scholarly journals An E-rehabilitation Team Helps Caregivers Deal with Stroke

2004 ◽  
Author(s):  
Lisa Keaton ◽  
Linda Pierce ◽  
Victoria Steiner ◽  
Karen Lance ◽  
Michelle Masterson ◽  
...  
Keyword(s):  
Qualitative Data ◽  
Medication Management ◽  
Secondary Analysis ◽  
Management Program ◽  
Entire Group ◽  
Nurse Specialist ◽  
Web Based ◽  
Rehabilitation Team ◽  
Care Recipients ◽  
System Maintenance

Objective: The purpose of this report is to present the findings from a secondary analysis of email questions from adult caregivers of persons with stroke directed to a nurse specialist and members of an electronic (E)-rehabilitation team. This analysis explored what caregivers new to the role asked in dealing with the outcomes of stroke. Materials and Method:Thirteen caregivers submitted questions and had them answered through use of Caring~Web©, a web-based intervention for caregivers of persons with stroke. Data were gleaned from email messages on Ask-the-Nurse, a one-on-one discussion with the nurse specialist, and Caretalk, an email discussion with the entire group. These data constituted the content for the qualitative analyses. QSR N 5, previously known as NUD*IST, was the qualitative data management program used to enter, track, explore, code and search all narrative data. Results: The caregivers’ questions centered on: 1) medication management (19%), 2) community and government services (23%), and 3) stroke and related issues in dealing with stroke (58%). These findings, using Friedemann’s framework of systemic organization as a guide, indicated that the caregivers were seeking new knowledge [individuation in Friedemann’s terms] along with supporting one another [coherence], as they sought to maintain themselves and their care recipients [system maintenance]. Conclusion: These are important topics for which information was needed as caregivers sought to maintain themselves and their care recipients in the home.

scholarly journals Process evaluation of the ACTION programme: a strategy for implementing person‐centred communication in home care

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Tanja Gustafsson ◽  
Annelie J Sundler ◽  
Elisabeth Lindberg ◽  
Pernilla Karlsson ◽  
Hanna Maurin Söderholm
Keyword(s):  
Home Care ◽  
Process Evaluation ◽  
Organizational Support ◽  
Qualitative Data ◽  
Education Programme ◽  
Multiple Sources ◽  
Web Based ◽  
Action Programme ◽  
Web Based Education ◽  
The Web

Abstract Background There is currently a strong emphasis on person-centred care (PCC) and communication; however, little research has been conducted on how to implement person-centred communication in home care settings. Therefore, the ACTION (A person-centred CommunicaTION) programme, which is a web-based education programme focusing on person-centred communication developed for nurse assistants (NAs) providing home care for older persons, was implemented. This paper reports on the process evaluation conducted with the aim to describe and evaluate the implementation of the ACTION programme. Methods A descriptive design with a mixed method approach was used. Twenty-seven NAs from two units in Sweden were recruited, and 23 of them were offered the educational intervention. Quantitative and qualitative data were collected from multiple sources before, during and after the implementation. Quantitative data were used to analyse demographics, attendance and participation, while qualitative data were used to evaluate experiences of the implementation and contextual factors influencing the implementation. Results The evaluation showed a high degree of NA participation in the first five education modules, and a decrease in the three remaining modules. Overall, the NAs perceived the web format to be easy to use and appreciated the flexibility and accessibility. The content was described as important. Challenges included time constraints; the heavy workload; and a lack of interaction, space and equipment to complete the programme. Conclusions The results suggest that web-based education seems to be an appropriate strategy in home care settings; however, areas for improvement were identified. Our findings show that participants appreciated the web-based learning format in terms of accessibility and flexibility, as well as the face-to-face group discussions. The critical importance of organizational support and available resources are highlighted, such as management involvement and local facilitation. In addition, the findings report on the implementation challenges specific to the dynamic home care context. Trial registration This intervention was implemented with nursing assistants, and the evaluation only involved nursing staff. Patients were not part of this study. According to the ICMJE, registration was not necessary ().

Design for Maintenance: How Kms Document Linking Decisions Affect Maintenance Effort and Use

2014 ◽  
Vol 29 (4) ◽  
pp. 312-326 ◽  
Author(s):  
Alan R Dennis ◽  
Binny M Samuel ◽  
Kelly McNamara
Keyword(s):  
Information System ◽  
System Development ◽  
Management Systems ◽  
Information System Development ◽  
Web Based ◽  
Useful Knowledge ◽  
Design Considerations ◽  
Dynamic Content ◽  
System Maintenance ◽  
The Cost

