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T Hickey

Publications and source records attributed to T Hickey.

58 records · Page 4Linked to original sources
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Attitude instrument analysis: an examination of factor consistency across two samples.

The factor analytic model of the practitioner-oriented opinions about people (OAP) was tested with a population of gerontological practitioners (N =558). A confirmatory factor analysis was performed to ascertain the degree-of-fit between these data and the published OAP factor model. After results supported the hypothesis that the two samples differed, a second factor analysis was designed to yield estimates of communalities by a least squares multiple regression technique. This analysis eliminated nine items not warranting inclusion in the instrument, redistributed the factors, and brought out a completely new factor. Finally, to test the hypothesis that attitudes toward aging and the aged are uncorrelated, a third analysis was performed in which the six scales of the oblique solution were refactored. The resulting higher order dimensions tended to support this hypothesis.

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Nursing staff training for an effective geropsychiatric environment.

In describing an early training program of the Gerontological Manpower Project, we have attempted to demonstrate that short-term, on-site training with a frim theoretical and empirical base, can be an effective vehicle for translating research into application. In this case, research and theory based on the importance of the environment as therapeutic, and directed to maximizing geriatric patient independence was incorporated into a geriatric training programmthis was delivered to personnel working with the elderly in two institutional settings, differing in geriatric patient population and service orientation. To improve the effectiveness of future training programs, extensive evaluative research was included in the training processes. Although results were predictably tentative, they did yield much useful information both for subsequent program design as well as reinforcing a need for this process itself. Finally, a very satisfying and beneficial result of this project, as specified by the research staff and all participants, is that effective application of research results via appropriate training mechanisms are easily within reach of the nurse-practioner, and the oft-desired bridge between academia and the service delivery system is truly a collaborative reality.

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Designing a system for ambulatory obstetric case management.

The authors describe the development of critical pathways for ambulatory obstetric case management. When case management was identified as needed, but published work in outpatient obstetrics could not be found, four nurses used this opportunity to design a cost-effective system leading to quality outcomes. The driving force was the need for a format that directed comprehensive consistent care delivered by a large multidisciplinary health care team. Design issues included capturing leading edge standards of care and user friendly formats for all caregivers. Throughout a period of 2 years, a trifold format was developed for all obstetric patients, and 15 bifold formats were developed for patients with specific high-risk diagnoses. The format design facilitated cost-effective quality care and is expected to improve patient outcomes. A research study has been initiated to measure effectiveness of the design.

Ambulatory Care↗