Evidence map›Paper›PMID 29893442›Full record

ArticleJournal of clinical nursing2018

How home health nurses plan their work schedules: A qualitative descriptive study.

Elliane Irani, Karen B Hirschman, Pamela Z Cacchione, Kathryn H Bowles

Registry-linked trialAbstract read
In one paragraph

Article in Journal of clinical nursing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04869085 (The Use of a Digital Application for Reporting Pain and Pain Management in Home Hospice), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04869085 nacompletednot on this mapstarted 2021, after this paper: background citation

The Use of a Digital Application for Reporting Pain and Pain Management in Home Hospice

TypeinterventionalSponsorRush University Medical CenterRan2021 to 2024Enrolled88ConditionsPainArmse-PainSupport
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Elliane IraniFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.ORCID http://orcid.org/0000-0001-7381-3801
Karen B HirschmanSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Pamela Z CacchioneSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Kathryn H BowlesSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

Multiple Chronic Conditions_Interdisciplinary Nurse Scientist TrainingT32NR015433 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MOORE, SHIRLEY M · 2015 to 2019
$1.9M
Frank Morgan Jones FundNational Institute of Nursing Research T32NR015433NINR NIH HHS T32 NR015433
6 · The paper itself

Abstract

AIMS AND

objectivesTo describe how home health nurses plan their daily work schedules and what challenges they face during the planning process.

backgroundHome health nurses are viewed as independent providers and value the nature of their work because of the flexibility and autonomy they hold in developing their work schedules. However, there is limited empirical evidence about how home health nurses plan their work schedules, including the factors they consider during the process and the challenges they face within the dynamic home health setting.

designQualitative descriptive design.

methodsSemi-structured interviews were conducted with 20 registered nurses who had >2 years of experience in home health and were employed by one of the three participating home health agencies in the mid-Atlantic region of the United States. Data were analysed using conventional content analysis.

resultsFour themes emerged about planning work schedules and daily itineraries: identifying patient needs to prioritise visits accordingly, partnering with patients to accommodate their preferences, coordinating visit timing with other providers to avoid overwhelming patients, and working within agency standards to meet productivity requirements. Scheduling challenges included readjusting the schedule based on patient needs and staffing availability, anticipating longer visits, and maintaining continuity of care with patients.

conclusionHome health nurses make autonomous decisions regarding their work schedules while considering specific patient and agency factors, and overcome challenges related to the unpredictable nature of providing care in a home health setting. Future research is needed to further explore nurse productivity in home health and improve home health work environments. RELEVANCE TO CLINICAL PRACTICE: Home health nurses plan their work schedules to provide high quality care that is patient-centered and timely. The findings also highlight organisational priorities to facilitate continuity of care and support nurses while alleviating the burnout associated with high productivity requirements.

Indexed as

Nurse-Patient RelationsWork PerformanceWork Schedule ToleranceCommunity Health NursingHumansMaleMid-Atlantic RegionNurses, Community HealthNurse's RolePersonnel Staffing and SchedulingQualitative ResearchWorkplacecontinuity of careconventional content analysishome health careneeds assessmentnurse-patient relationsnursing workforcepatient acuityqualitative descriptive researchwork environmentwork schedule

Identifiers

PMID29893442
PMCPMC6175632

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.