scholarly journals “They take a lot of pressure off us”: Volunteers reducing staff and family care burden and contributing to quality of care for older patients with cognitive impairment in rural hospitals

2019 ◽  
Vol 38 (S2) ◽  
pp. 34-45 ◽  
Author(s):  
Annaliese Blair ◽  
Catherine Bateman ◽  
Katrina Anderson
Keyword(s):  
Cognitive Impairment ◽  
Quality Of Care ◽  
Older Patients ◽  
Family Care ◽  
Rural Hospitals ◽  
Care Burden

scholarly journals Validation and psychometric evaluation of the Dutch person-centred care of older people with cognitive impairment in acute care (POPAC) scale

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annette Keuning-Plantinga ◽  
Evelyn J. Finnema ◽  
Wim Krijnen ◽  
David Edvardsson ◽  
Petrie F. Roodbol
Keyword(s):  
Factor Analysis ◽  
Cognitive Impairment ◽  
Quality Of Care ◽  
Confirmatory Factor Analysis ◽  
Older People ◽  
Root Mean Square ◽  
Acute Care ◽  
Mean Square ◽  
Confirmatory Factor

Abstract Background Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-centred care. This study aimed to translate and validate the Dutch POPAC scale and evaluate its psychometric properties to enable international comparison of data and outcomes. Methods After double-blinded forward and backward translations, a total of 159 nurses recruited from six hospitals (n=114) and via social media (n=45) completed the POPAC scale. By performing confirmatory factor analysis, construct validity was tested. Cronbach’s alpha scale was utilized to establish internal consistency. Results The confirmatory factor analysis showed that the comparative fit index (0.89) was slightly lower than 0.9. The root mean square error of approximation (0.075, p=0.012, CI 0.057–0.092) and the standardized root mean square residual (0.063) were acceptable, with values less than 0.08. The findings revealed a three-dimensional structure. The factor loadings (0.69–0.77) indicated the items to be strongly associated with their respective factors. The results also indicated that deleting Item 5 improved the Cronbach’s alpha of the instrument as well as of the subscale ‘using cognitive assessments and care interventions’. Instead of deleting this item, we suggest rephrasing it into a positively worded item. Conclusions Our findings suggest that the Dutch POPAC scale is sufficiently valid and reliable and can be utilized for assessing person-centred care in acute care hospitals. The study enables nurses to interpret and compare person-centred care levels in wards and hospital levels nationally and internationally. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.

scholarly journals PCV12: QUALITY OF CARE IN OLDER PATIENTS ADMITTED TO HOSPITAL WITH HEART FAILURE

2001 ◽  
Vol 4 (2) ◽  
pp. 99-100
Author(s):  
AH Abdelhafiz ◽  
N Wheeldon
Keyword(s):  
Heart Failure ◽  
Quality Of Care ◽  
Older Patients

scholarly journals Mental Disorders, Quality of Care, and Outcomes Among Older Patients Hospitalized With Heart Failure

2008 ◽  
Vol 65 (12) ◽  
pp. 1402 ◽  
Author(s):  
Saif S. Rathore ◽  
Yongfei Wang ◽  
Benjamin G. Druss ◽  
Frederick A. Masoudi ◽  
Harlan M. Krumholz
Keyword(s):  
Heart Failure ◽  
Quality Of Care ◽  
Mental Disorders ◽  
Older Patients

scholarly journals TESTING THE EFFECTIVENESS OF INTEGRATED ELDERLY CARE MODEL ON QUALITY OF CARE AND HEALTH OUTCOMES AMONG HOSPITALIZED ELDERLIES IN WEST BANK

2020 ◽  
Vol 20 (1) ◽  
pp. 82-89
Author(s):  
Atef H. Khatib ◽  
Ayman M. Hamdan- Mansour ◽  
Hamza F. Ratrout ◽  
Atallah Alenezi ◽  
Tala R. Chahien
Keyword(s):  
Time Series ◽  
Quality Of Care ◽  
Integrated Care ◽  
Older Patients ◽  
West Bank ◽  
Elderly Care ◽  
Multiple Time ◽  
Ageing Population ◽  
Care Model

The rapid increase in the ageing population and health conditions are imposing a higher challenge to the health care system that requires multidisciplinary teamwork utilizing coordinated care approach. This study examined the effects of integrated care model on quality of care received by older hospitalized patients in West Bank. A quantitative interrupted time series design (pretest and posttest multiple time series, quasi-experiment design) was used. The study examined the effects of integrated care model on admitted older patients (n=32) in the West Bank measuring ten dimensions of quality of care and four health indicators. There was a significant improvement in the dimensions of quality of care: dimensions: nurses’ communications with patients, physicians’ communications with patients, staff response to patients’ needs, pain management, explanations on medications, amount of information given on discharge plan, patients' area cleanliness, patients' area quietness, rating of the hospital, and willingness to recommend the hospital. Incidence of falls and incidence of pressure ulcer improved after implementing the model, while readmission rate and average length of stay did not improve. This study contributed to the limited body of knowledge related to the effect of integrated care model on hospitalized older patients’ quality of care in Palestine/ West Bank. Integrated care has the potential to improve care outcomes among hospitalized older patients.

