Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Communication Programs”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 919 records · Page 51Linked to original sources
PubMed1977

An operator-independent method for background subtraction in adrenal-uptake measurements: concise communication.

A new computer program for adrenal-uptake measurements is presented in which the algorithm identifies the adrenal and background regions automatically after being given a starting point in the image. Adrenal uptakes and results of reproducibility tests are given for patients injected with [131I] 6beta-iodomethyl-19-norcholesterol. The data to date indicate no overlap in the percent-of-dose uptakes for normal patients and patients with Cushing's disease and Cushing's syndrome.

Cholesterol↗
PubMed2000

Knowledge and attitudes of home care nurses toward hospice referral.

OBJECTIVE: Nurses and administrators are concerned with removing barriers to appropriate and cost-effective referrals between programs. The goal of this research was to describe knowledge and attitudes of home care nurses toward hospice referral. BACKGROUND: The literature review did not identify studies related to the referral of patients from traditional home care to hospice programs. A few studies related to the hospice referral processes suggested issues with conflicts between programs, attitude barriers to open communications, issues regarding late hospice referrals, and practitioner reluctance to "give up" patients with whom they had established relationships. METHOD: This study used a descriptive, quantitative method. A 15-item, self-administered survey was developed by the investigators and hospice administrators. It was distributed to 160 registered nurses employed as full- or part-time staff in a large midwestern home care agency. Completed surveys were returned by 75 nurses, for a response rate of 46.9% (N = 75). RESULTS: Nurses perceived that home care and hospice services were very similar; they resisted hospice referral as long as they felt that services could be provided adequately by home care; they desired to maintain patient continuity and special rapport and demonstrated inconsistent knowledge regarding hospice referral criteria and relative costs. CONCLUSIONS: Nurses in different programs would benefit from improved communication links, accurate cross-program information, and development of increased trust relationships. Improvements in communication and transition programs for patients and families should include structural and programmatic changes.

Health Knowledge, Attitudes, Practice↗
PubMedDate not supplied

Utilizing collaborative practice to achieve quality outcomes in gentamicin administration.

An individualized weight-based gentamicin dosing program is used at this community hospital to achieve stable serum drug levels with optimal clinical outcomes. This program requires extensive communication between disciplines and because of its complexity, was identified by the nursing staff as being confusing to initiate and maintain. The authors report the work of an interdisciplinary team to streamline the ordering and administering process and to promote staff satisfaction in using the dosing program.

Adolescent↗
PubMed1999

Impact of health education program on knowledge about AIDS and HIV transmission in students of secondary schools in Buraidah city, Saudi Arabia: an exploratory study.

BACKGROUND: Accurate information about acquired immunodeficiency syndrome (AIDS) and human immunodeficiency virus (HIV) is important for their prevention. OBJECTIVES: This study is intended to assess knowledge on AIDS in students of secondary schools in Buraidah City and to measure the effect of a health education program on their knowledge about AIDS in general, modes of HIV transmission and the degree of their misperception about the transmission of the disease through casual contact. METHODOLOGY: A well-designed health education program using personal communication and visual media techniques was conducted for 483 secondary school students in Buraidah secondary schools during the year 1997. Pre- and post-tests were done to examine their knowledge about AIDS. RESULTS AND RECOMMENDATIONS: The results of this study pointed out that a health education program on AIDS for students of secondary schools greatly and significantly improved their scores on general knowledge on AIDS views on its transmission and misperception of AIDS (p < 0.01). Continuous in-ice programs for secondary students are recommended.

Adolescent↗
PubMed1986

Satisfaction with hospital emergency department as a function of patient triage.

For most people, waiting is inherently dissatisfying and emergency department patients are no exception. Most patients and people accompanying the patient find the treatment waiting time in emergency medical care facilities to be a source of great dissatisfaction. The dissatisfaction is compounded in many cases by the anxiety of all associated with the patient and the discomfort or pain the patient feels. Consequently it was not surprising to find in this investigation that waiting time for treatment and treatment cost were major causes of consumer dissatisfaction. Satisfaction of emergency department patients decreased as the medical need became less urgent. This finding should be of considerable concern to hospital administrators. With the trend toward new forms of health care delivery systems such as "emergicenters" and the increase in the number of physicians per capita, the emergency department will no longer be the most attractive or the only alternative available to the patients who have a nonemergency medical need. For emergency departments to remain profitable, it will be more important than ever before to meet the needs and expectations of their current and potential users. This can be accomplished by a program designed to reduce cost and waiting time and improve communication, and by other programs to educate the user so that the user's expectations more closely conform with what is actually needed or can be economically provided.

