Nurse Molly Is Reviewing Normal Growth and Development

• Periodical List
• J Med Libr Assoc
• five.94(two Suppl); 2006 Apr
• PMC1463031

J Med Libr Assoc. 2006 April; 94(2 Suppl): E49–E55.

Mapping the literature of dwelling house health nursing

Received 2005 Jun; Accepted 2005 Dec.

Abstract

Objectives: The purpose of this study was to place core journals in home health nursing and to determine how well these journals were covered by indexing and abstracting services. The study was part of the project for mapping the nursing literature of the Medical Library Clan's Nursing and Allied Health Resources Section.

Methods: A commendation analysis of ii core journals was done to decide distribution of references by format types and age of citations and dispersion of the literature, according to Bradford'southward Police of Scattering. The analysis of indexing coverage for Zone 1 and 2 was besides provided.

Results: The study showed that 64.two% of citations came from journals, versus 22.9% from books and 12.ix% from other publications. PubMed/ MEDLINE rated highest in average indexing coverage of Zone 1 and 2 journals, followed past CINAHL. PsycINFO, SocioAbstracts, and EBSCO Health Business organization FullTEXT showed practically no coverage for the home health nursing literature.

Determination: Every bit expected, journal articles were found to be the primary source for referencing and books, the secondary source. In regard to bibliographic control, no databases provided full coverage of the journals in the field of dwelling health nursing. PubMed/MEDLINE and CINAHL gave better results in combination, because CINAHL tended to encompass more nursing journals, while PubMed/MEDLINE did meliorate with medical titles.

INTRODUCTION

This written report was conducted as a office of the Medical Library Association'due south Nursing and Allied Health Resources Section'southward project for mapping the nursing literature. The purpose of the report was to identify cadre journals in home wellness nursing and to make up one's mind a level of indexing coverage for these journals.

HISTORY

Habitation health care nursing is divers as "the delivery of specialized nursing care services in the dwelling house health intendance setting" [1]. While this specialty has a long history in nursing, information technology has just recently stood out every bit an contained discipline, because, for many decades, home health intendance nursing was considered a component of customs wellness nursing. The root of dwelling care, institute in the practice of visiting nursing, had its showtime in England in mid-1800s when William Rathbone, a wealthy businessman and philanthropist, with the help of Florence Nightingale, established a schoolhouse to railroad train visiting nurses in helping the "sick poor" in their homes [2]. Soon, the concept of community wellness nursing expanded to other countries, including the Usa.

The early on visiting nurses in America were called "district nurses," a term introduced by Nightingale for nurses who visited the sick and provided wellness education in the community. The first home visiting programs in the United States appeared in the 1880s [1]. At that time, home health nursing was inseparable from community wellness nursing, as each nurse provided the full continuum of nursing intendance, including wellness promotion and disease prevention, hands-on care to restore health, or palliative intendance [3].

During the beginning one-half of the twentieth century, home health nursing in the United States was largely provided by visiting nurse associations and nursing divisions of governmental health agencies. These organizational structures mostly remained stable until the mid-1960s, when Medicare legislation was passed. And then, domicile care services, as a benefit provided by Medicare to elderly clients, were used more frequently, especially later on reductions of in-hospital lengths of stay [four].

HOME Wellness NURSING TODAY

Today, with price-restraints and the increased availability of circuitous services in the homes of patients, dwelling intendance continues to abound and change dramatically. Home intendance nurses now utilise technology that once only existed in intensive intendance units. Nurses instruct their patients in managing ventilators, ambulatory dialysis, and continuous infusion of medications. Innovative home-based programs such as aftercare for coronary avenue bypass graft (CABG) surgery and crisis intervention for psychiatric patients accept also been added to the listing of services provided by home health nurses [v]. With all these changes, domicile health nursing took the shape of a new specialized nursing practice, with its own unique competencies [6]. Barry stated that

[A]lthough community health nursing and dwelling house specialty nursing share common aspects, both are specialties in their ain right. … Community health nursing continuously focuses on the well-being of the community as a whole; home wellness nursing focuses on returning sick individuals to a land of relative wellness and involves episodic care. [vii]

