Identification of the need for home visiting nurse

Development of a new assessment tool

Atsuko Taguchi, Satoko Nagata, Takashi Naruse, Yuki Kuwahara, Takuhiro Yamaguchi, Sachiyo Murashima

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: To develop a Home Visiting Nursing Service Need Assessment Form (HVNS-NAF) to standardize the decision about the need for home visiting nursing service. Methods: The sample consisted of older adults who had received coordinated services by care managers. We defined the need for home visiting nursing service by elderly individuals as the decision of the need by a care manager so that the elderly can continue to live independently. Explanatory variables included demographic factors, medical procedure, severity of illness, and caregiver variables. Multiple logistic regression was carried out after univariate analyses to decide the variables to include and the weight of each variable in the HVNS-NAF. We then calculated the sensitivity and specificity of each cutoff value, and defined the score with the highest sensitivity and specificity as the cutoff value. Results: Nineteen items were included in the final HVNS-NAF. When the cutoff value was 2 points, the sensitivity was 77.0%, specificity 68.5%, and positive predictive value 56.8%. Conclusions: HVNS-NAF is the first validated standard based on characteristics of elderly clients who required home visiting nursing service. Using the HVNS-NAF may result in reducing the unmet need for home visiting nursing service and preventing hospitalization.

Original languageEnglish
JournalInternational Journal of Integrated Care
Volume14
Issue number1
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

nursing service
Home Nursing
Nursing Services
Community Health Nurses
nurse
Needs Assessment
manager
Values
Sensitivity and Specificity
demographic factors
hospitalization
Caregivers
caregiver
Hospitalization
illness
Logistic Models
logistics
Demography

Keywords

  • Assessment tool
  • Home visiting nursing service
  • Need assessment

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Health Policy

Cite this

Identification of the need for home visiting nurse : Development of a new assessment tool. / Taguchi, Atsuko; Nagata, Satoko; Naruse, Takashi; Kuwahara, Yuki; Yamaguchi, Takuhiro; Murashima, Sachiyo.

In: International Journal of Integrated Care, Vol. 14, No. 1, 01.01.2014.

Research output: Contribution to journalArticle

Taguchi, Atsuko ; Nagata, Satoko ; Naruse, Takashi ; Kuwahara, Yuki ; Yamaguchi, Takuhiro ; Murashima, Sachiyo. / Identification of the need for home visiting nurse : Development of a new assessment tool. In: International Journal of Integrated Care. 2014 ; Vol. 14, No. 1.
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