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https://www.readbyqxmd.com/read/29336222/implementing-a-health-home-michigan-s-experience
#1
Jackie Prokop, Marie LaPres, Brad Barron, Jon Villasurda
As the number of individuals in the United States with chronic conditions and the associated costs in caring for these individuals continues to rise, there is a need to transform how health care services are delivered. Under Section 2703 of the Affordable Care Act of 2010, the federal government provides state Medicaid programs the opportunity to improve care coordination for people with chronic conditions in a person-centered approach through the establishment of health homes. Given the complexity of care for Medicaid beneficiaries with chronic conditions, addressing the social determinants of health and providing integrated care are central to effectively improving health outcomes and generating cost-savings...
January 1, 2018: Policy, Politics & Nursing Practice
https://www.readbyqxmd.com/read/29334516/computer-based-training-in-eating-and-nutrition-facilitates-person-centered-hospital-care-a-group-concept-mapping-study
#2
Albert Westergren, Ellinor Edfors, Erika Norberg, Anna Stubbendorff, Gita Hedin, Martin Wetterstrand, Scott R Rosas, Peter Hagell
Studies have shown that computer-based training in eating and nutrition for hospital nursing staff increased the likelihood that patients at risk of undernutrition would receive nutritional interventions. This article seeks to provide understanding from the perspective of nursing staff of conceptually important areas for computer-based nutritional training, and their relative importance to nutritional care, following completion of the training. Group concept mapping, an integrated qualitative and quantitative methodology, was used to conceptualize important factors relating to the training experiences through four focus groups (n = 43), statement sorting (n = 38), and importance rating (n = 32), followed by multidimensional scaling and cluster analysis...
January 12, 2018: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/29328357/sensitizing-inpatient-mental-health-staff-to-the-challenges-of-aging
#3
Michelle R Zechner, Joseph C Birkmann, Jennifer Sperduto, Carlos Pratt
Although the aging inpatient population in state psychiatric hospitals is growing significantly, there are few examples of available training to improve staff knowledge and practice. The current article describes a 10-week training series developed through a university and psychiatric hospital collaboration. Training was attended by 135 direct care nursing and rehabilitation staff and focused on improving aging awareness, problem solving, using person-centered therapeutic techniques, and engaging older adults...
January 11, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29324563/nutritional-screening-assessment-and-implementation-strategies-for-adults-in-an-australian-acute-tertiary-hospital-a-best-practice-implementation-report
#4
Louise Smith, Amanda Chapman, Kelli Flowers, Kylie Wright, Tanghua Chen, Charmaine O'Connor, Cecilia Astorga, Nevenka Francis, Gia Vigh, Craig Wainwright
OBJECTIVE: The project aimed to improve the effectiveness of nutritional screening and assessment practices through clinical audits and the implementation of evidence-based practice recommendations. INTRODUCTION: In the absence of optimal nutrition, health may decline and potentially manifest as adverse health outcomes. In a hospitalized person, poor nutrition may adversely impact on the person's outcome. If the nutritional status can be ascertained, nutritional needs can be addressed and potential risks minimized...
January 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29319920/employee-attitudes-toward-aggression-in-persons-with-dementia-readiness-for-wider-adoption-of-person-centered-frameworks
#5
Vanessa Louise Burshnic, Natalie Douglas, Robert Michael Barker
INTRODUCTION: Implementing person-centered care requires shared attitudes, beliefs, and values among all care employees. Existing research has failed to examine the attitudes of non-nursing employees. AIM: This study examined attitudes toward aggression among nursing and non-nursing employees to address gaps in existing research and assess readiness for wider adoption of person-centered frameworks. METHOD: The Management of Aggression in People with Dementia Attitude Questionnaire was used to survey attitudes of employees in Michigan-based nursing homes...
January 10, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29319813/testing-the-implementation-of-the-veder-contact-method-a-theatre-based-communication-method-in-dementia-care
#6
Petra Boersma, Julia C M van Weert, Birgit I Lissenberg-Witte, Berno van Meijel, Rose-Marie Dröes
Background and Objectives: There is a lack of research on implementation of person-centered care in nursing home care. The purpose of this study was to assess the implementation of the Veder contact method (VCM), a new person-centered method using theatrical, poetic and musical communication for application in 24-hr care. Research Design and Methods: Caregivers (n = 136) and residents (n = 141) participated in a 1-year quasi-experimental study. Foundation Theater Veder implemented VCM on six experimental wards and rated implementation quality...