Information system maintenance is an important aspect of information system development, especially in systems that provide dynamic content, such as Web-based systems and Knowledge Management Systems (KMS). Design for Maintenance (DFM) is an approach that argues that maintenance effort should be considered during the design of information systems in addition to the usual system design considerations. This research examines how the design of links among knowledge documents in a KMS affects both their maintenance and use. We argue that providing links among knowledge documents increases the cost of maintenance because when a document changes, the documents that link to and from that document are more likely to need changes. At the same, linking knowledge documents makes it easier to locate useful knowledge and thus increases use. We examine this tension between use and maintenance using 10 years of data from a well-established KMS. Our results indicate that as the number of links among documents increases, both maintenance effort and use for these documents increase. Our analyses suggest two DFM principles for dynamic content in practice. First, knowledge coupling (i.e., linking) to documents internal to the KMS rather than sources external to the KMS better balances maintenance effort and use. Second, designing small, knowledge cohesive documents (e.g., 250-350 words) leads to the best balance between maintenance effort and use.

scholarly journals Usability Flaws in Medication Alerting Systems: Impact on Usage and Work System

2015 ◽  
Vol 24 (01) ◽  
pp. 55-67 ◽  
Author(s):  
E. Ammenwerth ◽  
E. Roehrer ◽  
S. Pelayo ◽  
F. Vasseur ◽  
M.-C. Beuscart-Zéphir ◽  
...  
Keyword(s):  
Patient Safety ◽  
New Technology ◽  
Medication Management ◽  
Secondary Analysis ◽  
Previous Attempt ◽  
Negative Consequences ◽  
Negative Outcomes ◽  
Work Systems ◽  
Work System ◽  
Alerting Systems

Summary Objectives: Previous research has shown that medication alerting systems face usability issues. There has been no previous attempt to systematically explore the consequences of usability flaws in such systems on users (i.e. usage problems) and work systems (i.e. negative outcomes). This paper aims at exploring and synthesizing the consequences of usability flaws in terms of usage problems and negative outcomes on the work system. Methods: A secondary analysis of 26 papers included in a prior systematic review of the usability flaws in medication alerting was performed. Usage problems and negative outcomes were extracted and sorted. Links between usability flaws, usage problems, and negative outcomes were also analyzed. Results: Poor usability generates a large variety of consequences. It impacts the user from a cognitive, behavioral, emotional, and attitudinal perspective. Ultimately, usability flaws have negative consequences on the workflow, the effectiveness of the technology, the medication management process, and, more importantly, patient safety. Only few complete pathways leading from usability flaws to negative outcomes were identified.Conclusion: Usability flaws in medication alerting systems impede users, and ultimately their work system, and negatively impact patient safety. Therefore, the usability dimension may act as a hidden explanatory variable that could explain, at least partly, the (absence of) intended outcomes of new technology.

Nursing Students’ Experiences With Death and Terminal Patients During Clinical Education

2020 ◽  
pp. 003022282095051
Author(s):  
Şenay Gül ◽  
Seyhan Demir Karabulut ◽  
Handan Eren ◽  
Mahinur Durmuş İskender ◽  
Zehra Göçmen Baykara ◽  
...  
Keyword(s):  
Nursing Students ◽  
Clinical Education ◽  
Health Professionals ◽  
Qualitative Data ◽  
Secondary Analysis ◽  
Focus Group Interviews ◽  
Factors Affecting ◽  
Dying Patients ◽  
Group Interviews ◽  
First Time

The aim of this study is to explore nursing students’ experiences with death and terminal patients during clinical education. A secondary analysis of qualitative data that were collected through 11 focus group interviews with nursing students was performed. Data obtained from the interviews were analyzed using thematic analysis. There were a total of 9 themes across 3 contexts. Data were grouped under the following themes: feelings experienced when encountering death for the first time, reactions to the first encounter with death, factors affecting the reactions to death, involvement in terminal patient care, being informed about the physical process that terminal patients are going through, students’ approach toward terminal patients and their relatives, health professionals’ approach toward terminal/dying patients/their relatives, changes in the ideas about death, and changes in the ideas about terminal/dying patients. The study shows a lack of guidance on the part of teachers who also avoid patients and families who are considered terminally ill.

scholarly journals Predictors of Self-Determined Module Choice in a Web-Based Computer-Tailored Diet and Physical Activity Intervention: Secondary Analysis of Data From a Randomized Controlled Trial

10.2196/15024 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e15024
Author(s):  
Juul M J Coumans ◽  
Catherine A W Bolman ◽  
Anke Oenema ◽  
Lilian Lechner
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Physical Activity Intervention ◽  
Multinomial Logistic Regression ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Motivation To Change ◽  
Web Based ◽  
Multinomial Logistic Regression Analysis ◽  
Randomized Controlled

