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At least 739 records · Page 41Linked to original sources
PubMed2003

Telephone support for caregivers of patients with cancer.

Caregivers have complex needs as they care for a loved one with cancer at the end of life. The objective of this pilot study was to determine the feasibility of conducting a brief telephone intervention, Tele-Care II, for caregivers of hospice patients. Guided by Hogan's Model of Bereavement, nurse interventionists implemented Tele-Care II via teleconference calls with caregivers. Although 14 caregivers were recruited for the study, only 5 were able to complete the intervention before the patient's death. Those completing the intervention experienced decreased depression, despair, and disorganization although the patient's condition became more serious. Late enrollment in hospice continues to be problematic for patients, family caregivers, and hospice staff because it allows little time for completion of interventions with family caregivers before the patient's death.

Adaptation, Psychological↗
PubMedDate not supplied

Planning home care services for people living with AIDS.

As the number of individuals infected with the human immunodeficiency virus (HIV) increases, so does the demand for healthcare services. The debilitating manifestations seen in the later stages of illness, in association with the diagnosis of acquired immune deficiency syndrome (AIDS), often require the assistance of home care providers. Establishing a database of information, not only on the clinical needs of individuals but also on person-specific details, is essential to identify the nursing care needs of this population. The delivery of home care services to people living with AIDS (PLWA) includes the client, the significant other(s), and the community in which the client resides.

Acquired Immunodeficiency Syndrome↗
PubMed1997

Home care triage nurse.

As a TN who began in a position with little insight into the expectations and who has been able to develop the system into one that ideally meets the needs of our home care institution, I always feel challenged. Initially, my concern was that I would lose touch with what was new and would lose my clinical skills. To the contrary, I feel that I have honed my skills. By understanding the steps to procedures and their rationale, disease processes, symptoms, treatment regimes, and through continuing education, I have become confident in teaching patients and caregivers over the phone. Although the staff includes those in each of our branches, I am able to have contact with them all now more than ever. Because we known as home care workers that it is difficult to develop relationships and trust among staff members because of the independent nature of home care nursing, forging a relationship based on trust between the staff members and the TN is crucial for delivering consistent patient care 24 hours a day, 7 days a week. It is note-worthy that to develop the TN system effectively, I was granted autonomy and lent support by the agency administration and management. This autonomy continues to be instrumental for success.

Home Care Services↗
PubMedDate not supplied

Computerized telephone nurse triage. An evaluation of service quality and cost.

The current reimbursement structure of health care in the United States motivates the providers of health care services to deliver these services with a cost-conscious mentality without compromising quality. This has led to the development of alternative methods of delivering health care services, one of which is computerized telephone nurse triage. This study investigates service quality from the perception of callers who used this system on behalf of a pediatric client. Cost was evaluated by comparing what the caller would have done if they did not speak with nurse triage with what they actually did after their interaction. A modified version of the SERVQUAL tool was administered via telephone survey to members of a managed health care plan who recently used nurse triage services for a pediatric patient. Findings were that the majority of callers--employed female parents--rated the level of service quality very highly. Education, employment status, age of the caller, child gender, birth order among siblings, and age of child did not affect the rating of service quality. Relationship to the child had an effect on the rating of service quality as men/fathers rated the level of service quality slightly lower than their female/mother counterparts. The evaluation of cost revealed that the action taken by the caller after they spoke with the nurse resulted in significant cost savings. Computerized telephone nurse triage is a well-accepted cost-saving alternative method of health care delivery that can effectively serve a variety of callers and pediatric patients.

Adult↗
PubMed2001

Prevalence and extent of distress of adverse effects of antipsychotics among callers to a United Kingdom National Mental Health Helpline.

The aims of this cross-sectional survey were to assess psychotic sufferers' perception of the effectiveness of their medication, the distress caused by adverse effects and the impact these might have on overall patient satisfaction with treatment. Three hundred and forty-one people diagnosed with psychosis who called a national mental health helpline (SANELINE) in the UK, between July 1998 and February 1999, were asked to take part in the survey. They were given a choice of either a postal questionnaire or a telephone interview in which the same questionnaire was used. One hundred and nineteen were interviewed on the telephone and 83 (out of 222) returned completed questionnaires. In total, information was available from 202 callers. Almost one-half of the respondents were dissatisfied with their medication, and almost all of them reported experiencing at least one adverse effect. Depression (or low mood), sedation and difficulty thinking and concentrating were the most prevalent adverse effects. Weight gain was the most distressing, particularly to women. Those taking atypical antipsychotics were significantly more likely than those on typical antipsychotics to experience insomnia and dry mouth, but were less likely to perceive depression and difficulty thinking/concentrating as quite or extremely distressing. Low satisfaction, as opposed to high satisfaction, was significantly associated with reporting weight gain, difficulty thinking/concentrating, insomnia and sexual dysfunction. It was also significantly associated with reporting weight gain, difficulty thinking/concentrating, muscle/joint stiffness and depression as quite or extremely distressing. Attention should be given to the management of cognitive impairment and weight gain as adverse effects of antipsychotics. Doctors should be more open to discussing the risks and nature of adverse effects with patients who should also be encouraged to do so.

Adult↗
PubMed1997

Reducing nosocomial pressure ulcers.

The authors analyze the processes surrounding an initial failure and eventual success in implementing organizational change. The specific organizational change involves prevention and treatment of pressure ulcers. It provides insight as to how critical factors serve to bring about and sustain change in an organization. It also serves to illustrate deficiencies in traditional and popular change theories.

Academic Medical Centers↗
PubMed2003

A model for examining predictors of outcomes of telephone nursing advice.

Although telephone advice nursing is the fastest-growing nursing specialty, useful information to guide managers' decisions about how best to structure and support advice services to achieve desired outcomes is unavailable. We identified issues and variables relevant to outcomes of telephone advice from the perspectives of callers, nurses, and the system. Subsequently, we derived a model for studying factors affecting nursing advice outcomes that will help managers identify modifiable factors to improve outcomes of care.

Attitude of Health Personnel↗
PubMed2003

Making it work: organization and processes of telephone nursing advice services.

Efforts of health plans to balance service quality with cost control have spurred rapid growth in telephone nursing advice services. Service system design can affect costs, patient outcomes, and staff retention. Research has not addressed how the organization of nursing services affects practice outcomes in telephone advice settings. We describe observed variations in telephone advice nursing services and the organizational and process factors the nurses identified as supporting or hindering their work.

Attitude of Health Personnel↗
PubMed2003

Advice nursing practice: on the quality of the evidence.

OBJECTIVE: The primary objective was to review the research regarding advice nursing practice to determine the content areas investigated and the quality of the evidence. METHODS: A systematic review of advice nursing research was done in electronic databases, reference lists, and the literature identified by experts (N = 527). After deletion of duplicates and clinical and theoretical articles, full text reviews were done on 62 studies. RESULTS: Eight thematic content areas were identified: delivery and continuity of care to populations, appropriateness of advice given, patient/provider satisfaction, disposition/utilization after calls, reason for calling, cost analysis, process of decision-making, and documentation. The most frequently investigated subject was delivery/continuity of care (n = 16). IMPLICATIONS: For certain chronic disease populations, interventions using telephone advice for social support, education, and symptom management improve clinical outcomes. Availability and use of protocols and guidelines do not guarantee standardized care or ensure that appropriate advice will be given. Consumer satisfaction with advice nursing is high, and appears to be related to the intervention component of the nursing process. The priority for future research should be given to those studies that describe the character and suitable dose of the nursing intervention that is advice nursing.

Chronic Disease↗