scholarly journals Delivering a patient education intervention using both the internet and telephone: A discursive presentation.

Author(s):  
Suzanne Fredericks ◽  
Géraldine Martorella

Post-discharge, patient education interventions have been implemented in the cardiovascular surgical population, in which the education is delivered over the telephone. This intervention has shown to be effective in reducing anxiety. However non-significant results have been reported for knowledge acquisition, performance of self-care behaviours, and symptom management during the first 3 weeks of recovery. An internet-telephone educational intervention is presented in this paper as an alternative to usual cardiovascular surgical, post-discharge patient education. It was reasoned that a combined internet-telephone intervention would decrease nursing workload, provide patients with increased access to information, and reduce the number of hospital readmissions and complications experienced during the post-hospital recovery period. A presentation of the intervention is provided where the components are individualized to reflect the learning needs of the individual patient. This is followed by a discussion of the various considerations for the intervention’s design and implementation as they relate to age and socio-economic status is also identified.

2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Géraldine Martorella

Post-discharge, patient education interventions have been implemented in the cardiovascular surgical population, in which the education is delivered over the telephone. This intervention has shown to be effective in reducing anxiety. However non-significant results have been reported for knowledge acquisition, performance of self-care behaviours, and symptom management during the first 3 weeks of recovery. An internet-telephone educational intervention is presented in this paper as an alternative to usual cardiovascular surgical, post-discharge patient education. It was reasoned that a combined internet-telephone intervention would decrease nursing workload, provide patients with increased access to information, and reduce the number of hospital readmissions and complications experienced during the post-hospital recovery period. A presentation of the intervention is provided where the components are individualized to reflect the learning needs of the individual patient. This is followed by a discussion of the various considerations for the intervention’s design and implementation as they relate to age and socio-economic status is also identified.


1999 ◽  
Vol 8 (5) ◽  
pp. 297-302 ◽  
Author(s):  
M Luniewski ◽  
J Reigle ◽  
B White

BACKGROUND: Effective education of patients is an integral component in reducing hospital readmissions for patients with heart failure and in improving patients' quality of life. OBJECTIVES: To describe the use of a card sort method for determining the learning needs of patients with heart failure and the ability of nurses and physicians to accurately predict patients' self-determined needs. METHODS: Thirty patients were asked to sort 12 cards with questions related to the content of discharge teaching for patients with heart failure. The nurse and the physician caring for each patient were instructed to sort the cards independently to characterize the learning needs of the patient. RESULTS: Patients most often selected the following as the most important educational topics: What is wrong with my heart? What is the future of my disease? and How will I know if my heart failure is getting worse? Physicians selected the identical top question as their patients did 17% of the time. Physicians matched any of their patients' top 3 choices 34% of the time. Questions selected as most important by patients were chosen by physicians as least important 13% of the time. Nurses chose the same top question as their patients did 23% of the time. Nurses matched any of their patients' top 3 choices 34% of the time. Nurses selected opposite choices from those of their patients 6% of the time. CONCLUSIONS: The card sort method may be an effective tool to ascertain the individual learning needs of patients with heart failure.


Author(s):  
Changhong Zhai

With the development of mobile technology, the intellectualization and intellectualization of mobile learning technology have greatly expanded the dimension of time and space of learning, and become a useful supplement to the traditional teaching mode. Taking College English vocabulary teaching as an example, this paper studies college English vocabulary teaching under the support of mobile technology, in order to provide new ways and methods to meet the individual learning needs of different learners. This paper designs College English vocabulary teaching based on mobile technology and puts forward a basic framework of mobile learning for college students’ English vocabulary learning. In this paper, English vocabulary technology is applied to college English vocabulary teaching. Through experiments, it promotes college students’ English vocabulary memory level, vocabulary use level and interest in English learning, respectively, to verify the effectiveness of College English vocabulary teaching mode based on mobile technology. The experimental results show that the flexibility of mobile learning can take into account the different learning needs of students at different levels of the same group, categorize and categorize the individual needs of students, and adjust different learning content and learning difficulty ladder to a certain extent. The innovation of this paper is to fully combine mobile technology with college English vocabulary teaching, solve practical application problems, and improve the application value of mobile technology in college teaching.


2008 ◽  
Vol 15 (6) ◽  
pp. 813-820 ◽  
Author(s):  
Barbara K Redman

Although patient education is central to the ethical practice of nursing, it can be practiced in an ethically contested or unethical way. It is sometimes used to: forward a societal goal the individual might not have chosen; assume that patients should learn to accommodate unjust treatment; exclude the views of all except the dominant health care provider group; limit the knowledge a patient can receive; make invalid or unreliable judgments about what a patient can learn; or require a patient to change his or her identity to meet a medical ideal. Both health promotion education and manipulating patient beliefs in situations of uncertainty are ethically contested. Nussbaum's capabilities approach is used here as a moral framework through which to view the goals and practice of patient education. This provides better guidance than the current conception of patient education as an instrument to carry out the directives of medical practice.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Gabrijelčič Blenkus

