Consent and Release

2001 ◽  
Vol 17 (3) ◽  
pp. 162-165
Author(s):  
Katherine Pohlman ◽  
Nadine Schwab
Keyword(s):  
Health Care ◽  
School Districts ◽  
Health Care Providers ◽  
Nursing Practice ◽  
School Nurses ◽  
School Nursing ◽  
Care Providers ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
General Guidance

Because school nursing practice by definition involves delivering services to minors, school nurses often find themselves with questions about consent. Because school districts, much like other health care providers, occasionally face liability for the undesired health care outcomes of their clients (i.e., students), another question that surfaces frequently deals with release from liability. Each question must be answered based on analysis of the specific facts and applicable laws. This article provides an overview of the principles that provide school nurses with general guidance on consent issues and release of liability and, by way of example, applies them in the answers to four specific questions forwarded by practicing school nurses.

Best Practices to Promote Patient and Donor Engagement to Care in Living Donor Transplant

2017 ◽  
pp. 306-327
Author(s):  
Emanuela Saita ◽  
Susanna Zanini ◽  
Enrico Minetti ◽  
Chiara Acquati
Keyword(s):  
Health Care ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Best Practices ◽  
Health Care Providers ◽  
Living Donor ◽  
Care Providers ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Donor Kidney Transplantation

Increasing evidence has demonstrated that patients' involvement promotes better health care outcomes and cost-effectiveness of services. However, limited literature is available about the experience of living donor kidney transplantation and best practices to promote patients and donors' engagement. Aim of the present chapter is to review the literature about patient engagement in the context of chronic kidney disease, and to introduce an innovative protocol developed to promote potential donors and recipients' participation and adherence to care at the Niguarda Ca' Granda Hospital in Milan (Italy). Results are critical to reflect on the identification of best practices for patients' engagement in the context of chronic kidney disease. Through a better understanding of the emotional and affective dynamics and the relational implications that may influence the elaboration of the information given by health care providers, it will be possible to develop evidence-informed interventions.

Best Practices to Promote Patient and Donor Engagement to Care in Living Donor Transplant

2017 ◽  
pp. 1-28
Author(s):  
Emanuela Saita ◽  
Susanna Zanini ◽  
Enrico Minetti ◽  
Chiara Acquati
Keyword(s):  
Health Care ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Best Practices ◽  
Health Care Providers ◽  
Living Donor ◽  
Care Providers ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Donor Kidney Transplantation

Increasing evidence has demonstrated that patients' involvement promotes better health care outcomes and cost-effectiveness of services. However, limited literature is available about the experience of living donor kidney transplantation and best practices to promote patients and donors' engagement. Aim of the present chapter is to review the literature about patient engagement in the context of chronic kidney disease, and to introduce an innovative protocol developed to promote potential donors and recipients' participation and adherence to care at the Niguarda Ca' Granda Hospital in Milan (Italy). Results are critical to reflect on the identification of best practices for patients' engagement in the context of chronic kidney disease. Through a better understanding of the emotional and affective dynamics and the relational implications that may influence the elaboration of the information given by health care providers, it will be possible to develop evidence-informed interventions.

scholarly journals Creating Consumer-Generated Health Data: Interviews and a Pilot Trial Exploring How and Why Patients Engage (Preprint)

2018 ◽  
Author(s):  
Kara Burns ◽  
Craig A McBride ◽  
Bhaveshkumar Patel ◽  
Gerard FitzGerald ◽  
Shane Mathews ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Personal Responsibility ◽  
Pilot Trial ◽  
Health Data ◽  
Care Providers ◽  
Health Care Outcomes ◽  
Use Of Data ◽  
Consumer Perspective ◽  
Care Outcomes

BACKGROUND Consumer-generated health data (CGHD) are any clinically relevant data collected by patients or their carers (consumers) that may improve health care outcomes. Like patient experience measures, these data reflect the consumer perspective and is part of a patient-centric agenda. The use of CGHD is believed to enhance diagnosis, patient engagement, and thus foster an improved therapeutic partnership with health care providers. OBJECTIVE The aim of this study was to further identify how these data were used by consumers and how it influences engagement via a validated framework. In addition, carer data has not been explored for the purpose of engagement. METHODS Study 1 used interviews with CGHD-experienced patients, carers, and doctors to understand attitudes about data collection and use, developing an ontological framework. Study 2 was a pilot trial with carers (parents) of children undergoing laparoscopic appendectomy. For 10 days carers generated and emailed surgical site photographs to a tertiary children’s hospital. Subsequently, carers were interviewed about the engagement framework. In total, 60 interviews were analyzed using theme and content analysis. RESULTS This study validates a framework anchored in engagement literature, which categorizes CGHD engagement outcomes into 4 domains: physiological, cognitive, emotional, and behavioral. CGHD use is complex, interconnected, and can be organized into 10 themes within these 4 domains. CONCLUSIONS CGHD can instigate an ecosystem of engagement and provide clinicians with an enhanced therapeutic relationship through an extended view into the patient’s world. In addition to clinical diagnosis and efficient use of health care resources, data offer another tool to manage consumers service experience, especially the emotions associated with the health care journey. Collection and use of data increases consumers sense of reassurance, improves communication with providers, and promotes greater personal responsibility, indicating an empowering consumer process. Finally, it can also improve confidence and satisfaction in the service.

scholarly journals Improving Health Care Outcomes through Personalized Comparisons of Treatment Effectiveness Based on Electronic Health Records

2011 ◽  
Vol 39 (3) ◽  
pp. 425-436 ◽  
Author(s):  
Sharona Hoffman ◽  
Andy Podgurski
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Comparative Effectiveness ◽  
Treatment Effectiveness ◽  
Government Support ◽  
Health Care Rationing ◽  
Care Providers ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Care Rationing

The unsustainable growth in U.S. health care costs is in large part attributable to the rising costs of pharmaceuticals and medical devices and to unnecessary medical procedures. This fact has led health reform advocates and policymakers to place considerable hope in the idea that increased government support for research on the comparative effectiveness of medical treatments will eventually help to reduce health care expenses by informing patients, health care providers, and payers about which treatments for common conditions are effective and which are not. Comparative effectiveness research (CER) has shown in some cases that expensive but commonly used treatments are significantly less effective than relatively inexpensive alternatives. Critics warn, however, that CER will homogenize patient care, limit patient choices, and lead to improper health care rationing and even to the denial of lifesaving treatments.