Appraisal of the Quality of Care of Older Adults with Cognitive Impairment in the Emergency Department

2013 ◽  
Vol 39 (3) ◽  
pp. 34-40 ◽  
Author(s):  
Linda M. Schnitker ◽  
Melinda Martin-Khan ◽  
Ellen Burkett ◽  
Elizabeth R.A. Beattie ◽  
Leonard C. Gray
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Cognitive Impairment ◽  
Quality Of Care

scholarly journals Quality of Care in Chronic Kidney Disease and Incidence of End-Stage Renal Disease in Older Patients

Medical Care ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Shingo Fukuma ◽  
Tatsuyoshi Ikenoue ◽  
Sayaka Shimizu ◽  
Edward C. Norton ◽  
Rajiv Saran ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Quality Of Care ◽  
Kidney Disease ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Older Patients ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Theoretical Perspectives of Hospitalized Older Patients and Their Health-Related Problems and Quality of Care: Systematic Literature Review

2017 ◽  
Vol 10 (1) ◽  
pp. 215-225 ◽  
Author(s):  
Atef Hasan Khatib ◽  
Ayman M. Hamdan-Mansour ◽  
Manar Ali Bani Hani
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Quality Of Care ◽  
Elderly Patients ◽  
Older Patients ◽  
Older Persons ◽  
Elderly Care ◽  
Quality Of Healthcare ◽  
Emotional Wellbeing

Introduction:The proportion of aged people is growing worldwide. Older persons are affected by a number of physical, psychological and social factors that influence their health and quality of life. These factors are usually multiple and are often masked by sensory and cognitive impairments.Purpose:The purpose of this study was to examine the available literature emphasizing older persons’ care, care-related problems, and older persons’ quality of healthcare. Also, the paper aimed at exploring the future direction of research needs.Results:Good quality older patients’ care involves safety, professional interventions, recognition and management of physical and emotional wellbeing. Care of older patients requires addressing the aging process itself, the expected decrease in functionality, and diminished cognitive ability. Little statistical data were found to address the quality of hospitalized elderly patients in particular as well as study on healthcare facilities and nursing homes. Literature does not provide much guidance to the effectiveness of care strategies.Conclusion:The results assert that elderly health care is a priority. However, health care systems are not specific about elderly patients’ needs, leading to low quality of elderly care. There is a need to use an integrated model of care to improve the quality of life and quality of care provided to hospitalized older patients.

scholarly journals Quality of Care Perceived by Older Patients and Caregivers in Integrated Care Pathways With Interviewing Assistance From a Social Robot: Noninferiority Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Roel Boumans ◽  
Fokke van Meulen ◽  
William van Aalst ◽  
Joyce Albers ◽  
Marèse Janssen ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Older Patients ◽  
Care Pathway ◽  
Controlled Trial ◽  
Social Robot ◽  
Control Group ◽  
Robot Assisted ◽  
Significant Difference

BACKGROUND Society is facing a global shortage of 17 million health care workers, along with increasing health care demands from a growing number of older adults. Social robots are being considered as solutions to part of this problem. OBJECTIVE Our objective is to evaluate the quality of care perceived by patients and caregivers for an integrated care pathway in an outpatient clinic using a social robot for patient-reported outcome measure (PROM) interviews versus the currently used professional interviews. METHODS A multicenter, two-parallel-group, nonblinded, randomized controlled trial was used to test for noninferiority of the quality of care delivered through robot-assisted care. The randomization was performed using a computer-generated table. The setting consisted of two outpatient clinics, and the study took place from July to December 2019. Of 419 patients who visited the participating outpatient clinics, 110 older patients met the criteria for recruitment. Inclusion criteria were the ability to speak and read Dutch and being assisted by a participating health care professional. Exclusion criteria were serious hearing or vision problems, serious cognitive problems, and paranoia or similar psychiatric problems. The intervention consisted of a social robot conducting a 36-item PROM. As the main outcome measure, the customized Consumer Quality Index (CQI) was used, as reported by patients and caregivers for the outpatient pathway of care. RESULTS In total, 75 intermediately frail older patients were included in the study, randomly assigned to the intervention and control groups, and processed: 36 female (48%) and 39 male (52%); mean age 77.4 years (SD 7.3), range 60-91 years. There was no significant difference in the total patient CQI scores between the patients included in the robot-assisted care pathway (mean 9.27, SD 0.65, n=37) and those in the control group (mean 9.00, SD 0.70, n=38): <i>P</i>=.08, 95% CI –0.04 to 0.58. There was no significant difference in the total CQI scores between caregivers in the intervention group (mean 9.21, SD 0.76, n=30) and those in the control group (mean 9.09, SD 0.60, n=35): <i>P</i>=.47, 95% CI –0.21 to 0.46. No harm or unintended effects occurred. CONCLUSIONS Geriatric patients and their informal caregivers valued robot-assisted and nonrobot-assisted care pathways equally. CLINICALTRIAL ClinicalTrials.gov NCT03857789; https://clinicaltrials.gov/ct2/show/NCT03857789

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