Abstract Equity and solidarity are strongly embedded in Slovene society from the second half of the 20th century on. Questions, exploring equity issues date in 1964, as a part of the Slovene Public Opinion (SPO) Survey. Slovenia is reporting on health equity and wellbeing in three strands. The first one is regular Human Development Report, based on Slovene Development Strategy since 2007, delegated partially to Institute of Economic Research (IER). Second one is regular Inequalities in Health Report, led by National Institute of Public Health (NIPH), and based on the National Health Strategy, since 2011. The third one is regular Poverty Report, led by Institute of Social Protection (ISP), based on the decision of the Parliamentarian Commission for Health and Social Affairs in 2013. NIPH comprehensively reported on Inequalities in Health in 2011, at that time based on direct measures of socio-economic status (SES) like education, or indirect measures or indexes (as development index or deprivation index of the municipality). In the second, 2018 report, several developments enabled for reporting health equity gap based on the individual SES status and first few cases of policy influences on equity status were described. In line with the WHO Rio SDH declaration 2011, in the third Health Equity Report, planned for 2021, further shift is foreseen and focus will be given to the policies influencing the equity gaps. For the 2021 Health Equity Report for Slovenia, three national key institutions (NIJZ, IER and ISP) decided to work together, based on the established multisectoral competences. WHO HESRi was developed and launched in best possible timing for the Slovene national initiative, to provide the international support, insights and facilitate further national development. Slovene priorities will be defined according to the national interests, Slovene presidency to EU in 2021 and Country Specific Recommendations in the frame of the European Semester.


2020 ◽  
pp. 172-178
Author(s):  
I. Yu. Aleksandrova

The socio-psychological phenomenon “consumer mood”, which is interpreted as an emotional and evaluative summary of the subjective understanding of the individual of various information elements that form the semantic structure of his implicit theory of consumption, has been investigated. A hypothesis has been put forward that the formation of the semantic field of the implicit theory of consumption of an individual is based on two system-forming factors: 1) the real purchasing power of the consumer, 2) the dynamics of his socio-economic status. In the event that both factors have negative actual indicators, the mood of consumer will be characterized by a negative emotional tone and high stability over time. The proposed hypothesis is confirmed by the revealing and analysis of the main determinants of the current mood of Russian consumers, and their subsequent comparison with the consumer sentiment index, identificated empirically.


2021 ◽  
Vol 12 ◽  
Author(s):  
Eun-Young Park ◽  
Jung-Hee Kim

This study aimed to investigate the interaction of sociodemographic characteristics on acceptance of disability among individuals with physical disabilities (IWPD). Data from the 8th Panel Survey of Employment for the Disabled in Korea (PSED) in the second wave were used. A sample concerning the first phase of disability was extracted using the one-step colony method to extract regions and was stratified based on the type of disability, disability grade, and age. To explore the association between acceptance of sociodemographic characteristics and of disability, we used a general linear model. A significant main effect was observed in employment, health status, degree of help, and subjective economic status. Regarding employment status, acceptance of disability in unemployment of IWPD with less than high school was lower as compared to those with more than high school. We observed that unemployed IWPD with low income or poor health status could be the group with the highest risk for acceptance of disability. Individuals in the low economic group were more religious than those in the high economic one. These findings indicate that specialized intervention programs that consider religion, economic status, employment, education, health, and their interactions would be effective for acceptance of disability. Interdisciplinary team members should consider the individual profiles of these populations and implement suitable support and rehabilitation programs.


Author(s):  
Жанна Баб’як ◽  
Наталія Щур

The article deals with studying the American experience of educator professional development. To carry out this research the following methods have been applied: content analysis, systematization and theoretical generalization of scientific literature, standards, technical assistance documents and samples of the individual professional development plan (IPDP) for educators. Having conducted the research, the following results and conclusions have been drawn. The primary goal for professional learning is to help educators develop and apply the knowledge and skills necessary to help students to learn foreign languages more effectively and efficiently. Therefore, the planning and designing of professional learning include defining the SMART goals of professional learning drawn from analysis of student and educator learning needs, which are determined by examining data on student learning outcomes. To achieve these goals those who are responsible for professional learning should select the appropriate job-embedded and external forms of professional learning, which allow the educators to satisfy student learning needs, bridge the knowing-doing gap and integrating new ideas and skills into practice. An IPDP is a tool serving as a guide for the professional learning. IPDP enables educators to chart their goals and to plan learning activities that improve their competencies in order to enhance their students’ performance. Completing the IPDP includes setting the goals based on student learning needs, deciding on the professional methods/strategies, tapping possible resources, setting the time-frame, identifying success indicators. After having been accomplished, the IPDP is evaluated by the person in charge. Evaluation of professional learning provides the opportunity to monitor the process of embedding the new learning into practices by observing and assessing changes in educator practice and increases in student learning.


2021 ◽  
Author(s):  
Ling-Jan Chiou ◽  
Hui-Chu Lang

Abstract Readmission is an important indicator of the quality of care. The purpose of this study was to explore the probabilities and predictors of 30-day and 1-year potentially preventable hospital readmission (PPR) after a patient’s first stroke. We used claims data from the National Health Insurance (NHI) from 2010 to 2018. Multinomial logistic regression was used to assess the predictors of 30-day and 1-year PPR. A total of 41,921 discharged stroke patients was identified. We found that hospital readmission rates were 15.48% within 30-days and 47.25% within 1-year. The PPR and non-PPR were 9.84% (4,123) and 5.65% (2,367) within 30-days, and 30.65% (12,849) and 16.60% (6,959) within 1-year, respectively. The factors of older patients, type of stroke, shorter length of stay, higher Charlson Comorbidity Index (CCI), higher stroke severity index (SSI), hospital level, hospital ownership, and urbanization level were associated significantly with the 30-day PPR. In addition, the factors of gender, hospitalization year, and monthly income were associated significantly with 1-year PPR. The results showed that better discharge planning and post-discharge follow-up programs could reduce PPR substantially. Also, implementing a post-acute care program for stroke patients has helped reduce the long-term PPR in Taiwan.


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