In 1986, the American Nurses Clan published new Standards of Home Wellness Nursing Practice, based on the 1973 Standards of Customs Health Nursing Practise. Those standards practical both to generalists and specialists in nursing practice in home health and addressed the arrangement of home health services [viii]. Home health nursing has traditionally been considered a generalist practice, with the expectation that the nurse demonstrate competence and flexibility in caring for clients across the age and illness continua. In recent years, new opportunities take arisen for dwelling house wellness nurses to combine their generalist practise with the awarding of specialized noesis and skills in such areas every bit home chemotherapy, enterostomal therapy, mental health, continence management, lactation consultation, palliative care, and care of children with long-term health needs [iii]. Manifestly with those factors, new requirements for educational training of dwelling wellness nurses take been established.

Currently, many university schools of nursing offer home health specialties, home wellness courses, dwelling house health content in other specialties (for instance, adult health nursing), or at least optional clinical practice in home health. New home health graduate nursing programs have been started in many universities [9]. Nurse educators search for the all-time methods to build baccalaureate nursing programs to prepare students for the career of habitation health nurses [7, 10]. Standing educations programs support the transition of nurses to home health care from other services (east.g., astute care settings). The purposes of such programs are to provide nurses with the skills and noesis they need in a new environment [6, 11]. The American Nurses' Credentialing Center currently lists a certification test for home health nursing at an advanced practice level in addition to the 1 given at the generalist level [12]. The Home Healthcare Nurses Association has recently developed a core curriculum for dwelling health nursing [thirteen]. All this demonstrates growing interest in farther development of the new nursing specialty, and that involvement, in turn, causes a rapid growth of publications in the field.

Both "abode health nursing" and "domicile health care nursing" are met in the literature with about the same frequency. Interestingly enough, major tools of nursing terminology include neither of these terms (perchance because of the lack of standardization). The National Library of Medicine's Medical Bailiwick Headings (MeSH) includes neither of these terms as descriptors. The International Nursing Index Nursing Thesaurus has the term "Dwelling house wellness nursing," referring to the MeSH term "Abode Intendance Services." The CINAHL Subject Heading List [xiv], despite its sensitivity to modern nursing terminology, is likewise missing the term "Dwelling house health nursing." CINAHL maps "Dwelling health nursing" to several descriptors, including "Domicile Wellness Intendance," "Community Health Nursing," and "Home Nursing, Professional." The latter is in fact equivalent to "Abode health nursing," every bit it designates home services provided by nurses (reverse to nursing provided by nonprofessionals such as family unit, friends, etc., indicated by the term "Home Nursing"). Compared to "Home Nursing, Professional," "Home Health Intendance" and "Customs Health Nursing" are broader terms. "Home health nursing" is not shown in the scope note for "Home Nursing, Professional," which might confuse users.

METHODOLOGY

The mutual methodology is described in item in the projection overview article [15]. The source journals for dwelling house health nursing were selected based on the "Brandon/Hill Selected List of Print Nursing Books and Journals" [16]. Two periodicals in the field were included in the 2000 Brandon/Hill list: Home Healthcare Nurse and Abode Care Provider. Dwelling Healthcare Nurse is a peer-reviewed journal, published since 1983 past Lippincott (absorbed Nephrology Nurse). The periodical is the official periodical of the Domicile Healthcare Nurses Association. Home Care Provider, started in 1996 by Mosby, one of the largest nursing publishers, is also a well-established, peer-reviewed periodical (ceased publication December 2001). A few more journals related to the field were considered simply not selected because they did not meet all the criteria: Dwelling house Health Care Direction and Do (not on the Brandon/Hill listing and reputation score is 0, co-ordinate Allen's list of key nursing journals [17]); Home Care Quality Management (besides non on the Brandon/Loma listing, not peer reviewed); Domicile Health Care Services Quarterly (neither on the Brandon/ Loma list nor on Allen'due south list); and Home Healthcare Nurse Director (not well-established, published since 1998, and ceased publication in 2000).

