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A place to care: the homebound elderly
1Kaiser Permanente, Stockton, Calif., USA.
Summary
Homebound elderly individuals show willingness to accept expanded nurse practitioner roles for primary care. Acceptance varies by income and religion, with lower incomes and Protestant or unaffiliated individuals more open to these services.
Area of Science:
- Gerontology
- Primary Health Care
- Nursing Practice
Background:
- The aging American population faces challenges in accessing primary health care.
- Homebound elderly individuals have specific needs for accessible healthcare services.
Purpose of the Study:
- To examine the acceptance of expanded role functions for nurse practitioners among homebound elderly individuals.
- To identify demographic factors influencing the acceptance of advanced nursing practice in primary care.
Main Methods:
- A survey was conducted with 22 homebound elderly participants.
- Chi-square analyses were used to correlate participant responses with demographic data.
Main Results:
- Income and religion were statistically significant factors (P < .05) influencing acceptance of expanded nurse practitioner roles.
- Participants with lower incomes (below $20,000), Protestants, and those with no religious affiliation showed greater acceptance.
Conclusions:
- Nurse practitioners can play a role in meeting primary care needs of homebound elderly individuals.
- Demographic factors such as income and religion impact patient acceptance of expanded nursing roles.
- Further research with larger, diverse samples is needed to confirm generalizability.