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Int J Integr Care. 2014 Mar 13;14:e008. eCollection 2014.

Identification of the need for home visiting nurse: development of a new assessment tool.

Author information

  • 1Division of Community Health Care System, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan.
  • 2Department of Community Health nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • 3Division of Biostatistics, Tohoku University Graduate School of Medicine, Sendai, Japan.
  • 4Oita University of Nursing and Health Science, President, 2944-9, Megusuno, Oita City, Oita, Japan.



To develop a Home Visiting Nursing Service Need Assessment Form (HVNS-NAF) to standardize the decision about the need for home visiting nursing service.


The sample consisted of older adults who had received coordinated services by care managers. We defined the need for home visiting nursing service by elderly individuals as the decision of the need by a care manager so that the elderly can continue to live independently. Explanatory variables included demographic factors, medical procedure, severity of illness, and caregiver variables. Multiple logistic regression was carried out after univariate analyses to decide the variables to include and the weight of each variable in the HVNS-NAF. We then calculated the sensitivity and specificity of each cutoff value, and defined the score with the highest sensitivity and specificity as the cutoff value.


Nineteen items were included in the final HVNS-NAF. When the cutoff value was 2 points, the sensitivity was 77.0%, specificity 68.5%, and positive predictive value 56.8%.


HVNS-NAF is the first validated standard based on characteristics of elderly clients who required home visiting nursing service. Using the HVNS-NAF may result in reducing the unmet need for home visiting nursing service and preventing hospitalization.


assessment tool; home visiting nursing service; need assessment

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