RESULTS

The number of source articles during the 3-year period was 234 for Dwelling Healthcare Nurse and 123 for Domicile Care Provider. The average number of references per commodity was like for both journals: xi.5 for Dwelling house Healthcare Nurse and 9 for Home Care Provider, for a full of iii,810 references appearing in 357 source articles.

Tabular array 1 illustrates the distribution of references by format types. Nearly two-thirds (64.2%) of the citations were from journals; those from books were nearly one-quarter (22.9) of the total. The remainder were distributed between miscellaneous (8.three%) and government documents (4.half dozen%). These results corresponded to those plant in studies of the centrolineal health literature [xviii].

Table 1 Cited format types past source journal and frequency of citations

Table ii shows the age of citations by each format type. Miscellaneous and government publications were the most current among the cited documents. In the miscellaneous category, documents published within the last three years (1996 to 1998) of the studied group constituted 37.ix% and for regime documents, 27.1%. The largest number of citations savage into the next time frame, 1990 to 1995. Virtually 50% of the cited books, journal articles, and government documents related to this menstruum. As expected, books represented the oldest textile cited: 28.6% of the books were published before 1990. Overall, 74.7% of the cited literature was published between 1990 and 1998, confirming the rapid development of this nursing field in recent years.

Table 2 Cited format types by publication year periods

Analysis of cited journals, based on Bradford'southward Constabulary of Scattering, showed that 22 titles composed the nuclear zone of cadre journals accounting for 1/3 of the cited periodical articles. Lxxx-eight journals, providing another one/3 of the cited articles, formed the 2nd zone, while the 3rd or outer zone included 533 journals peripheral to the field of habitation health nursing. These results are shown in Table 3.

Tabular array three Distribution past zone of cited journals and references

Finally, Tabular array 4 illustrates the level of indexing coverage for Zones 1 and two by major wellness sciences and general databases. For both zones, PubMed/MEDLINE and CINAHL provided the greatest coverage. CINAHL did slightly better than PubMed/MEDLINE for Zone 1, and, vice versa, PubMed/MEDLINE was slightly ameliorate than CINAHL for Zone 2; total average coverage score for ii zones was iii.21 for PubMed/ MEDLINE versus 3.11 for CINAHL. Social Sciences Commendation Index was next for Zone ane with a ii.eighteen score but only fourth for Zone 2 with a score of 1.6; its full boilerplate score came to 1.89. Science Commendation Index showed a little lower total average score: i.77. This index seemed to provide better coverage for Zone two (score 1.ix) than for Zone i (score 1.64). Health Reference Center, on the reverse, provided better coverage for Zone one, with score of ane.73, while, for Zone ii, it only scored one.24. EBSCO HealthSource Nursing/Academic and EMBASE had very limited coverage for both zones, with average scores of less than ane.5 (one.01 for EBSCO and 1.33 for EMBASE). Other databases—ERIC, PsycINFO, and Sociological Abstracts—covered less one% for both zones, and, for that reason, they were not included in the tabular array. Neither was EBSCO Health Concern FullTEXT, which showed practically no coverage for dwelling health nursing.

Table 4 Distribution and database coverage of cited journals in Zones 1 and two

DISCUSSION

This analysis of the literature on home wellness nursing once more confirms the fact that in scientific discipline and practice fields, the most useful and relevant information is published in periodicals. More citations (64.2%) came from journals than books (22.9%) and other publications (12.9%). More than one-half of the cited literature (54.3%) was published from 1990 till 1995. Combining these with the most recent materials of 1996 to 1998, which business relationship for 20.4%, makes upward 75% of all citations, indicating a reliance on recent literature. Comparing citation frequency both past year of publication and format types shows that miscellaneous and government documents are relatively more current than books and journals: for the time span 1996 to 1998, the percent of citations for miscellaneous and authorities documents is most 33%, while for books and journals it is but 19%. This might exist explained by the fact that miscellaneous and government documents are now frequently bachelor on the Internet, which makes them more accessible to the public.

