logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. The changing spirit of rural community nursing : documentation burden.

    Article - En anglais

    Rural community and public health nursing are characterized by an impressive commitment of nurses to their communities and a connectedness of people to one another.

    Home care as an integral part of long-term and acute care for the older adult population has emerged as a vital practice area in community health nursing.

    The purpose of this ethnographic field study was to describe rural home care for frail older adults from the perspective of those providing and receiving care.

    More than 250 interviews were conducted with home care providers, recipients and their families, and other community members.

    The setting included eight culturally and geographically diverse counties in rural Colorado.

    One major theme is presented : the perceived change in the spirit of rural community nursing due to the overwhelming documentation required for home care reimbursement.

    Oppressive paperwork requirements impeded practice and resulted in fewer home visits per day, low job satisfaction, increased nursing staff turnover, decreased quality of care, and changed the spirit of community nursing from an emphasis on caring and community service to a focus on reimbursement.

    The study results have timely implications for health policy formulation as the United States undergoes major health care reform.

    Mots-clés Pascal : Soin, A domicile, Milieu rural, Pratique professionnelle, Infirmier, Personnel sanitaire, Vieillard, Satisfaction professionnelle, Charge travail, Condition travail, Colorado, Remboursement, Homme, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Care, At home, Rural environment, Professional practice, Nurse, Health staff, Elderly, Job satisfaction, Workload, Working condition, Colorado, Human, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0213255

    Code Inist : 002B30A05. Création : 09/06/1995.