RESUMO
Young adults, 18-35 years of age, account for nearly half of all inflammatory bowel disease emergency department visits annually, costing millions of healthcare dollars and signifying undue pain and suffering. To mitigate this sequela, the study aimed to characterize the relationships between transition readiness (self-management ability), stress, and patient-centered outcomes. Outcomes were defined as disease activity and inflammatory bowel disease-related healthcare utilization (emergency department visits and inpatient hospitalization). This was a descriptive, correlational design via online survey of young adults with inflammatory bowel disease. Participants (n = 284) utilized an estimated 2.77 million healthcare dollars in 12 months. Transition readiness decreased the odds of having consistently active disease and healthcare utilization, with adjusted odds ratio ranging from 6.4 to 10.9 (p < .05). Higher stress levels increased the odds of having consistently active disease and healthcare utilization, with adjusted odds ratio ranging from 9.5 to 10.5 (p < .0001). Twenty-five percent (24.7%) of the variation in transition readiness was explained by changes in stress (p < .0001). Transition readiness and stress impacted all patient-centered outcomes. Stress negatively impacted transition readiness. These results are powerful reminders for healthcare providers to assess and treat stress and support transition readiness in young adults with inflammatory bowel disease. The potential to decrease pain, suffering, and healthcare cost is enormous.
Assuntos
Doenças Inflamatórias Intestinais , Autogestão , Transição para Assistência do Adulto , Humanos , Doenças Inflamatórias Intestinais/terapia , Avaliação de Resultados em Cuidados de Saúde , Assistência Centrada no Paciente , Adulto JovemRESUMO
Accelerated baccalaureate nursing programs are in great demand in the United States. Currently there are 197 such programs, but little research has been conducted on student characteristics and program outcomes. This quantitative study explores preferences of second-degree students and traditional generic students with regard to teaching methods and relationships with faculty. The results indicate that statistically significant differences exist between the two groups of students. Three areas of significance are ability for self-directed learning, expectations of faculty and classroom structure, and obtaining a grade that really matters.
Assuntos
Atitude do Pessoal de Saúde , Comportamento de Escolha , Bacharelado em Enfermagem/métodos , Reeducação Profissional/métodos , Estudantes de Enfermagem/psicologia , Ensino/métodos , Adolescente , Adulto , Docentes de Enfermagem/organização & administração , Feminino , Humanos , Relações Interprofissionais , Masculino , Mississippi , Avaliação das Necessidades , Pesquisa em Educação em Enfermagem , Pesquisa Metodológica em Enfermagem , Desenvolvimento de Programas , Estatísticas não Paramétricas , Inquéritos e QuestionáriosRESUMO
A generational age transformation is occurring in nursing classrooms across the United States. Nurse educators need to prepare for the different values and expectations of students from Generation X and the newly emerging Generation Y in the educational environment. This quantitative, descriptive research begins to examine the preferences and expectations of these generations regarding teaching methods.
Assuntos
Atitude do Pessoal de Saúde , Comportamento de Escolha , Bacharelado em Enfermagem/métodos , Relação entre Gerações , Estudantes de Enfermagem/psicologia , Ensino/métodos , Adolescente , Adulto , Fatores Etários , Competência Clínica , Docentes de Enfermagem/organização & administração , Feminino , Previsões , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Relações Interprofissionais , Aprendizagem , Masculino , Pessoa de Meia-Idade , Mississippi , Pesquisa em Educação em Enfermagem , Pesquisa Metodológica em Enfermagem , Crescimento Demográfico , Psicologia Educacional , Inquéritos e QuestionáriosRESUMO
Home healthcare nurses play a critical role in pain assessment and management in elderly patients. People 65 years of age and older are the largest consumers of prescription and nonprescription pain medications in the United States and are at increased risk for adverse reactions and inadequate pain management. This article seeks to explore strategies to assist hospice and home healthcare nurses in assessing and managing elderly patients' pain. The goal is to provide tools to assist nurses in streamlining elderly patient care and improving quality of life while decreasing mortality and morbidity for this patient population.
Assuntos
Enfermagem Domiciliar/métodos , Manejo da Dor/métodos , Medição da Dor/métodos , Idoso , Cuidadores , Humanos , Relações Enfermeiro-PacienteRESUMO
Ergonomics provides a broad framework for home healthcare nurses to improve their individual physical, psychological, cognitive, and spiritual well-being through application of models for self-care planning. As the individual becomes stronger, more resilient and work hardy, the benefits to the individual, along with the work organization and ultimately the clients, grow exponentially. This article seeks to explore the relevant ergonomic domains and assist home healthcare nurses to develop self-care planning practices that lead to healthy lifestyles and improved quality of life.
Assuntos
Ergonomia/psicologia , Serviços de Assistência Domiciliar , Padrões de Prática em Enfermagem , Autocuidado/métodos , Adulto , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Competência Clínica , Feminino , Saúde Holística , Humanos , Relações Interprofissionais , Avaliação em Enfermagem/normas , Doenças Profissionais/prevenção & controle , Estudos de Casos Organizacionais , Cultura Organizacional , Admissão e Escalonamento de Pessoal , Apoio Social , Estresse Psicológico/prevenção & controle , Recursos Humanos , Carga de Trabalho/psicologiaAssuntos
Delírio/diagnóstico , Demência/diagnóstico , Transtorno Depressivo/diagnóstico , Avaliação Geriátrica , Serviços de Assistência Domiciliar , Idoso , Idoso de 80 Anos ou mais , Delírio/enfermagem , Demência/enfermagem , Transtorno Depressivo/enfermagem , Feminino , Enfermagem Geriátrica , Humanos , Masculino , Prevenção do SuicídioRESUMO
Race and ethnicity play roles in breast cancer mortality, particularly for African American women. As a result, a three-pronged integrated community education model (i.e., faith-based, community, and state agencies) was generated and tested in a medically underserved area with high mortality rates from breast cancer to increase participation in breast health education, provide early screening and detection practices, and provide access to annual mammograms and referral sources. The model provided three women with life-saving early diagnoses, in addition to providing potentially hundreds of women with a network of breast health, self-monitoring, and referral sources for future issues.