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© 2019 Iranian Journal of Nursing and Midwifery Research | Published by Wolters Kluwer - Medknow 239
Dear Editor,
Making the decision to relinquish the caregiving role to
health care providers can be a very difficult and stressful
event.[1]
The health system is facing an increase in the
number of elderly patients, together with many people
with disabilities, rising cost of health care, and the lack
of capacity in hospitals; this is worsened by different
needs of patients such as dressing, drug monitoring,
daily physiotherapy, speech therapy, tests, etc.[2]
Service
providers must, therefore, discover new ways to reduce
costs, improve quality, and increase productivity.[3]
Functional decline typically means a greater demand on
family caregivers for patient assistance, care management,
and support. Thus, there are important interventions that
reduce caregiver burden and enhance patient assistance,
care management, and support.[4]
Providing care at different
levels requires professional human resources. One of the
conditions that is observed among health service providers
is the assignment of many services to a family Caregiver.
The presence of factors such as the lack of professional
staff and high workload due to nurses’ disproportion to
the patient has led to routine assignment and participation
of patients,
family members in the care process, but it can
lead to unpleasant outcomes such as poor quality of care
and the nursing position, patient and family displeasure, as
well as the lowered dignity of the patient.
Nurses and nursing staff should use patient’ families only
in education and for psychological support. Use of methods
for organizing human resources in departments, such as
team and group methods, as well as different nurses in
the care team and the presence of adequate human in the
health system can resolve this problem partly. Nursing
specialization makes any of the care levels performed
by a special category that is a subset of nursing. Student
admission is based on the world’s most acclaimed colleges
and education according to their curriculum and the needs
of the community. The implementation of the registry
plan also allows patients to receive specialized services.
This gives credit to the nursing profession. Increasing the
quality of care, satisfaction, public trust and maintaining
the patient’s dignity are the benefits of these schemes.
Financial support and sponsorship
Nil.
Assignment of Health Care to Family Caregiver
Conflicts of interest
Nothing to declare.
Mostafa Roshanzadeh1
,
Somayeh Mohammadi2
,
Nematullah Shomoossi3
, Ali Tajabadi3
1
Shahid Beheshti Medical Ethics and Law Center, Tehran, Iran,
2
Nursing Faculty of Brojen, Shahrecord, Iran, 3
Sabzevar University of
Medical Sciences, Sabzevar, Iran
Address for correspondence:
Mr. Ali Tajabadi,
Sabzevar University of Medical Sciences, Sabzevar, Iran.
E‑mail: alitaj58@yahoo.com
References
1. Roberts E, Struckmeyer KM. The impact of respite programming
on caregiver resilience in dementia care: A qualitative
examination of family caregiver perspectives. Inquiry
2018;55:46958017751507.
2. Abdul Nasir J, Dang C. Solving a more flexible home health care
scheduling and routing problem with joint patient and nursing
staff selection. Sustainability 2018;10:0148.
3. Rodriguez‑Verjan C, Augusto V. Xie X. Home health‑care
network design: Location and configuration of home health‑care
centers. Oper Res Health Care 2018;17:28‑41.
4. Griffin JM, Meis LA, Greer N, MacDonald R, Jensen A, Rutks I,
et al. Effectiveness of caregiver interventions on patient outcomes
in adults with dementia or Alzheimer’s disease: A systematic
review. Gerontol Geriatr Med 2015;1:2333721415595789.
Letters to the Editor
How to cite this article: Roshanzadeh M, Mohammadi S, Shomoossi N,
Tajabadi A. Assignment of health care to family Caregiver. Iranian J
Nursing Midwifery Res 2019;24:239.
Received: October, 2018. Accepted: January, 2019.
© 2019 Iranian Journal of Nursing and Midwifery Research | Published by Wolters Kluwer
- Medknow
This is an open access journal, and articles are distributed under the terms of the
Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows
others to remix, tweak, and build upon the work non‑commercially, as long as
appropriate credit is given and the new creations are licensed under the identical terms.
