Home health vs. acute care

  1. 0 Just a question. I have noticed that frequently when someone is sharing how burnt out they are in acute care, posters recommend home health as being lower stress. Like many of you I have done both. I found home health to be less stressful in terms of being able to focus on one thing at a time and the friendliness of family members. However, for me this was more than offset by the lack of resources, both material and co-workers to help and bounce things off of. I went back to acute care after about a year. I found I actually needed to know more and be more creative in home health; it didn't feel easier at all. What is your experience between the two types of nursing?
  2. Visit  janhetherington profile page

    About janhetherington

    janhetherington has '15' year(s) of experience and specializes in 'Medical Surgical'. From 'Arkansas'; 54 Years Old; Joined May '01; Posts: 674; Likes: 1,212.

    5 Comments so far...

  3. Visit  BarbraJean profile page
    1
    after nursing for 13 years in acute care, mostly Emerg & CCU/Transplant, I too felt burnt out. The politics & stress were making me dread going to work, not to mention the long stretch of 12 hour day/nights because we were short staffed. I switched to homecare on the advice of a friend. I love it! Yes it can be stressful but I'm amazed at the depth & scope of knowledge I have developed as well as super organizational skills. I don't know where you did Homecare but here in Ontario if I need supplies one phone call & I have them next day, same day if it an emergency. I develop wonderful relationships with my patients & feel I truly practice holistic nursing. I always have a collegue or supervisor at the other end of the phone if I have a problem. With the advent of cell phones that double as cameras, I have on one or two occasions taken a picture of a wound e-mailed to our wound care nurse & had an answer in less than 5 minutes! Yes I work 1 in 3 weekends & yes I may have to do 1,2 or 3 evenings a month but our shifts are 8hrs. sometimes less & evenings start at 1 end at 9 & on call is from 9 to 10pm. Politics? Smaller team less politics. Do your job well, get the paperwork in on time leave a good report & there are no problems. Would I go back to hospital? Never! Hope that answers your question.
    janhetherington likes this.
  4. Visit  imanedrn profile page
    2
    Quote from janhetherington
    Just a question. I have noticed that frequently when someone is sharing how burnt out they are in acute care, posters recommend home health as being lower stress. Like many of you I have done both. I found home health to be less stressful in terms of being able to focus on one thing at a time and the friendliness of family members. However, for me this was more than offset by the lack of resources, both material and co-workers to help and bounce things off of. I went back to acute care after about a year. I found I actually needed to know more and be more creative in home health; it didn't feel easier at all. What is your experience between the two types of nursing?
    I do both (FT at hospital & per diem at HH).

    I find that HH is a sort of respite for me from the stressors of acute care, while acute care keeps me on my toes for the assessment skills I need to survive on my own in HH. One of my biggest stressors is that I'm an introvert at heart, so working TWELVE hours with LOTS of people is a big emotional stressor. Working HH with ONE patient, and maybe a/some family member(s), still allows me to be a nurse but is less emotionally demanding at the same time.

    Ideally (which I will do in the future!), I would work per diem for hospital and HH.
    Up2nogood RN and janhetherington like this.
  5. Visit  Starrbelie123 profile page
    1
    I work for a company that does both home health and hospice. I hope I never have to go back to the hospital! I have wonderful resources. Supplies can sometime be a challenge but co-worker support is awesome. I know that I can call any one of the nurses (management or not) and get the support I need. Anytime day or night. I think it all depends on the agency and your coworkers. My agency is state wide and I know our branch is unique. I have helped out in several of the other branches and could not wait to get back home!
    janhetherington likes this.
  6. Visit  ambil profile page
    1
    I could say ditto to most of what's been said sofar. I switched from working in a hospital to home care and never regretted the move. I remember how I felt the last two years in a hospital setting...frustrated, confused, stupid, used, misunderstood helpless..and so on. Now after being in home care for 8 years or so I feel secure, confident, respected, motivated and professional. This will sound corny, but home nursing really has shown me that I was meant to be a nurse. I love having to be creative and resourceful. I enjoy working between doctors, thearapists, pharmacists and medical supply firms. I like being the coordinator for a new palliative care patient and getting everything arranged so that he or she can come home and experience his last days in peace and comfort with family and loved ones. I can really make a difference in my little corner of the world in home care nursing. I can also say after all this that I don't regret my years as a hospital nurse. Everyone should put in some time there to experience the system and learn the basics. What I learned there was critical for my confidence and decision making ability in home care.rdnrs:
    janhetherington likes this.
  7. Visit  havenrn profile page
    0
    I've only done home care. I've just been so happy I've never wanted to go to a hospital. I love my patience and would miss caring for them.


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