Anxiety↗
PubMedDate not supplied

Creative discharge planning using the electronic medical record.

A multidisciplinary continuous quality improvement (CQI) team at the authors' facility was commissioned and empowered to study and improve communication among the disciplines involved in discharge planning. CQI methods and tools were applied to analyze the process and determine the improvement. The authors of this article describe the use of a customized electronic medical record system to deliver accurate, rapid technology (DART) at their facility. DART was programmed to improve communication among the disciplines by assisting with the referral process. In addition, users are systematically prompted throughout the discharge process to ensure that all aspects are considered and documented.

Aftercare↗
PubMedDate not supplied

Health communication research and health promotion.

This paper examines the relationship between health communication research and health promotion. In doing so, it identifies a number of research questions, priorities and capacity requirements pertaining to the intersection of the two fields. It concludes by suggesting that there is a great need in Canada to find support for the development of training and research programs in health communication research in general, and with an emphasis on health promotion in particular.

Canada↗
PubMed2004

Developing and adapting a family-based diabetes program at the U.S.-Mexico border.

CONTEXT: The prevalence of diabetes among Hispanics is more than twice that of non-Hispanic whites in communities along the U.S.-Mexico border. The University of Arizona and two community health agencies on the Arizona border, Campesinos Sin Fronteras and Mariposa Community Health Center, collaborated to design, pilot and assess the feasibility of a lay health-outreach worker- (promotora-) delivered diabetes education program for families. La Diabetes y La Unión Familiar was developed to build family support for patients with diabetes and to teach primary prevention behaviors to family members. METHOD: Community and university partners designed a culturally appropriate program addressing family food choices and physical activity, behavior change, communication, and support behaviors. The program offers educational content and activities that can be presented in home visits or multifamily group sessions. Community partners led the implementation, and university partners guided the evaluation. CONSEQUENCES: Seventy-two families (249 total participants) including children and grandchildren participated. Preintervention and postintervention questionnaires completed by adults (n = 116) indicate a significant increase in knowledge of eight diabetes risk factors (P values for eight factors range from < 001 to .006) and a significant increase in family efficacy to change food (P < .001) and activity behaviors (P < .001). Interviews with participants highlight the program's positive psychosocial impact. INTERPRETATION: Community and university collaboration involved building upon the promotoras' expertise in engaging the community and the university's expertise in program design and evaluation. A promotora-delivered family-based diabetes prevention program that emphasizes family support, communication, and health behaviors is feasible and can yield change in family knowledge, attitude, and behavior relative to diabetes risk factors.

Adolescent↗
PubMed2006

Intra-couple communication dynamics of HIV risk behavior among injecting drug users and their sexual partners in Northern Vietnam.

This paper elucidates the social context of HIV risk behavior and intra-couple risk communication among injecting drug users (IDUs) and their main sex partner. Data on shared injection equipment, unprotected sex with multiple partners, unprotected sex with a main partner and couples' dynamics and risk communication were gathered through separate in-depth interviews with 11 active male IDUs and 11 of their primary female sex partners in Northern Vietnam. The majority of IDUs' sex partners does not inject drugs and is monogamous. In contrast, most IDUs reported a wide range of risky practices including needle sharing and unprotected sex with multiple, often concurrent, sex partners. Men rarely used condoms with primary partners. Many IDUs worried about their HIV-status, but none disclosed their injecting or sexual practices to their sex partners, leaving their partners unaware of their HIV risk. Among women who worried about HIV/AIDS, the vast majority was unable to influence their partner's needle sharing or extramarital affairs and most would not initiate condom use because they feared their partner's reaction. Couple-based interventions to facilitate risk communication combined with programs to promote condom use among male IDUs, may help to reduce HIV transmission from IDUs to their primary partners.

