Hospital-At-Home: What Nurses and Nursing Students Know
Hospital-at-home initiatives have the potential to enhance health results while simultaneously diminishing expenses. This article delves into the implications of hospital-at-home for nurses and their career prospects.
The Concept of Hospital-At-Home
Key Takeaways:
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– Hospital-at-home services can lead to cost reduction, improved outcomes, resolution of hospital overcrowding, and enhanced patient contentment.
– Established care models are evolving to incorporate hospital-at-home services.
– The nursing community can play a pivotal role in designing effective hospital-at-home models for both nurses and patients.
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Hospital-at-Home: Benefits and Implementation
Hospital-at-home programs are projected to lower healthcare expenditures by around 30% and yield superior outcomes, particularly for patients vulnerable to hospital-linked infections or those who experience significant stress in hospital environments. In a recent 2022 survey, approximately 80% of hospitals are strategizing the integration of hospital-at-home services.
So, what must nurses comprehend regarding this emerging and efficacious care paradigm?
This guide provides insight into hospital-at-home for nurses, its potential impact on nursing education and career trajectories, and the essential knowledge required to prepare for it. Gain a deeper understanding of this transformative potential today.
Hospital-At-Home: The Approach and the Role of Nursing
Hospital-at-home extends medical care to patients requiring professional attention and monitoring without the necessity of being physically present within a hospital. Typical scenarios encompass recovery from procedures, accidents, and conditions like dehydration, deep-vein thrombosis, or urinary tract infections.
While the technology and tools to facilitate hospital-at-home care are well-prepared for a multitude of conditions, legislative and payment frameworks are lagging behind, impeding full adoption. Nevertheless, numerous hospitals and an increasing number of new providers are forging ahead with hospital-at-home services. The perceived advantages encompass:
– Reduced care expenses due to shorter hospital stays
– Enhanced convenience for visiting family and friends
– Elevated patient and family satisfaction
– Mitigated risk of hospital-borne infections and other hazards
– Facilitated adherence to cultural or religious dietary practices
– Diminished distress for patients with mental health issues uncomfortable in external environments
– Reduced patient anxiety and depression
What Does Hospital-At-Home Entail for Nurses?
Nurses are positioned to provide ongoing monitoring and communication with patients through technology, including vital sign checks, addressing queries or needs, or instructing home health aides, family, friends, or other caregivers in delivering necessary care. Additionally, there may be an increase in home nursing positions for nurses willing to travel for initial setup or follow-up visits.
If hospital-at-home significantly truncates hospital stays, it might contribute to alleviating nurse burnout. However, the emotional and psychological implications of providing remote nursing care—whether positive or negative—remain uncertain.
Another prospective alteration with hospital-at-home pertains to an expanding role for venture capital in forming new hospital-at-home service providers. InsightAce Analytic forecasts a 47% global compound annual growth rate for hospital-at-home from 2023 to 2031. According to McKinsey, venture capital digital health investments surged from $8.2 billion in 2019 to $14.9 billion in 2020, and then to $29.1 billion in 2021. These investments could additionally prompt a cultural shift among nurses.
Nursing Involvement in Hospital-At-Home
Analysts have identified three primary challenges to effectively scaling hospital-at-home models: generating sufficient patient volume to ensure program and infrastructure sustainability, delivering on the promise of cost reductions, and ensuring appropriate patient referrals to hospital-at-home. If U.S. hospitals, payers, legislators, and clinicians adeptly address these issues, hospital-at-home could prove advantageous for both patients and nurses.
Nurse leaders hold a pivotal role in representing the interests of nursing and nurses in discussions and planning concerning hospital-at-home services. They can also advocate for patient rights and equitable access to hospital-at-home, particularly for underserved patients and communities.
To prepare for the potential evolution of care, consider the following steps:
– Nurses initiating discussions on the ramifications of hospital-at-home for nurses with colleagues, administration, and nursing associations, including state associations.
– Nurses advocating for themselves and patients when government agencies and payers formulate policies and protocols.
– Nurse educators assessing new learning requirements for nurses and creating fresh resources for practicing nurses, continuing education, and revised nursing curricula.
– Nurse researchers investigating outcomes and formulating evidence-based care standards.
– Clinical nurse specialists identifying effective approaches to hospital-at-home for nurses.
Hospital-At-Home: The Promise and Nursing’s Role
The possibilities inherent in hospital-at-home for nurses are extensive. It possesses the potential to address some of the most pressing nursing challenges, including excessive workload and burnout. Furthermore, it can yield enhanced patient experiences and outcomes, alleviate moral distress and stress for nurses, and offer more economically efficient care, potentially resulting in higher salaries for nurses. However, realizing these benefits necessitates active nurse engagement in shaping the future of hospital-at-home.
References
Bestsennyy, O et al. From facility to home: How healthcare could shift by 2025. (2023). McKinsey & Company
Global Hospital-at-Home Market Research Report. (2022). InsightAce Analytic
Klein S. “Hospital at Home” Programs Improve Outcomes, Lower Costs But Face Resistance from Providers and Payers. (2023). The Commonwealth Fund
Krumholz, Harlan. Post-Hospital Syndrome — An Acquired, Transient Condition of Generalized Risk. (2013). The New England Journal of Medicine
Pelizzari, P et al. Hospital At Home Is Not Just For Hospitals. (2022). Health Affairs
Why Hospital at Home, and Why Now? Lessons Learned from the Rise of Ambulatory Surgery. (2022). Chartis
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