scholarly journals Evidence-based Standardized Care Plans for Use Internationally to Improve Home Care Practice and Population Health

2011 ◽  
Vol 02 (03) ◽  
pp. 373-384 ◽  
Author(s):  
D.J. Foster ◽  
T. Gomez ◽  
J.K. Poulsen ◽  
J. Mast ◽  
B.L. Westra ◽  
...  
Keyword(s):  
Home Care ◽  
Population Health ◽  
The United States ◽  
Care Practice ◽  
Evidence Based ◽  
Care Plans ◽  
Public Comment ◽  
Omaha System ◽  
On Line ◽  
Standardized Care

Summary Objectives: To develop evidence-based standardized care plans (EB-SCP) for use internationally to improve home care practice and population health. Methods: A clinical-expert and scholarly method consisting of clinical experts recruitment, identification of health concerns, literature reviews, development of EB-SCPs using the Omaha System, a public comment period, revisions and consensus. Results: Clinical experts from Canada, the Netherlands, New Zealand, and the United States participated in the project, together with University of Minnesota School of Nursing graduate students and faculty researchers. Twelve Omaha System problems were selected by the participating agencies as a basic home care assessment that should be used for all elderly and disabled patients. Interventions based on the literature and clinical expertise were compiled into EB-SCPs, and reviewed by the group. The EB-SCPs were revised and posted on-line for public comment; revised again, then approved in a public meeting by the participants. The EB-SCPs are posted on-line for international dissemination. Conclusions: Home care EB-SCPs were successfully developed and published on-line. They provide a shared standard for use in practice and future home care research. This process is an exemplar for development of evidence-based practice standards to be used for assessment and documentation to support global population health and research.

scholarly journals Evidence-based Standardized Care Plans for Use Internationally to Improve Home Care Practice and Population Health

2012 ◽  
Vol 03 (01) ◽  
pp. 103-103 ◽  
Author(s):  
K.A. Monsen ◽  
D.L. Foster ◽  
T. Gomez ◽  
J.K. Poulsen ◽  
J. Mast ◽  
...  
Keyword(s):  
Home Care ◽  
Population Health ◽  
Care Practice ◽  
Evidence Based ◽  
Care Plans ◽  
Standardized Care

Standardized Care Plans for Home Care

1990 ◽  
Vol 8 (6) ◽  
pp. 21-29
Author(s):  
Liza Zinola Webb ◽  
Susan Lynette Berquist
Keyword(s):  
Home Care ◽  
Care Plans ◽  
Standardized Care

scholarly journals Healthy Birth Practice #1: Let Labor Begin on Its Own

2014 ◽  
Vol 23 (4) ◽  
pp. 178-187 ◽  
Author(s):  
Debby Amis
Keyword(s):  
United States ◽  
The United States ◽  
Labor Induction ◽  
Professional Organizations ◽  
Care Practice ◽  
Evidence Based ◽  
Normal Birth ◽  
Care Practices

As cesarean rates have climbed to almost one-third of all births in the United States, current research and professional organizations have identified letting labor begin on its own as one of the most important strategies for reducing the primary cesarean rate. At least equally important, letting labor begin on its own supports normal physiology, prevents iatrogenic prematurity, and prevents the cascade of interventions caused by labor induction. This article is an updated evidence-based review of the “Lamaze International Care Practices That Promote Normal Birth, Care Practice #1: Let Labor Begin on Its Own,” published in The Journal of Perinatal Education, 16(3), 2007.

Decline in primary care providers’ prescribing of Schedule II opioids following the implementation of federal and state guidelines

2019 ◽  
Vol 15 (2) ◽  
pp. 111-118 ◽  
Author(s):  
Lisa B. E. Shields, MD ◽  
Timothy A. Johnson, BS ◽  
James P. Murphy, MD ◽  
Douglas J. Lorenz, PhD ◽  
Alisha Bell, MSN, RN, CPN ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
The United States ◽  
Prescription Opioid ◽  
Care Practice ◽  
Evidence Based ◽  
Care Providers ◽  
Prescribing Practices ◽  
Prescription Opioid Misuse ◽  
Morphine Equivalent

Objective: Prescription opioid misuse represents a social and economic dilemma in the United States. The authors evaluated primary care providers’ (PCPs) prescribing of Schedule II opioids at our institution in Kentucky.Design: Prospective evaluation of PCPs’ prescribing practices over a 3-year period (October 1, 2014 to September 30, 2017) in an outpatient setting.Methods: An analysis of Schedule II opioid prescribing following the implementation of federal and state guidelines and evidence-based standards. Special attention focused on Schedule II opioid prescriptions with a quantity 90, Opana/ Oxycontin, and morphine equivalent daily dosage.Results: A statistically significant increase in the total number of PCPs and PCPs who prescribed Schedule II opioids was observed, while there was a concurrent significant decrease in the average number of Schedule II opioid pills prescribed per PCP, Schedule II opioid prescriptions per PCP, Schedule II opioid pills prescribed per patient by PCPs, Schedule II opioid prescriptions with a quantity 90 per PCP, and Opana/Oxycontin prescriptions per PCP. A statistically significant decline in the average morphine equivalent daily dosage of Schedule II opioids per PCP was noted.Conclusions: This study reports the benefit of incorporating federal and state regulations and institutional evidence-based guidelines into primary care practice to decrease the number of Schedule II opioids prescribed. Further preventive measures include selecting alternative treatments to opioids and reducing the rates of opioid nonmedical use and overdose while maintaining access to prescription opioids when indicated.

