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Biomedical subjects

L J Neal

Publications and source records attributed to L J Neal.

At least 19 recordsLinked to original sources
PubMed2001

A comparison of the positive and negative work attitudes of home health care and hospital nurses.

This article compares the positive and negative stress response work attitudes of 126 home health care registered nurses (RNs) and 145 hospital RNs. Home health care nurses reported significantly lower levels of the negative work attitudes, anger/hostility, and frustration with the system. There was no significant difference between the two groups of RNs among the positive work attitudes of job satisfaction, positive affect, hope, meaningfulness, manageability, and trust in the supervisor and the negative work attitudes frustration with the supervisor, job alienation, and negative affect.

Adult↗
PubMed2001

Public awareness of home care.

This article reviews the current literature regarding public awareness of home care and describes a pilot descriptive study that addresses public awareness of home care.

Adolescent↗
PubMed2001

Hip fracture research results related to home care.

Hip fracture is a topic we are likely to hear more about as health care professionals continue to work collaboratively to prevent increases in incidence, cost, and poor outcomes associated with hip fracture. Research shows that home care is the optimum place for these patients and agencies should continue to strive to improve outcomes and the consistency of care across settings.

Activities of Daily Living↗
PubMed1999

The Neal theory: implications for practice and administration.

New research demonstrates that home health nurses proceed through a three-stage process to become successful and autonomous in their practice. It also indicates that they must be adaptable in order to function effectively and successfully in home care. This research has many implications for clinicians, managers, and administrators.

Adaptation, Psychological↗
PubMed1999

Facilitating the growth of nursing staff case management in PPS.

Prospective payment system (PPS) will require that home health administrators and clinicians discover a new way to deliver care. The key is to find a cost-effective framework that conserves and, preferably, improves the quality of care in the home. Although this has always been the ultimate goal, at no other time has it been so crucial to choose the "right" clinician.

Case Management↗
PubMed1998

Functional assessment of the home health client.

Since the collection of Medicare patient information through the use of the Outcomes and Assessment Information Set (OASIS) has become mandatory, it is increasingly important that home care nurses understand how to conduct a functional assessment. This article presents each element of function that should be assessed, explains how to assess each element, and describes some of the most common instruments used in performing a functional assessment. Additionally, tips are included for assessing the home environment and the client's safety.

Activities of Daily Living↗
PubMed1998

Current functional assessment tools.

In last month's issue of Home Healthcare Nurse, the article "Functional Assessment of the Home Health Client" described the value of performing functional assessment in relation to OASIS and methods to use in assessing a client's ability to perform activities of daily living (ADL) and instrumental activities of daily living (IADL). Although many different instruments are used to measure functional ability, this article will describe three of the commonly used instruments for measuring functional ability: the Barthel Index, the Functional Independence Measure (FIM), and PULSES have been tested for reliability and validity. The WeeFIM will also be discussed.

Activities of Daily Living↗
PubMed1998

A place to hide.

Explore the source record for details and available documents.

Aged↗
PubMed1997

Development of a managed-care team in a traditional home healthcare agency.

Increasing numbers of home health clients have managed-care insurance plans. Issues related to the care of these clients in the home are different from those that relate to the care of Medicare clients. The Visiting Nurse Association (VNA) of Northern Virginia developed a managed-care team whose staff is trained to work effectively and efficiently with managed-care companies while maintaining a goal of quality care. The evolution of the managed-care team concept is described and offered as a model for other traditional home health agencies. Critical success factors for implementing a dedicated managed-care team are defined. Speculation about the future of the VNA's managed-care team and the implications for nursing and home healthcare of the managed-care team concept are discussed.

Community Health Nursing↗
PubMed1997

The rehabilitation nursing paradigm: implications for home care.

Just as patient care delivery is shifting to the home, the focus of patient care is changing to wellness, illness prevention, and self-care promotion. The new approach to patient care will require an applicable theoretical basis. Rehabilitation nursing theory presents a valid paradigm for trends in patient care, particularly in the home setting.

Health Promotion↗
PubMed1997

Is anybody home? Basic neurologic assessment of the home care client.

Clients with strokes, Parkinson's disease, multiple sclerosis, brain injury, or other conditions that are neurologic in origin abound in home care. Other clients may have neurologic deficits that are not so obvious. This article describes basic neurologic assessment and how it can be performed in the home setting with minimal inconvenience to the client and the nurse. Using a catchy mnemonic, the home care nurse can ensure that valuable information is obtained during the visit.

Abbreviations as Topic↗
PubMed1995

The rehabilitation CNS in the home health care setting.

THE REHABILITATION CNS is a rarity in the home health care setting. Rehabilitation nursing theory is consistent with home care practice. Both emphasize independence and self-care. In this article, experiences of one rehabilitation CNS in a home care agency during development of the role are described, and potential for the rehabilitation CNS role in home care under ideal conditions is explored.

Activities of Daily Living↗