THERAPEUTIC SELF-CARE IS AN ENABLING FACTOR THAT PROMOTES THE SAFETY OF OLDER ADULTS IN HOME CARE
Bibliographic record
Abstract
The purpose of this mixed methods study was to examine the concept of therapeutic self-care in the context of home care safety, as well as its influence on the safety of older adults and their informal caregivers in home care. The quantitative approach used a retrospective cohort design and utilized secondary databases for Ontario home care clients from the years 2012 to 2014. Logistic regression was used to examine the association between therapeutic self-care and adverse events. Qualitative interviews were conducted with the clients and their informal caregivers to generate themes about their perspectives of home care safety in relation to therapeutic self-care and informal caregiving. Quantitative findings indicated that low therapeutic self-care ability was associated with an increase in the odds of clients experiencing: (1) unplanned hospital visits; (2) decline in activities of daily living; (3) falls; (4) unintended weight loss, and (5) non-compliance with medication. Qualitative interviews revealed four over-arching themes: (1) Struggling through multiple aspects of safety challenges; (2) Managing therapeutic self-care by developing knowledge, competency and self-confidence; (3) Coping with informal caregiving through problem-solving, stress management and caregiver relief; (4) Seeking education, support and collaboration from home care. This mixed methods study points to the importance of therapeutic self-care ability as an enabling factor in promoting the safety of older adults in home care. This knowledge is vital to the quality improvement in home care services that focuses on the enablement of therapeutic self-care to reduce the safety related risks and burden for home care recipients.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".