scholarly journals Nurses’ Use of mHealth Functions

2021 ◽  
Author(s):  
Charlene Ronquillo ◽  
V Susan Dahinten ◽  
Vicky Bungay ◽  
Leanne M Currie
Keyword(s):  
Urban Centre ◽  
Term Care ◽  
Community Health Nursing ◽  
Care Plans ◽  
Current State ◽  
Significant Difference ◽  
Basic Documentation ◽  
Health Nursing ◽  
Support Decision Making

Nurses’ use of mHealth remains largely unexplored despite enthusiasm for its use in health systems. We conducted a survey (n=341) to examine nurses’ use of mHealth technologies in Canada; this paper presents findings of sub questions within a larger study. Differences in common mHealth functions used by nurses were examined by population setting (large urban centre, medium centre, small centre, and rural area) and type of organization (hospital, community health, nursing home or long-term care, and other). A significant difference by population setting was found in the use of the mHealth functions to support decision making. Significant differences by type of organization were found in the use of the mHealth functions for care plans, outside communication, general/basic documentation, accessing information resources, and ‘other’ functions. Results from this study are the first to provide details of the current state and nature of nurses’ use of mHealth.

scholarly journals The Influence of Race and Gender on Staff-Resident Interactions in Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 185-185
Author(s):  
Rachel McPherson ◽  
Barbara Resnick ◽  
Elizabeth Galik
Keyword(s):  
Racial Differences ◽  
Long Term Care ◽  
Analysis Of Covariance ◽  
Positive Interactions ◽  
Term Care ◽  
Race And Gender ◽  
Significant Difference ◽  
And Gender

Abstract Communication and interactions are an integral part of care in long-term care settings. Resident variables, such as race and gender, shape communication and interaction between staff and residents. The Quality of Interactions Schedule (QuIS) was developed to measure the quality of verbal and nonverbal interactions among nursing staff and older adults initially for those in acute care and later used as well in a variety of long term care settings. A quantified measurement of the quality of interactions between residents and staff was created to quantify the QuIS. The purpose of this study was to describe the gender and racial differences in scored quality of interactions. Data for the present study was based on baseline data from the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia (EIT-4-BPSD) implementation study. A total of 535 residents from 55 settings were included in the analyses. An analysis of covariance was conducted to determine a difference in QuIS scores between males and females while controlling for age. The second model tested for differences in QuIS scores between blacks and whites while controlling for age and gender. There was not a statistically significant difference in QuIS scores between male and female residents. There was a significant difference in QuIS scores between those who were black versus white, such that those who were black received more positive interactions from staff than those who were white. Future work should focus on a deeper examination of resident factors and staff factors that may influence these interactions.

A scoping review to inform care coordination strategies for youth with traumatic brain injuries: Care coordination tools

2021 ◽  
pp. 205343452110706
Author(s):  
Brandy Shook ◽  
Cara Palusak ◽  
Susan C Davies ◽  
Jennifer P Lundine
Keyword(s):  
Scoping Review ◽  
Care Coordination ◽  
Brain Injuries ◽  
Unmet Needs ◽  
Chronic Health Condition ◽  
Service Access ◽  
Care Needs ◽  
Term Care ◽  
Care Plans

Introduction & importance Children with traumatic brain injury (TBI) report unmet needs several years after their injury and may require long-term care. However, this chronic health condition is often only treated and monitored in the short-term. Care for young persons with TBI often relies on parents to manage their child's complex care network. Effective care coordination can close these gaps and facilitate continuity of care for children with TBI. The purpose of this scoping review was to develop a better understanding of tools that improve care coordination for Children with Special Health Care Needs (CSHCN). This, in turn, can inform care for children with TBI. Methods A scoping review was conducted following the PRISMA framework and methodology. OVID/Medline, CINAHL, PsycINFO, EMBASE, and ERIC databases were searched for articles relevant to care coordination tools used with CSHCN. Results 21 articles met the criteria for inclusion in the review, and 6 major categories of care coordination tools were identified: telehealth, online health records and tools, care plans, inpatient discharge protocols, family training, and reminders. Discussion Studies examining telehealth, online tools, care plans, and family training care coordination interventions for CSHCN have shown positive outcomes and would be relevant strategies to improve the care of children with TBI. Future prospective research should investigate these tools to explore whether they might improve communication, reduce unmet needs, increase service access, and improve long-term outcomes for children with TBI.