These results perfectly illustrate the connections between health fields related to home health nursing. Thus, amid twenty-two journals belonging to Zone 1, six are related to geriatric health: Gerontologist, Journal of Gerontological Nursing, Journal of the American Geriatric Society, Geriatric Nursing, Geriatrics, and Periodical of Gerontology (in 1995, split up into Series A, Biological and Medical Sciences and Serial B, Psychological and Social Sciences). This loftier proportion of geriatric journals reflects the fact that geriatric patients are the main clients of home wellness nurses. Not surprisingly, two of the most productive journals relate to major diseases of aged people: Diabetes Intendance and Oncology Nursing Forum.

Connections between home health nursing and public health explain the presence of American Journal of Public Health in Zone 1; another journal shut to this discipline, Journal of Community Wellness Nursing, appeared every bit 1 of the top journals in Zone two. The actual numbers of citations are similar for these ii publications: twenty-one versus xix. The presence of major medical journals among the core journals, New England Periodical of Medicine (ranked 3rd) and JAMA (ranked sixth), confirms findings in similar studies [18] and confirms the high reputation and wide variety of topics covered by these medical publications. Finally, the appearance of general nursing journals among the core periodicals—such as American Periodical of Nursing, Journal of Advanced Nursing, Nursing Clinics of North America, Nursing Enquiry, Periodical of Nursing Administration, and others—shows increasing involvement in this field from the nursing community, too as rapid growth of the research and educational potential of domicile health nursing.

PubMed/MEDLINE provides the greatest coverage for journals in home health nursing. CINAHL has a slightly lower score (boilerplate for 2 zones is 3.eleven versus iii.21). Nevertheless, these databases tend to cover different titles: while PubMed/MEDLINE gives more attention to medical journals, CINAHL provides ameliorate coverage of nursing journals. OCLC ArticleFirst, though not scored, covers a meaning number of titles (91%) from both Zones 1 and 2. From this indicate of view, its coverage is similar to PubMed/MEDLINE (101 titles of 110 or 92%) and CINAHL (91 titles or 83%). Withal, OCLC ArticleFirst does not add together subject indexing to the articles; as a result, it is a considerably less efficient indexing tool than databases using subject thesauri, such as PubMed/MEDLINE and CINAHL. Social Sciences Commendation Index ranks slightly higher than the remaining databases, particularly for Zone 1 (average 2.xviii). This index might be of some interest, because information technology covers general and multidisciplinary titles not indexed by subject databases.

CONCLUSION

Home wellness nursing is a relatively new specialty, yet there are several journals entirely devoted to this field. Home Healthcare Nursing, the official journal of the Home Healthcare Nurses Association, accounts for the largest number of cited references. Other core journals include general medical and nursing journals, multidisciplinary journals related to home intendance (Caring), and journals related to adjacent fields, such every bit geriatric wellness and public wellness.

Because home health nursing is a new and rapidly developing area of practice, major database producers would practise well to give it more attending than they currently practice. Hopefully, this study would provoke such attending and give helpful information for further analysis.

Acknowledgments

The writer acknowledges and expresses appreciation to many people who contributed to this study: Margaret (Peg) Allen, AHIP, who provided full general leadership as task force chair and coordinated the data collation for Table four; without her high-quality support, this project would not be possible. Special thanks to task forcefulness members Allen, Tune Allison, Kristine Alpi, AHIP, Carol Galganski, AHIP, Martha (Molly) Harris, AHIP, Helen Seaton, AHIP, Priscilla Stephenson, AHIP, Mary 1000. Taylor, AHIP, and Pamela White, who searched databases and compiled Table four; volunteers who provided initial peer review of articles and Alpi who coordinated this process (with the assistance of Laura Larsson) and managed the NAHRSMAP task strength mailing list; Ginny Chaskey at CINAHL Information Systems who supplied cited references in electronic form for Abode Care Provider; Allison, Alpi, Seaton, Stephenson, and Dorice Vieira, whose contributions extended beyond completing their own studies; Alpi, Susan Jacobs, AHIP, and Vieira who provided expertise in using an Access database; and Barbara Schloman, AHIP, and the allied health task force members who provided the model for this study.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1463031/

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