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Biomedical subjects

S Thorne

Publications and source records attributed to S Thorne.

75 records · Page 5Linked to original sources
PubMedDate not supplied

Conflicting priorities: oral health in long-term care.

Open-ended interviews were conducted with 109 individuals. These included: administrators, staff, dental personnel, residents, and family members, associated with 12 long-term-care (LTC) facilities to contrast different human resource and organizational strategies for managing the delivery of oral health care to the elderly residents. A multiple case-study analysis revealed that no particular organizational strategy was ideal, although three important components--oral hygiene, diagnostic assessments, and dental treatment--were common to all. The dental personnel everywhere believed that oral health in the midst of other conflicting priorities received inadequate attention, while the administrators and staff acknowledged that they were weak at recognizing oral disorders and assisting with oral hygiene. In all, the interviews offered a portrait of the conflicting priorities associated with LTC, and they provide practical insights to successful strategies of care in this population.

Administrative Personnel↗
PubMedDate not supplied

Long-term gastrostomy in children: insights from expert nurses.

Beyond its technical implications, long-term gastrostomy in children represents a multifaceted social and psychological challenge to families caring for medically complex children at home. In the context of a study of gastrostomy devices in children, the authors interviewed nurses nominated as experts in the care of such children and families. In this article, a secondary analysis of themes arising from those interviews reveals the considerable clinical practice knowledge involved in managing and coordinating this care. The insights from these expert nurses reveal strategies and approaches that have not been systematically reported in the literature on nursing roles in relation to gastrostomy. By documenting and reporting such insights, the authors hope to make accessible the reasoning that these experts have developed through experience, innovation, and education, and thereby to encourage nurses caring for families with such children to broaden and extend the scope of their traditional practice roles.

Child↗