scholarly journals Healthy Birth Practice #5: Avoid Giving Birth on Your Back and Follow Your Body’s Urge to Push

2014 ◽  
Vol 23 (4) ◽  
pp. 207-210 ◽  
Author(s):  
Joyce T. DiFranco ◽  
Marilyn Curl
Keyword(s):  
United States ◽  
Supine Position ◽  
The United States ◽  
Care Practice ◽  
Evidence Based ◽  
Birth Experience ◽  
Normal Birth ◽  
Care Practices

Women in the United States are still giving birth in the supine position and are restricted in how long they can push and encouraged to push forcefully by their caregivers. Research does not support these activities. There is discussion about current research and suggestions on how to improve the quality of the birth experience. This article is an updated evidence-based review of the “Lamaze International Care Practices That Promote Normal Birth, Care Practice #5: Spontaneous Pushing in Upright or Gravity-Neutral Positions,” published in The Journal of Perinatal Education, 16(3), 2007.

An Emerging Model of Primary Care for Older Adults: The House Call–Home Care Practice

2009 ◽  
Vol 10 (3) ◽  
pp. 110-114 ◽  
Author(s):  
Steven H. Landers ◽  
Paul W. Gunn ◽  
Kurt C. Stange
Keyword(s):  
United States ◽  
Older Adults ◽  
Primary Care ◽  
Home Care ◽  
Nurse Practitioners ◽  
The United States ◽  
Care Practice ◽  
House Calls ◽  
House Call ◽  
Care Practices

House calls to older adults have become more common, in part related to the emergence of medical practices that either emphasize or exclusively provide house calls. In this article we seek to describe organizational, clinician, and patient characteristics of house call–home medical care practices in the United States. We conducted telephone interviews with clinicians representing 36 randomly selected practices from across the United States. This study found that house call–home care practices typically are recently formed small groups of physicians and nurse practitioners that provide in-home primary care, especially chronic disease care, to Medicare beneficiaries. Clinicians are motivated by the opportunity to improve care and to maintain autonomy. This emerging model may represent a mutually beneficial trend for older adults and physicians.

scholarly journals Healthy Birth Practice #4: Avoid Interventions Unless They Are Medically Necessary

2014 ◽  
Vol 23 (4) ◽  
pp. 198-206 ◽  
Author(s):  
Judith A. Lothian
Keyword(s):  
Fetal Monitoring ◽  
The United States ◽  
Care Practice ◽  
Evidence Based ◽  
Intravenous Fluids ◽  
Normal Birth ◽  
Electronic Fetal Monitoring ◽  
Increase Risk ◽  
Care Practices ◽  
Continuous Electronic Fetal Monitoring

Maternity care in the United States is intervention intensive. The routine use of intravenous fluids, restrictions on eating and drinking, continuous electronic fetal monitoring, epidural analgesia, and augmentation of labor characterize most U.S. births. The use of episiotomy is far from restrictive. These interventions disturb the normal physiology of labor and birth and restrict women’s ability to cope with labor. The result is a cascade of interventions that increase risk, including the risk of cesarean surgery, for women and babies. This article is an updated evidence-based review of the “Lamaze International Care Practices That Promote Normal Birth, Care Practice #4: No Routine Interventions,” published in The Journal of Perinatal Education, 16(3), 2007.

Ambulatory Care Pharmacists’ Perception of Prediabetes

2019 ◽  
pp. 089719001985784
Author(s):  
Nicholas W. Carris ◽  
Kevin M. Cowart ◽  
Angela S. Garcia
Keyword(s):  
Ambulatory Care ◽  
Full Range ◽  
The United States ◽  
South Florida ◽  
Research Network ◽  
Care Practice ◽  
Evidence Based ◽  
Institutional Review ◽  
Prevention Interventions ◽  
American Diabetes Association Guideline

Introduction: Eighty-four million patients in the United States have prediabetes yet evidence-based interventions to prevent diabetes are infrequently used. The concept of prediabetes is contentious, although preventive interventions are guideline supported. Team-based care models incorporating pharmacists for prediabetes have been proposed; however, pharmacist perception regarding prediabetes has not been assessed. This study's objective was to assess ambulatory care pharmacists’ perception of recommendations for prediabetes. Methods: An anonymous survey was electronically distributed through the American College of Clinical Pharmacy Ambulatory Care Practice and Research Network. The primary outcome was the proportion of respondents who reported supporting 3 main recommendations related to prediabetes (ie, screening, evidence-based lifestyle-intervention, metformin). The study was approved by the University of South Florida Institutional Review Board. Data collection and analysis occurred in 2017. Results: The survey was distributed to approximately 2209 potential participants. One hundred thirty-three surveys were completed. The American Diabetes Association guideline was the most common primarily supported guideline related to prediabetes (89%). Of the respondents, 87% supported all 3 main recommendations regarding prediabetes. Qualitative feedback demonstrated the full range of opinions; programs for prediabetes, limited intervention for prediabetes, and against prediabetes as a concept. Conclusions: The majority of ambulatory care pharmacists responding supported all main recommendations related to prediabetes and therefore may be practicable for disseminating diabetes prevention interventions. However, barriers to implementation should be expected.

Sign in / Sign up

Export Citation Format

Share Document