January 8, 2018: Gerontologist
https://www.readbyqxmd.com/read/29315798/end-stage-renal-disease-treatment-options-education-what-matters-most-to-patients-and-families
#7
Jennifer St Clair Russell, L Ebony Boulware
Treatment modality education can offer many important benefits to patients and their families. Evidence suggests such education can increase use of home dialysis, reduce catheter use, decrease 90-day mortality, and increase transplantation. While these benefits are encouraging, not all patients are offered options education and when they are, it may not be presented in a way that is immediately applicable to them and their lives. Furthermore, little is known regarding specific characteristics (e.g. format such as group or individual or in-person or online, duration, teaching methods, location, content) of educational programs that are most successful...
January 7, 2018: Seminars in Dialysis
https://www.readbyqxmd.com/read/29313172/do-providers-know-what-they-do-not-know-a-correlational-study-of-knowledge-acquisition-and-person-centered-care
#8
Elizabeth B Matthews, Victoria Stanhope, Mimi Choy-Brown, Meredith Doherty
Person-centered care (PCC) is a central feature of health care reform, yet the tools needed to deliver this practice have not been implemented consistently. Person-centered care planning (PCCP) is a treatment planning approach operationalizing the values of recovery. To better understand PCCP implementation, this study examined the relationship between recovery knowledge and self-reported PCCP behaviors among 224 community mental health center staff. Results indicated that increased knowledge decreased the likelihood of endorsing non-recovery implementation barriers and self-reporting a high level of PCCP implementation...
January 8, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29306380/caring-for-patients-with-spinal-metastasis-during-an-mri-examination
#9
T Strand, E Törnqvist, M Rask, Å Roxberg
INTRODUCTION: Magnetic resonance imaging (MRI) is without question the best tool used for diagnosing and evaluating spinal metastasis. An MRI examination is known to be of great value for the treatment planning and survival of these patients. Radiographers have an important role in how the quality of care is experienced by the patients during an MRI examination. The purpose of the study was to describe the radiographers' perceptions of caring for patients with spinal metastasis during an examination with MRI...
February 2018: Radiography
https://www.readbyqxmd.com/read/29294801/classes-of-intimate-partner-violence-from-late-adolescence-to-young-adulthood
#10
Hans Saint-Eloi Cadely, Joe F Pittman, Gregory S Pettit, Jennifer E Lansford, John E Bates, Kenneth A Dodge, Amy Holtzworth-Munroe
Researchers do not agree on how intimate partner violence (IPV) emerges and changes from adolescence to young adulthood. This may be because change in these behaviors varies across individuals. The present study uses a longitudinal, person-centered approach to examine whether there are multiple classes or patterns of change in the perpetration of IPV during the transitional period from adolescence (age 18) to young adulthood (age 25) using data collected annually from a community sample of 484 participants...
June 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29294731/therapeutic-change-in-group-therapy-for-interpersonal-trauma-a-relational-framework-for-research-and-clinical-practice
#11
Zoë Chouliara, Thanos Karatzias, Angela Gullone, Sandra Ferguson, Katie Cosgrove, Claire Burke Draucker
Our understanding of therapeutic change processes in group therapy for complex interpersonal trauma has been limited. The present study aimed at addressing this gap by developing a framework of therapeutic change in this field from a survivor and therapist perspective. This is a qualitative study, which utilized semistructured individual interviews. Transcripts were analyzed using interpretative phenomenological analysis (IPA) to identify recurrent themes. A final sample of n = 16 patients and n = 5 facilitators completed the interview...
April 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29285784/staff-s-reactions-toward-partnered-sexual-expressions-involving-people-with-dementia-living-in-long-term-care-facilities
#12
Feliciano Villar, Montserrat Celdrán, Rodrigo Serrat, Josep Fabà, Teresa Martínez
AIMS (OF THE PAPER): This study explores staff responses, in terms of common practices, toward partnered sexual relationships in long-term care facilities where one or both people involved have dementia. It also tries to determine personal and institutional factors influencing these responses. BACKGROUND: Although some studies, mostly qualitative, have focused on reactions to residents' sexual expressions so far the issue has not been assessed in a study using large and diverse samples...
December 28, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29284490/what-makes-or-mars-the-facility-based-childbirth-experience-thematic-analysis-of-women-s-childbirth-experiences-in-western-kenya
#13
Patience A Afulani, Leah Kirumbi, Audrey Lyndon
BACKGROUND: Sub-Saharan Africa accounts for approximately 66% of global maternal deaths. Poor person-centered maternity care, which emphasizes the quality of patient experience, contributes both directly and indirectly to these poor outcomes. Yet, few studies in low resource settings have examined what is important to women during childbirth from their perspective. The aim of this study is to examine women's facility-based childbirth experiences in a rural county in Kenya, to identify aspects of care that contribute to a positive or negative birth experience...
