Show simple item record

dc.contributor.authorEnglish, Christineen
dc.date2013-05-23 16:10:53.323
dc.date.accessioned2013-05-23T20:48:53Z
dc.date.available2013-05-23T20:48:53Z
dc.date.issued2013-05-23
dc.identifier.urihttp://hdl.handle.net/1974/8037
dc.descriptionThesis (Master, Rehabilitation Science) -- Queen's University, 2013-05-23 16:10:53.323en
dc.description.abstractHome First is an Ontario transition management approach that attempts to reduce the pressure on hospital and Long Term Care (LTC) beds through early discharge planning, the provision of timely and appropriate home care, and the delay of LTC placement. The purpose of this qualitative descriptive study was to obtain descriptions from South Eastern Ontario Home First clients and their family caregivers of their experiences with and thoughts about care transitions, the provision of care, and the Home First approach. The goal was to enable insight into the Home First approach, care transitions, and the provision of care through access to the perspectives of study participants. Nine semi structured interviews (and one or more follow-up calls for each interview) with Home First clients discharged from hospitals in South East Ontario and their family caregivers were conducted and their content analyzed. All participating Home First clients were pleased to be home from hospital and did not consider LTC placement a positive option. All had family involved with their care and used a mix of formal and informal services to meet their care needs. Four general themes were identified: (a) maintaining independence while responding (or not) to risks, (b) constraints on care provision, (c) communication is key, and (d) relationship matters. Although all Home First clients participating in the study were discharged home successfully, a sense of partnership between health care providers, families, and clients was often lacking. The Home First approach may be successfully addressing hospital alternative level of care issues and getting people home where they want to be, but it is also putting increasing demands on formal and informal community caregivers. There is room for improvement in how well their needs and those of care recipients are being met. Health professionals and policy makers must ask caregivers and recipients about their concerns and provide them with appropriate resources and information if they want them to become true partners on the care team.en
dc.language.isoengen
dc.relation.ispartofseriesCanadian thesesen
dc.rightsThis publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner.en
dc.subjectHome Support Workersen
dc.subjectHome Health Careen
dc.subjectCommunity Careen
dc.subjectOlder Home Support Clientsen
dc.subjectElder Careen
dc.subjectDischarge Planningen
dc.subjectRelationshipsen
dc.subjectFamily Relationshipsen
dc.subjectNursing Homeen
dc.subjectOntario Health Careen
dc.subjectCanadian Health Careen
dc.subjectPlacementen
dc.subjectHome Firsten
dc.subjectTransition Managementen
dc.subjectCare Transitionsen
dc.subjectAging in Placeen
dc.subjectMaintaining Independenceen
dc.subjectCaregivingen
dc.subjectCommunity Health and Support Servicesen
dc.subjectCommunity Long-Term Careen
dc.subjectFamily Carersen
dc.subjectFrail Seniorsen
dc.subjectClient Satisfactionen
dc.subjectHospital Dischargeen
dc.subjectHealth Careen
dc.subjectOlder Peopleen
dc.subjectAgeden
dc.subjectFrail Elderlyen
dc.subjectAgingen
dc.subjectElderlyen
dc.subjectSupportive Home Careen
dc.subjectClient Perspectivesen
dc.subjectLong-Term Careen
dc.subjectQuality of Careen
dc.subjectEvaluation of Servicesen
dc.subjectCare Planningen
dc.subjectRisken
dc.subjectDecisionsen
dc.subjectCase Managementen
dc.subjectCommunicationen
dc.subjectIndependenceen
dc.subjectHome Careen
dc.subjectConstraints on Care Provisionen
dc.subjectMaintaining Independenceen
dc.subjectQualitative Researchen
dc.subjectFamily Caregiversen
dc.subjectNursing Home Placementen
dc.subjectQualitative Descriptionen
dc.subjectProgram Evaluationen
dc.subjectAlternative Level of Careen
dc.subjectPatient Dischargeen
dc.subjectSelf-Careen
dc.subjectFormal Careen
dc.subjectAged Careen
dc.subjectInformal Careen
dc.subjectPost-Discharge Careen
dc.subjectHome Supporten
dc.subjectCommunity Support Servicesen
dc.subjectHealth Services Researchen
dc.titleOntario’s Home First Approach, Care Transitions, and the Provision of Care: The Perspectives of Home First Clients and Their Family Caregiversen
dc.typethesisen
dc.description.degreeM.Sc.en
dc.contributor.supervisorJamieson, Margareten
dc.contributor.departmentRehabilitation Scienceen
dc.degree.grantorQueen's University at Kingstonen


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record