scholarly journals Prevalence of advanced directives in the geriatric population with in long-term care facilities in the United States

2021 ◽  
Vol 12 (2) ◽  
pp. 173-178
Author(s):  
Ateequr Rahman ◽  
Druti Shukla ◽  
Lejla Cukovic ◽  
Kirstin Krzyzewski ◽  
Noopur Walia ◽  
...  
Keyword(s):  
United States ◽  
Long Term Care ◽  
The United States ◽  
Living Wills ◽  
Term Care ◽  
Advanced Directive ◽  
Advanced Directives ◽  
Significant Difference ◽  
Care Facilities

Advanced directives, such as Living Wills and Do Not Resuscitate (DNR) orders, provide the ability to identify, respect, and implement an individual's wishes for medical care during serious illness or end-of-life care. The aim of this study was to evaluate the prevalence of advanced directives amongst the residents of long-term care facilities in the United States. A total of 527 cases were extracted from 2018 National Study of Long-Term Care Providers, which was collected by the National Center for Health Statistics through the surveys of residential care communities and adult day services centers. Advanced directive rates were higher in patients 90 years of age and above as compared to other age groups. Nursing home residents were more likely to have advanced directives than other long term care facilities. There was no significant difference among males and females in the rate of advanced directives. Nursing home and Hospice residents had more advanced directives compared to other facilities. The Black population had the highest rate of advanced directive preparedness. Overall, the finding of this study revealed that there was a significant difference in the preparedness of DNR orders and Living Wills by patient demographics and the type of long-term care facility. Offering advanced directive services at public health/social services facilities can enhance the rate of advanced directive preparedness. Advanced directives ease the stress and anxiety of patients, family, and friends during difficult times.

scholarly journals Recruitment of Youth Living With HIV to Optimize Adherence and Virologic Suppression: Testing the Design of Technology-Based Community Health Nursing to Improve Antiretroviral Therapy (ART) Clinical Trials (Preprint)

2020 ◽  
Author(s):  
Allison Lorna Agwu ◽  
Hasiya Eihuri Yusuf ◽  
Lawrence D'Angelo ◽  
Mobeen Rathore ◽  
Jeanette Marchesi ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Antiretroviral Therapy ◽  
Community Health ◽  
Control Group ◽  
Virologic Suppression ◽  
Art Adherence ◽  
Term Survival ◽  
Community Health Nursing ◽  
Health Nursing

BACKGROUND Despite advances in HIV diagnosis and treatment, adolescents and young adults 12-25 years old have high HIV incidence, poor engagement and retention in treatment, and low rates of adherence and virologic suppression when compared to their older counterparts. HIV has emerged as a chronic disease for which antiretroviral therapy (ART) adherence is critical for virologic suppression and long-term survival. Virologic suppression has been elusive for many youth with HIV (YHIV). Novel strategies designed to facilitate health care systems’ support for YHIV between medical visits are essential for improving ART adherence, virologic suppression, and long-term survival. OBJECTIVE The aim of this study is to compare the effectiveness of a technology-enhanced community health nursing intervention (TECH2CHECK) to a standard of care (SOC) control group for improving ART adherence and subsequent viral suppression using a randomized trial design. The objectives are to assess the feasibility, acceptability, and cost-effectiveness of TECH2CHECK as compared to SOC for management of HIV in the outpatient setting and to examine the sustainability of self-care behavior, adherence, and virologic suppression among youth following the intervention period. METHODS We will recruit 120 adherence-challenged YHIV being followed at clinics specializing in HIV care in the Baltimore-Washington metropolitan area and in Jacksonville. Eligible participants complete an audio, computer-assisted self-interview and are randomized to either TECH2CHECK intervention or the SOC (60 participants in each arm). The primary outcome of interest is virologic suppression (viral load <20 copies/mL) and improved treatment adherence. Participants in the intervention arm receive community health nursing visits at 2 weeks, 6 weeks, 10 weeks, 14 weeks, and 26 weeks. The intervention arm also receives SMS messaging comprising daily adherence and appointment reminders and positive reinforcement for medication adherence daily for 2 weeks, on alternate days for 2 weeks, thrice weekly for 1 month, weekly for 3 months, and every 2 weeks for the rest of the study duration. The control group receives appointment reminders and SOC per clinic protocol. Exploratory analysis will be conducted to determine differences in medication adherence and virologic suppression in the 2 arms and to assess cost-effectiveness and study feasibility and acceptability. RESULTS In the first 23 months of the study (July 2018-April 2020), 56 (55%) of 102 eligible patients were enrolled and randomized. At present, participating youths are primarily African American (53/56, 95%), male (37/56, 66%), and ≥18 years old (53/56, 95%). Follow-up study visits, as required per the protocol, have been completed by 77% (43/56), 94% (45/48), 95% (37/39), 96% (24/25), and 100% (10/10) of participants at the 1-month, 3-month, 6-month, 12-month, and 18-month follow-ups, respectively. CONCLUSIONS Preliminary accrual and retention data suggest that TECH2CHECK is feasible and acceptable. CLINICALTRIAL ClinicalTrials.gov NCT03600103 https://clinicaltrials.gov/ct2/show/NCT03600103 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/23480

