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Coaching Home Care Clients to Prepare Their Homes for Safe Care Visits: A Mixed-Methods Study to Evaluate a Nurse-Led Educational Intervention Process

Author

Listed:
  • Pia K. Markkanen

    (Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell (UMASS Lowell), Lowell, MA 01854, USA)

  • Rebecca J. Gore

    (Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell (UMASS Lowell), Lowell, MA 01854, USA
    Department of Biomedical Engineering, Francis College of Engineering, University of Massachusetts Lowell (UMASS Lowell), Lowell, MA 01854, USA)

  • Susan R. Sama

    (Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell (UMASS Lowell), Lowell, MA 01854, USA)

  • John E. Lindberg

    (Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell (UMASS Lowell), Lowell, MA 01854, USA)

  • Catherine J. Galligan

    (Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell (UMASS Lowell), Lowell, MA 01854, USA)

  • Margaret M. Quinn

    (Safe Home Care Project, Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell (UMASS Lowell), Lowell, MA 01854, USA)

Abstract

Assuring home care (HC) workers’ safety is challenging because the work environment is a private home. This paper presents the process evaluation for a proof-of-concept safety intervention study to assess whether nurse-led safety coaching, using motivational interviewing and a safety handbook, could enable HC clients to improve safety in their homes. The process evaluation objectives were to (i) document the intervention’s implementation progress and (ii) assess the intervention’s dose delivery, dose reception, and fidelity. Five agencies employing liaisons ( n = 5) and nurse managers (NMs, n = 8) implemented this study’s intervention and control arms. NMs assigned to the intervention arm ( n = 6) coached 34 clients. Process evaluation metrics were assessed with mixed-methods data from (i) surveys completed by NMs during the intervention, (ii) postintervention audio-recorded and transcribed interviews ( n = 6) with NMs and liaisons, and (iii) study progress tracking tools. The delivered dose efficiency was 85%, measured by the distribution of safety handbook copies to clients. About 94% of clients ( n = 32) were considered “engaged” or “maybe engaged” during the safety coaching. Most coached clients ( n = 30) were reachable for follow-up by NMs to assess intervention progress. Despite challenges, the intervention was implemented with good fidelity. Safety coaching can be applied in many HC contexts in larger populations.

Suggested Citation

  • Pia K. Markkanen & Rebecca J. Gore & Susan R. Sama & John E. Lindberg & Catherine J. Galligan & Margaret M. Quinn, 2024. "Coaching Home Care Clients to Prepare Their Homes for Safe Care Visits: A Mixed-Methods Study to Evaluate a Nurse-Led Educational Intervention Process," IJERPH, MDPI, vol. 21(3), pages 1-21, March.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:3:p:360-:d:1359303
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    References listed on IDEAS

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    1. James O. Prochaska, 2008. "Decision Making in the Transtheoretical Model of Behavior Change," Medical Decision Making, , vol. 28(6), pages 845-849, November.
    2. Ryan Olson & Jennifer A. Hess & Kelsey N. Parker & Sharon V. Thompson & Anjali Rameshbabu & Kristy Luther Rhoten & Miguel Marino, 2018. "From Research-to-Practice: An Adaptation and Dissemination of the COMPASS Program for Home Care Workers," IJERPH, MDPI, vol. 15(12), pages 1-19, December.
    3. Hee-Kyung Kim & Jeong-Hyo Seo & Cheol-Hee Park, 2022. "The Mediating Effect of Self-Efficacy and Coping Strategy in Relation to Job Stress and Psychological Well-Being of Home-Visiting Care Workers for Elderly during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(19), pages 1-14, September.
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