Understanding challenges in the front lines of home health care: A human-systems approach

Jenay M. Beer; Sara E. McBride; Tracy L. Mitzner; Wendy A. Rogers

doi:10.1016/j.apergo.2014.05.019

Understanding challenges in the front lines of home health care: A human-systems approach

Jenay M. Beer, Sara E. McBride, Tracy L. Mitzner, Wendy A. Rogers

Research output: Contribution to journal › Article › peer-review

Abstract

A human-systems perspective is a fruitful approach to understanding home health care because it emphasizes major individual components of the system - persons, equipment/technology, tasks, and environments - as well as the interaction between these components. The goal of this research was to apply a human-system perspective to consider the capabilities and limitations of the persons, in relation to the demands of the tasks and equipment/technology in home health care. Identification of challenges and mismatches between the person(s) capabilities and the demands of providing care provide guidance for human factors interventions. A qualitative study was conducted with 8 home health Certified Nursing Assistants and 8 home health Registered Nurses interviewed about challenges they encounter in their jobs. A systematic categorization of the challenges the care providers reported was conducted and human factors recommendations were proposed in response, to improve home health. The challenges inform a human-systems model of home health care.

Original language	English (US)
Pages (from-to)	1687-1699
Number of pages	13
Journal	Applied Ergonomics
Volume	45
Issue number	6
DOIs	https://doi.org/10.1016/j.apergo.2014.05.019
State	Published - Nov 2014
Externally published	Yes

Keywords

Healthcare
Human factors
Human-systems

ASJC Scopus subject areas

Human Factors and Ergonomics
Physical Therapy, Sports Therapy and Rehabilitation
Safety, Risk, Reliability and Quality
Engineering (miscellaneous)

Online availability

10.1016/j.apergo.2014.05.019

Library availability

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title = "Understanding challenges in the front lines of home health care: A human-systems approach",

abstract = "A human-systems perspective is a fruitful approach to understanding home health care because it emphasizes major individual components of the system - persons, equipment/technology, tasks, and environments - as well as the interaction between these components. The goal of this research was to apply a human-system perspective to consider the capabilities and limitations of the persons, in relation to the demands of the tasks and equipment/technology in home health care. Identification of challenges and mismatches between the person(s) capabilities and the demands of providing care provide guidance for human factors interventions. A qualitative study was conducted with 8 home health Certified Nursing Assistants and 8 home health Registered Nurses interviewed about challenges they encounter in their jobs. A systematic categorization of the challenges the care providers reported was conducted and human factors recommendations were proposed in response, to improve home health. The challenges inform a human-systems model of home health care.",

keywords = "Healthcare, Human factors, Human-systems",

author = "Beer, {Jenay M.} and McBride, {Sara E.} and Mitzner, {Tracy L.} and Rogers, {Wendy A.}",

note = "Funding Information: This research was supported in part by a grant from the National Institutes of Health (National Institute on Aging) Grant P01 AG17211 under the auspices of the Center for Research and Education on Aging and Technology Enhancement (CREATE ; www.create-center.org ).",

year = "2014",

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doi = "10.1016/j.apergo.2014.05.019",

language = "English (US)",

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AU - McBride, Sara E.

AU - Mitzner, Tracy L.

AU - Rogers, Wendy A.

N1 - Funding Information: This research was supported in part by a grant from the National Institutes of Health (National Institute on Aging) Grant P01 AG17211 under the auspices of the Center for Research and Education on Aging and Technology Enhancement (CREATE ; www.create-center.org ).

PY - 2014/11

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N2 - A human-systems perspective is a fruitful approach to understanding home health care because it emphasizes major individual components of the system - persons, equipment/technology, tasks, and environments - as well as the interaction between these components. The goal of this research was to apply a human-system perspective to consider the capabilities and limitations of the persons, in relation to the demands of the tasks and equipment/technology in home health care. Identification of challenges and mismatches between the person(s) capabilities and the demands of providing care provide guidance for human factors interventions. A qualitative study was conducted with 8 home health Certified Nursing Assistants and 8 home health Registered Nurses interviewed about challenges they encounter in their jobs. A systematic categorization of the challenges the care providers reported was conducted and human factors recommendations were proposed in response, to improve home health. The challenges inform a human-systems model of home health care.

AB - A human-systems perspective is a fruitful approach to understanding home health care because it emphasizes major individual components of the system - persons, equipment/technology, tasks, and environments - as well as the interaction between these components. The goal of this research was to apply a human-system perspective to consider the capabilities and limitations of the persons, in relation to the demands of the tasks and equipment/technology in home health care. Identification of challenges and mismatches between the person(s) capabilities and the demands of providing care provide guidance for human factors interventions. A qualitative study was conducted with 8 home health Certified Nursing Assistants and 8 home health Registered Nurses interviewed about challenges they encounter in their jobs. A systematic categorization of the challenges the care providers reported was conducted and human factors recommendations were proposed in response, to improve home health. The challenges inform a human-systems model of home health care.

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Understanding challenges in the front lines of home health care: A human-systems approach

Abstract

Keywords

ASJC Scopus subject areas

Online availability

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