December 29, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29284327/the-influence-of-supportive-supervisory-practices-and-health-care-aides-self-determination-on-the-provision-of-person-centered-care-in-long-term-care-facilities
#14
Sienna Caspar, Anne Le, Katherine S McGilton
Person-centred care (PCC) is recognized as best practice in long-term care (LTC). Using a cross-sectional design, we examined the relationship between supportive supervisory practices and health care aides' (HCAs) self-determination on HCAs' perceived ability to provide PCC. A total of 131 HCAs from four LTC facilities participated in the study. There were strong, positive associations between HCAs' self-determination and their perceived ability to provide PCC, r = .59, p < .0001, and how supportive their supervisors were, r = ...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29283674/patient-narratives-as-a-teaching-tool-a-pilot-study-of-first-year-medical-students-and-patient-educators-affected-by-intellectual-developmental-disabilities
#15
Alon Coret, Kerry Boyd, Kevin Hobbs, Joyce Zazulak, Meghan McConnell
PROBLEM: People with intellectual and developmental disabilities (IDD) face complex biopsychosocial challenges and are medically underserved. This is in part due to insufficient resources and supports but can also be attributed to a lack of adequate physician training in addressing the unique needs of this population. INTERVENTION: This study aimed to introduce 1st-year medical students to the IDD population using a blended educational experience that included video narratives of and direct interactions with people affected by IDD...
December 28, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29283598/a-longitudinal-growth-mixture-model-of-child-disclosure-to-parents-across-adolescence
#16
Laura M Padilla-Walker, Daye Son, Larry J Nelson
The present study used a person-centered approach to examine heterogeneity in children's patterns of routine disclosure (i.e., sharing information regarding their whereabouts and activities to parents) across adolescence and explored predictors and outcomes of different trajectories. Participants included 500 adolescents (51% female, 67% White, 33% single-parent families) who completed questionnaires every year from age 12 to age 18. Growth mixture modeling suggested that the majority of adolescents (82%) experienced a gradual decrease in disclosure to parents across adolescence, while another group (13%) reported low and stable disclosure, and a third group (5%) a steep decrease and leveling out over time...
December 28, 2017: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/29276549/heterosexual-casual-sex-and-sti-diagnosis-a-latent-class-analysis
#17
Heidi Ann Lyons
Casual sex is common during the emerging adult life course stage, but little research has taken a person-centered approach to investigate if casual sexual behavior influences STI rates. Using a nationally representative sample and latent class analysis, results showed three distinctive latent classes. Abstainers were the least likely to have an STI, followed by the casual sex experienced, and then the casual sex risk-takers. Once other covariates were included in the model, there was no significant difference between the abstainers and casual sex experienced classes...
2017: International Journal of Sexual Health: Official Journal of the World Association for Sexual Health
https://www.readbyqxmd.com/read/29274792/the-personal-outcome-measures%C3%A2
#18
Carli Friedman
BACKGROUND: The Personal Outcome Measures® is a person-centered tool to measure the quality of life (QOL) of people with disabilities, especially those who receive long term services and supports. While the outcomes examine people's satisfaction with their lives in a wide range of areas, the organizational supports determine if service agencies are appropriately supporting people with disabilities to ensure people with disabilities have the best possible QOL. The Personal Outcome Measures® has been administered to tens of thousands of people with disabilities and older adults over its twenty-five years of existence...
December 13, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/29248565/person-centered-examination-of-salivary-cortisol-and-alpha-amylase-responses-to-psychosocial-stress-links-to-preadolescent-behavioral-functioning-and-coping
#19
Jason José Bendezú, Martha E Wadsworth
This study adopted a person-centered approach to identify preadolescent salivary cortisol (sC) and alpha-amylase (sAA) co-activation response patterns and examine links to behavioral functioning and coping. Children (N = 151, 51.7% male) were exposed to the Trier Social Stress Test (TSST) and one of two randomly-assigned, post-TSST coping conditions: distraction or avoidance. Multi-trajectory modeling yielded four child subgroups. Child internalizing and externalizing positively predicted High sC-High sAA relative to Low sC-Low sAA and Low sC-High sAA relative to High sC-Low sAA subgroup membership, respectively...
December 14, 2017: Biological Psychology
https://www.readbyqxmd.com/read/29240655/evaluation-of-a-person-centered-theory-based-intervention-to-promote-health-behaviors
#20
Chiraporn Worawong, Mary Jo Borden, Karen M Cooper, Oscar A Pérez, Diane Lauver
BACKGROUND: Effective promotion of health behaviors requires strong interventions. Applying person-centered approaches and concepts synthesized from two motivational theories could strengthen the effects of such interventions. OBJECTIVES: The aim of the study was to report the effect sizes, fidelity, and acceptability of a person-centered, health behavior intervention based on self-regulation and self-determination theories. METHODS: Using a pre- and postintervention design, with a 4-week follow-up, advanced practice registered nurses made six weekly contacts with 52 volunteer participants...
January 2018: Nursing Research
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