Ed.). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality.

Rose, K. M. & Lopez, R. P. (2012). Transitions in Dementia Care: Theoretical Support for

Nursing Roles. Online Journal of Issues in Nursing, 17 (2), 4.

Roth, D. L., Ackerman, M. L., Okonkwo, O. C. & Burgio, L. D. (2008). The Four-Factor Model

Of Depressive Symptoms in Dementia Caregivers: A Structural Equation Model of Ethnic Differences. Psychology & Aging, 23 (3), 567-576.

Schulz, R., Rosen, J., Klinger, J., Musa, D., Castle, N. G., Kane, A. & Lustig, A. (2014). Effects

Of a Psychosocial Intervention on Caregivers of Recently Placed Nursing Home

Residents: A Randomized Control Trial. Clinical Gerontology, 37 (4), 347-367.

Schulz, R., Savla, J., Czaja, S. J. & Monin, J. (2016). The Role of Compassion, Suffering,

Intrusive Thoughts in Dementia Caregiver Depression. Aging & Mental Health, 21 (9), 997-1004.

Siegler, I. C., Brummett, B. H., Williams, R. B., Haney, T. L. & Dilworth-Anderson, P.

Caregiving, Residence, Race, and Depressive Symptoms. Aging & Mental Health, 14 (7), 771-778.

Vandepitte, S., Nele, V. D. N., Koen, P., Sofie, V., Kristof, F. & Lieven, A. (2016).

Effectiveness of Supporting Informal Caregivers of People with Dementia: A

Systematic Review of Randomized and Non-Randomized Controlled Trials.

Journal of Alzheimer’s Disease, 52 (3), 929-965.

Williams, K., Arthur, A., Niedens, M. Moushey, L. & Hutfles, L. (2012). In-Home Monitoring

Support for Dementia Caregivers. Clinical Nursing Research, 22 (2), 139-150.

DOI: https://doi.org/10.1177/1054773812460545 

Zwerling, J. L., Cohen, J. A. & Verghese, J. (2016). Dementia and Caregiver Stress.

Neurodegenerative Disease Management, 6 (2). DOI: https://doi.org/10.2217/nmt-2015-0007 

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StudyBounty. (2023, September 16). The Benefits and Risks of Practitioner Home Visits .
https://studybounty.com/the-benefits-and-risks-of-practitioner-home-visits-assignment

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