Adult↗
PubMed1995

Improvements in preventive care and communication for deaf patients: results of a novel primary health care program.

OBJECTIVE: To test the hypothesis that profoundly deaf persons would have better preventive care compliance and improved physician communication if enrolled in a primary care program providing American Sign Language (ASL) interpreters. DESIGN: A case-cohort community-based study. The authors had ASL-fluent research assistants interview 90 randomly selected patients (the cases) enrolled in a unique primary care program for the deaf (Deaf Services Program), which provided full-time ASL interpreters and subsidized health care costs for some patients. Eighty-five deaf controls were friends of the cases drawn from the community. RESULTS: The cases were poorer and less often married than were the controls, but other baseline characteristics were similar. The cases were more likely (p < 0.05) to report receiving within the preceding three years Pap tests (90% vs 72%), mammography (86% vs 53%), and rectal examinations (72% vs 25%), but not breast examinations (76% vs 71%, p = 0.7). The cases were more likely than the controls to report receiving counseling in ASL for psychiatric and substance abuse problems (49% vs 5%, p < 0.001). Although only 18% of the controls were fluent in written English, 67% of them used written notes to communicate with their physicians. Twenty percent of the controls used ASL interpreters compared with 84% of the cases (p < 0.001). More cases than controls were moderately or extremely satisfied with communication with their physicians (92% vs 42%, p < 0.001). CONCLUSION: Deaf persons enrolled in a primary care program that included full-time interpreters were more likely to use ASL, were more satisfied with physician communications, and had improved preventive care outcomes.

Adult↗
PubMed2001

Telecommuting. Factors to consider.

1. Telecommuting is a work arrangement in which employees work part time or full time from their homes or smaller telework centers. They communicate with employers via computer. 2. Telecommuting can raise legal issues for companies. Can telecommuting be considered a reasonable accommodation under the Americans With Disabilities Act? When at home, is a worker injured within the course and scope of their employment for purposes of workers' compensation? 3. Occupational and environmental health nurses may need to alter existing programs to meet the distinct needs of telecommuters. Often, there are ergonomic issues and home office safety issues which are not of concern to other employees. Additionally, occupational and environmental health nurses may have to offer programs in new formats (e.g., Internet or Intranet programs) to effectively communicate with teleworkers.

Computer Communication Networks↗
PubMed1981

A multi-component program to increase family physicians' faculty skills.

A fellowship program designed to increase nonclinical faculty skills among academic family physicians is described. In contrast to most faculty development programs, the fellowship is continuous for a full academic year and involves activities at a university medical center and the participants' home settings. The fellowship curriculum addresses five components of the academic physician's responsibilities: (a) curriculum planning, evaluation, and instruction; (b) clinical and educational research; (c) professional and organizational development; (d) ethics and human values; and (e) professional communication. Methods of program planning and operation are discussed, and particular attention is given to the match between the fellowship curriculum and the realities of academic medical work. Preliminary evidence suggests the program is achieving its intended goals.

Curriculum↗
PubMed2003

How to optimize physicians' communication skills in cancer care: results of a randomized study assessing the usefulness of posttraining consolidation workshops.

PURPOSE: Although there is wide recognition of the usefulness of improving physicians' communication skills, no studies have yet assessed the efficacy of post-training consolidation workshops. This study aims to assess the efficacy of six 3-hour consolidation workshops conducted after a 2.5-day basic training program. METHODS: Physicians, after attending the basic training program, were randomly assigned to consolidation workshops or to a waiting list. Training efficacy was assessed through simulated and actual patient interviews that were audiotaped at baseline and after consolidation workshops for the consolidation-workshop group, and approximately 5 months after the end of basic training for the waiting-list group. Communication skills were assessed according to the Cancer Research Campaign Workshop Evaluation Manual. Patients' perceptions of communication skills improvement were assessed using a 14-item questionnaire. RESULTS: Sixty-three physicians completed the training program. Communication skills improved significantly more in the consolidation-workshop group compared with the waiting-list group. In simulated interviews, group-by-time repeated measures analysis of variance showed a significant increase in open and open directive questions (P =.014) and utterances alerting patients to reality (P =.049), as well as a significant decrease in premature reassurance (P =.042). In actual patient interviews, results revealed a significant increase in acknowledgements (P =.022) and empathic statements (P =.009), in educated guesses (P =.041), and in negotiations (P =.008). Patients interacting with physicians who benefited from consolidation workshops reported higher scores concerning their physicians' understanding of their disease (P =.004). CONCLUSION: Consolidation workshops further improve a communication skills training program's efficacy and facilitate the transfer of acquired skills to clinical practice.

