Date of Conferral

2021

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Diana Naser

Abstract

There is little available research about how home care agencies attempt to address patient safety during the nurse virtual healthcare visit. The purpose of this quantitative correlational study was to determine, during the delivery of telehealth care by a home care agency, to what extent the level of education of the registered nurse, the level of education of the director of the home care agency, and the clinical decision support system (CDSS) impact patient safety. The framework for the study was the complex sociotechnological systems model. Data from the 2007 National Home and Hospice Care Survey were analyzed using logistic regression analysis. The results of the analysis revealed that during the delivery of telehealth care by home care agencies, the level of education of the registered nurse and the level of education of the homecare agency director have statistically significant relationships to patient safety (routine video monitoring; p = .02). Additionally, the findings of the study showed that during the delivery of telehealth care by home care agencies, the CDSS has a statistically significant relationship to patient safety (staff use of CDSS guidelines; p = .001). The findings of this study could contribute to professional practice and social change by highlighting the levels of education at the home care level and the benefit of hiring trained professionals to understand patient safety tools such as CDSS guidelines and routine video monitoring.

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