Background Tailoring an online intervention to participant preferences (eg, by giving participants a choice which modules to follow) may increase engagement in the intervention, motivation for behavioral change, and possibly intervention effects. So far, little is known about what characteristics predict these module choices. Filling this knowledge gap is useful for optimizing program engagement. Objective We investigated participant choice for a dietary and/or physical activity (PA) promotion module in our web-based computer-tailored intervention based on self-determination theory (SDT) and motivational interviewing (MI). Furthermore, we investigated which demographic characteristics, current behavior, psychosocial constructs and constructs from SDT and MI, and program-related variables such as advice on which module to follow were associated with these choices. Methods Observational data were used from the randomized controlled trial MyLifestyleCoach of participants who were randomized into the intervention condition, completed the baseline questionnaire, and made a module choice in the opening session of the intervention. Here, they received advice on their own dietary and PA behavior. At the session’s end, they chose which lifestyle modules they would like to follow (both, diet, PA, or no module). Measurements included demographic information; self-reported diet and PA; and several psychosocial, SDT, and MI constructs. In total, data from 619 Dutch adults (59.6% women; mean age was 51.9 [SD 13.5] years) were analyzed. A stepwise multinomial logistic regression analysis was conducted to investigate which characteristics are related to module choice; the diet module served as reference category as almost everyone was advised to follow this module. Results Of this sample, 54.8% (339/619) chose to do both the diet and PA module, 25.4% (157/619) chose to follow the diet module, 17.8% (110/619) preferred to follow no module, and 2.1% (13/619) chose to do the PA module only. Furthermore, it was found that older people, those who consumed more fruit, and those who scored lower on importance to change their current diet were more likely to choose no module compared to the diet module. People who had more motivation to change their current PA and those who received strong advice compared with slight advice to follow the diet module were more likely to choose both modules compared with the diet module only. Conclusions The results show that more than half of the sample was interested in following both the diet and PA module in this online lifestyle intervention. Several characteristics were found to be related to module choice. A future challenge is to examine how this knowledge can be used to improve future interventions, such as tailoring (messages or content) on specific groups or examining where and how MI could be used to motivate people to make a certain module choice. Trial Registration Netherlands Trial Register NL7333; https://www.trialregister.nl/trial/7333

scholarly journals Like one of the family? Understanding relationships between migrant live-in care workers and older care recipients in Israel

2018 ◽  
Vol 39 (7) ◽  
pp. 1387-1408 ◽  
Author(s):  
KAREN TESHUVA ◽  
JISKA COHEN-MANSFIELD ◽  
ESTHER IECOVICH ◽  
HAVA GOLANDER
Keyword(s):  
Older People ◽  
Qualitative Data ◽  
Mixed Methods Study ◽  
Full Time ◽  
Care Needs ◽  
Care Recipients ◽  
Care Workers ◽  
The Family ◽  
Care Relationships ◽  
Pearson Correlations

ABSTRACTFrail older people worldwide are increasingly being cared for in their own homes by migrant live-in care workers; however, extant literature on care relationships in this care context is sparse. The purpose of this mixed-methods study was to explore the quality and the nature of care relationships between full-time, live-in migrant care workers and older people in Israel. Quantitative and qualitative data were drawn from a 2014 survey of 116 migrant care workers and 73 older care recipients. Mean scores for four quantitative items relating to care relationships were examined and independent samples t-tests and Pearson correlations were performed, whereas qualitative data were examined using thematic analysis. Credibility of qualitative findings was checked by peer review. Most older people and migrant care workers gave high ratings to the four items. Significant correlations between the two groups were found for their responses on all four relationship items assessed, with only one item (‘get along well’) producing significant t-test differences. Qualitative data provided a deeper understanding of the quantitative ratings of care relationships. Four major qualitative themes emerged as inextricably tied with both groups’ perceptions of positive care relationships. These were: an emotional connection; reciprocity; effective communication; and meeting the older person's care needs. Study findings were interpreted through the theoretical lens of relationship-centred care. Implications of the findings for theory, practice and further research are discussed.

Hypercorrection in English: an intervarietal corpus-based study

2021 ◽  
pp. 1-27
Author(s):  
PETER COLLINS
Keyword(s):  
Qualitative Data ◽  
Sources Of Information ◽  
Web Based ◽  
British English ◽  
Incorrect Result ◽  
Outer Circle ◽  
Long Period ◽  
Inner Circle ◽  
Elicitation Studies

This article aims to provide a fresh approach to the study of hypercorrection, the misguided application of a real or imagined rule – typically in response to prescriptive pressure – in which the speaker's attempt to be ‘correct’ leads to an ‘incorrect’ result. Instead of more familiar sources of information on hypercorrection such as attitude elicitation studies and prescriptive commentary, insights are sought from quantitative and qualitative data extracted from the 2-billion-word Global Web-based English corpus (GloWbE; Davies 2013). Five categories are investigated: case-marked pronouns, -ly and non-ly adverbs, agreement with number-transparent nouns, (extended uses of) irrealis were, and ‘hyperforeign’ noun suffixation. The nature and extent of hypercorrection in these categories, across the twenty English varieties represented in GloWbE, are investigated and discussed. Findings include a tendency for hypercorrection to be more common in American than in British English, and more prevalent in the ‘Inner Circle’ (IC) than in the ‘Outer Circle’ (OC) varieties (particularly with established constructions which have been the target of institutionalised prescriptive commentary over a long period of time).

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