Communication↗
PubMed2000

The Tennessee Foodborne Illness Surveillance Network (FoodNet).

Participation in FoodNet allows the Tennessee Department of Health to contribute to cutting-edge developments in monitoring and responding to foodborne illness in our own state and nationally. Tennessee-specific data on foodborne and other reportable diseases is available via the internet, by going to http://www.state.tn.us/health/, selecting "Programs and Services," then "Communicable Diseases," and then "Statistics." More information on the FoodNet program is available at: www.cdc.gov/ncidod/dbmd/foodnet or by calling the Tennessee FoodNet Program at (615) 741-7247.

Food Microbiology↗
PubMed2001

Dealing with the risks of unwanted pregnancy and sexually transmitted infections among adolescents: some experiences from Kenya.

Studies have suggested the persistence of risky sexual practices among adolescents in Kenya but relatively less is known about the perceptions, norms and gender relations that govern the sexual behaviour of adolescent females and males, or the strategies they use to deal with the twin risks of unwanted pregnancy and STI/HIV infection. This study was, therefore, conducted to explore these issues through data drawn from 16 FGDs among 184 rural male and female adolescents aged 15-19 years in Makueni District of Eastern Kenya. Findings suggest that adolescents are quite aware of risky behaviours and the protective role of abstinence, faithfulness to one uninfected partner and condom use. However, adolescents face a number of obstacles in translating this knowledge into safer sex practices. Misinformation concerning ways to protect themselves abound. Both females and males report reticence in communicating about sexual matters and contraception with their partners. At the same time, they are reluctant to seek condoms in public places for fear of disclosure and reproach. Females face difficulties in negotiating safe sex, in reconciling the desire for condom use with norms demanding submissiveness and lack of assertiveness in contraceptive decision-making. Findings suggest the need for programs that promote communication skills among young male and especially female adolescents, and that seek to change masculine and feminine gender ideologies and redress gender double standards.

Adolescent↗
PubMed2001

Determinants of acceptance of a community-based program for the prevention of falls and fractures among the elderly.

BACKGROUND: Low-energy fractures among the elderly may be prevented by measures aimed at reducing the risk of falling or increasing the strength of the skeleton. Acceptance of these interventions in the target population is necessary for their success. METHODS: The total elderly population in a Danish municipality 7,543 community-dwelling persons aged 66+ years, were offered participation in one of three intervention programs: 2,550 persons were offered a home safety inspection, evaluation of prescribed medicine, and identification of possible health and food problems (Program I); 2,445 persons were offered 1000 mg of elemental calcium and 400 IU (10 microg) of vitamin D(3) per day in combination with evaluation of prescribed medicine (Program II); and 2,548 persons were offered a combination of the two programs (Program III). Acceptance was defined as willingness to receive an introductory visit by a nurse. RESULTS: Acceptance of Program I was 50%; of Program II, 56% (P < 0.00005 as contrasted with Program I); and of Program III, 46% (P < 0.005). Acceptance was associated with gender (females, 53%; males, 47%) and did not change from ages 66 to 84 but decreased significantly after the age of 85. Widows aged 66-84 had the highest acceptance (57%) and never married males aged 66-84 the lowest (30%). An important determinant, however, was the individual social service center that communicated the specific program. Acceptance varied from 39 to 66% between the social centers. CONCLUSIONS: Acceptance of a fall and fracture prevention program varies with intervention type; with gender, age, and social status of the target population; and with the motivation and attitude of the health workers involved in the implementation of the program.

Accidental Falls↗