scholarly journals "Bacteriological Status of Pressure Sore - A Study of 50 Cases"

2013 ◽  
Vol 3 (1) ◽  
pp. 19-23
Author(s):  
SI Hossain ◽  
SH Khundkar
Keyword(s):  
Bacterial Load ◽  
Care Facility ◽  
Pressure Sore ◽  
Pressure Sores ◽  
Quantitative Culture ◽  
Term Care ◽  
Long Term Care Facility ◽  
Sensitivity Pattern ◽  
Significant Difference

Background of the study: Pressure sores are major cause of morbidity and mortality in the patients of the long term care facility. Infected pressure sores are very difficult to treat. Managing pressure sore needs care and expertise. Objectives: To study the bacteriological status of pressure sore by qualitative and quantitative culture and to find out the sensitivity pattern of the isolated bacteria to the various antibiotics. Methods: 50 patients were included in this study. Wound swabs were collected from pressure sore and deep tissue specimen sampled from pressure sore for quantitative culture in 1st and 3rd visit at 20 days interval. Patients with pressure sore were followed up for healing and their wound healing rate according to PUSH Tool 3.0 is correlated with the bacterial load in the pressure sore. Results were summarized in data table and analyzed. Results: Pseudomonas species were found to be most frequent bacterial isolate followed by E.Coli. Next leading isolated bacteria were Staph. Aureus and Proteus. Ceftazidime, Amikacin, Ciprofloxacin and Gentamycin showed higher percentage of sensitivity and organisms mostly resistant to Ampicillin,Amoxycillin, Co trimoxazole,Flucloxacillin, Ceftriaxone. Quantitative culture of the pressure sore revealed that 40.5% of the sore had bacterial load >105 CFU/ gm of tissue and 59.5% had bacterial load <105 CFU/gm of tissue on 1st visit. On 3rd visit quantitative culture of the pressure sore after 20 days showed decrease in frequency of >105 CFU/ gm of tissue to 21( 28.37%). No statistically significant decrease of bacterial load from 1st to 3rd visit noted. No significant difference in healing also noted in between two groups and in different bacterial species.DOI: http://dx.doi.org/10.3329/bdjps.v3i1.15002 Bangladesh Journal of Plastic Surgery 2012, 3(1): 19-23

Developing a Rule-Based Expert System to Infer Customized Care Plans for Long Term Care Patients

2021 ◽  
Author(s):  
Chih-Hsuan Yeh ◽  
Chiao-Ling Hsu ◽  
Polan Chang
Keyword(s):  
Expert System ◽  
Long Term Care ◽  
Health Providers ◽  
Term Care ◽  
Rule Based ◽  
Care Plans ◽  
Aging Society ◽  
Increasing Demand

Systems of long-term care are needed in aging society to meet the needs of older people. In rapidly increasing demand for long-term care, how to ensure the quality of long-term care is an important issue. Therefore, we designed a rule-based expert system that automatically generates customized care plans based on the assessment results. Aims to provide health providers a useful tool in long term patients management.

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