Access this article online
Quick Response Code:
Website:
www.ijnmrjournal.net
DOI:
10.4103/ijnmr.IJNMR_176_18
[Downloaded free from http://www.ijnmrjournal.net on Tuesday, April 23, 2019, IP: 94.199.139.72]

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Assignment Of Health Care To Family Caregiver

  • 1. © 2019 Iranian Journal of Nursing and Midwifery Research | Published by Wolters Kluwer - Medknow 239 Dear Editor, Making the decision to relinquish the caregiving role to health care providers can be a very difficult and stressful event.[1] The health system is facing an increase in the number of elderly patients, together with many people with disabilities, rising cost of health care, and the lack of capacity in hospitals; this is worsened by different needs of patients such as dressing, drug monitoring, daily physiotherapy, speech therapy, tests, etc.[2] Service providers must, therefore, discover new ways to reduce costs, improve quality, and increase productivity.[3] Functional decline typically means a greater demand on family caregivers for patient assistance, care management, and support. Thus, there are important interventions that reduce caregiver burden and enhance patient assistance, care management, and support.[4] Providing care at different levels requires professional human resources. One of the conditions that is observed among health service providers is the assignment of many services to a family Caregiver. The presence of factors such as the lack of professional staff and high workload due to nurses’ disproportion to the patient has led to routine assignment and participation of patients, family members in the care process, but it can lead to unpleasant outcomes such as poor quality of care and the nursing position, patient and family displeasure, as well as the lowered dignity of the patient. Nurses and nursing staff should use patient’ families only in education and for psychological support. Use of methods for organizing human resources in departments, such as team and group methods, as well as different nurses in the care team and the presence of adequate human in the health system can resolve this problem partly. Nursing specialization makes any of the care levels performed by a special category that is a subset of nursing. Student admission is based on the world’s most acclaimed colleges and education according to their curriculum and the needs of the community. The implementation of the registry plan also allows patients to receive specialized services. This gives credit to the nursing profession. Increasing the quality of care, satisfaction, public trust and maintaining the patient’s dignity are the benefits of these schemes. Financial support and sponsorship Nil. Assignment of Health Care to Family Caregiver Conflicts of interest Nothing to declare. Mostafa Roshanzadeh1 , Somayeh Mohammadi2 , Nematullah Shomoossi3 , Ali Tajabadi3 1 Shahid Beheshti Medical Ethics and Law Center, Tehran, Iran, 2 Nursing Faculty of Brojen, Shahrecord, Iran, 3 Sabzevar University of Medical Sciences, Sabzevar, Iran Address for correspondence: Mr. Ali Tajabadi, Sabzevar University of Medical Sciences, Sabzevar, Iran. E‑mail: alitaj58@yahoo.com References 1. Roberts E, Struckmeyer KM. The impact of respite programming on caregiver resilience in dementia care: A qualitative examination of family caregiver perspectives. Inquiry 2018;55:46958017751507. 2. Abdul Nasir J, Dang C. Solving a more flexible home health care scheduling and routing problem with joint patient and nursing staff selection. Sustainability 2018;10:0148. 3. Rodriguez‑Verjan C, Augusto V. Xie X. Home health‑care network design: Location and configuration of home health‑care centers. Oper Res Health Care 2018;17:28‑41. 4. Griffin JM, Meis LA, Greer N, MacDonald R, Jensen A, Rutks I, et al. Effectiveness of caregiver interventions on patient outcomes in adults with dementia or Alzheimer’s disease: A systematic review. Gerontol Geriatr Med 2015;1:2333721415595789. Letters to the Editor How to cite this article: Roshanzadeh M, Mohammadi S, Shomoossi N, Tajabadi A. Assignment of health care to family Caregiver. Iranian J Nursing Midwifery Res 2019;24:239. Received: October, 2018. Accepted: January, 2019. © 2019 Iranian Journal of Nursing and Midwifery Research | Published by Wolters Kluwer - Medknow This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Access this article online Quick Response Code: Website: www.ijnmrjournal.net DOI: 10.4103/ijnmr.IJNMR_176_18 [Downloaded free from http://www.ijnmrjournal.net on Tuesday, April 23, 2019, IP: 94.199.139.72]