Linking School Nurses With Health Care Systems Using EHRs: An Integrative Review

2020 ◽  
pp. 105984052091332
Author(s):  
Christina Baker ◽  
Bonnie Gance-Cleveland
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Systems ◽  
Health Care Team ◽  
School Nurses ◽  
Care Providers ◽  
Health Records ◽  
School Aged Children ◽  
Team Care ◽  
Care Systems

School-aged children spend around 1,080 hr at school each year and many of them have chronic diseases; therefore, it is imperative to include school nurses as part of the health care team. Care coordination between health care providers and school nurses is currently hindered by communication that relies on an inadequate system of fax, phone, and traditional mail. Using electronic health records (EHRs) to link school nurses and health care systems is usually limited in scope despite EHRs advancement in these health care systems. No literature is currently available showing the number of hospitals and health care systems that provide EHR access to school nurses. The purpose of this article was to present a literature review on EHR access for school nurses nationally. This review along with the legal and logistical considerations for this type of implementation will be discussed.

A Training Program for Unlicensed Assistive Personnel

2007 ◽  
Vol 23 (2) ◽  
pp. 92-97 ◽  
Author(s):  
Beverly S. Gursky ◽  
Barbara J. Ryser
Keyword(s):  
Health Care ◽  
School Districts ◽  
Training Program ◽  
Nursing Staff ◽  
School Nurses ◽  
School Nursing ◽  
Health Care Needs ◽  
Care Needs ◽  
Assistive Personnel ◽  
Unlicensed Assistive Personnel

In many school districts, school nurses are assigned multiple schools with responsibility for the health care needs of all students at those schools. Because they cannot be physically present at all sites simultaneously, it is necessary to delegate tasks to unlicensed assistive personnel (UAP). Educating and supervising UAP are critical steps in the delegation process. This article shows how one school district developed and implemented a training program for UAP using its school nursing staff.

scholarly journals Parents’ perception of the school nurse’s role

2020 ◽  
Vol 3 (1) ◽  
pp. 064-067
Author(s):  
Gillooly Diane ◽  
Mahat Ganga ◽  
Paradiso Patricia
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Essential Role ◽  
First Aid ◽  
School Nurses ◽  
Descriptive Statistics ◽  
Coordination Of Care ◽  
Care Providers ◽  
Item Questionnaire

Background: School nurses possess an essential role in treating and helping children maintain health. However, the full scope of their role has not been identified by parents. Therefore, the purpose of this study was to explore parents’ perceptions of the role of the school nurse. Methods: Descriptive statistics were used to analyze the data. One hundred eighty parents participated in the study. The perception of the roles of school nurses was assessed by a 16-item questionnaire, which was adapted from a study by Kirchofer, et al. 2007. Results: The four most important school nurses’ roles perceived by the parents were providing first aid and emergency care to children, communicating with parents and health care providers in the presence of a problem, providing medical treatment, and preventing and controlling diseases. Conclusion: School nurses have many important roles, and while parents identified some essential roles, they did not recognize other vital roles as being very important. Increasing awareness of school nurses’ multifaceted roles among parents is essential so that they can utilize nurses’ expertise in maintaining their student’s health as well as tap into a key resource in the coordination of care for their child.

The ethics of interprofessional collaboration

2013 ◽  
Vol 20 (4) ◽  
pp. 426-435 ◽  
Author(s):  
Joyce Engel ◽  
Dawn Prentice
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Moral Distress ◽  
Ethical Issues ◽  
Interprofessional Collaboration ◽  
Care Providers ◽  
Quality Health Care ◽  
Health Care Outcomes ◽  
Quality Health ◽  
Interprofessional Competencies

Interprofessional collaboration has become accepted as an important component in today’s health care and has been guided by concerns with patient safety, quality health-care outcomes, and economics. It is widely accepted that interprofessional collaboration improves patient outcomes through enhanced communication among health-care providers and increased accessibility to services. Although there is a paucity of research that provides confirmatory evidence, interprofessional competencies continue to be incorporated into the curricula of health-care students. This article examines the ethics of interprofessional collaboration and ethical issues that arise from the mainstream adoption of interprofessional competencies and the potential for moral distress in nursing.

How May the School Nurse Use Data Effectively?

2012 ◽  
Vol 27 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Anne Harris Sheetz
Keyword(s):  
Health Care ◽  
Performance Improvement ◽  
Nursing Practice ◽  
School Nurses ◽  
Data Driven ◽  
School Nursing ◽  
Evidence Based ◽  
Health Care Settings ◽  
Data Limitations ◽  
Improvement Programs

Consistent with their colleagues in other health care settings, school nurses function in a data-driven society. Collecting, analyzing, and sharing data with stakeholders are critical responsibilities for both improving school nursing practice and interpreting its importance to others. School nurses have unique opportunities to collect and use data in a variety of capacities affecting the health and education of children and adolescents. Moving into data-driven practice offers exciting surprises—and demands abilities to identify questions, understand data limitations, create and implement performance improvement programs, and use findings for evidence-based practice and advocacy.

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