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1.
J Psychosoc Nurs Ment Health Serv ; 44(6): 31-6, 2006 06.
Artículo en Inglés | MEDLINE | ID: mdl-16789591

RESUMEN

Photography projects are an alternative teaching method that can be easily integrated into community programs with adolescents and children. This article provides a brief review of the use of photography in documenting social and health issues. Two examples of community photography projects with easily ignored populations are described. These projects gave a voice to participants and allowed them to demonstrate their creativity with cameras. An implementation guide is presented to provide concrete suggestions for implementing community photography projects.


Asunto(s)
Enfermería en Salud Comunitaria/métodos , Promoción de la Salud/métodos , Fotograbar , Poblaciones Vulnerables , Adolescente , Niño , Emigración e Inmigración , Femenino , Humanos , Pobreza , Violencia/prevención & control
2.
J Healthc Qual ; 24(5): 32-8, 2002.
Artículo en Inglés | MEDLINE | ID: mdl-12240541

RESUMEN

Clinical pathways represent a strategy for responding to the current healthcare environment with a focus on managing care, reducing costs, increasing patient satisfaction, and improving quality. However, many healthcare organizations have found that implementing clinical pathways is not entirely successful even when they are based on sound evidence. The purpose of this case study was to describe and explain factors related to the success or failure of implementing a clinical pathway for congestive heart failure (CHF) patients in a 300-bed community hospital. The key factors involved in the nonadoption of the CHF pathway were inconsistencies in procedures and the work group culture.


Asunto(s)
Actitud del Personal de Salud , Vías Clínicas/organización & administración , Insuficiencia Cardíaca/terapia , Hospitales Comunitarios/normas , Recolección de Datos , Investigación sobre Servicios de Salud , Humanos , Entrevistas como Asunto , Medio Oeste de Estados Unidos , Estudios de Casos Organizacionales , Cultura Organizacional , Innovación Organizacional , Personal de Hospital/psicología
3.
Jt Comm J Qual Improv ; 28(4): 167-79, 2002 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11942260

RESUMEN

BACKGROUND: Many benefits have been associated with the use of clinical pathways, yet developing them can be costly, and implementing them is not always successful. A 300-bed Midwestern community hospital began a clinical pathways program in 1995, and by fall 1998, 15 pathways were in various stages of implementation, with 3 under development. Many challenges had been encountered, but hospital leaders were eager to find ways to increase pathway use. METHODS: A qualitative case study design was used to investigate four clinical pathways, two perceived as being "used" and two that were perceived as "not used". Each pathway was analyzed as a separate case, followed by cross-case analysis. Qualitative data were collected in 65 semistructured interviews with administrators, physicians, physicians' office staff, nurses, and allied health professionals at the hospital. Data were also collected through observation and document analysis. RESULTS: The two used pathways had been introduced as part of a larger change in care, whereas the two pathways not used had been introduced as stand-alone innovations. Confusing and inadequately developed aspects of the hospital's clinical pathways program included its purposes, the definition of pathway use, pathway procedures, accountability, education, and incentives. A new case management department, ongoing administrative support, and a sophisticated medical information system were viewed as supports for continued growth in the program. CONCLUSIONS: Implementation of clinical pathways was delayed and complicated by the varied perceptions of the program among stakeholders. Lack of clarity and consistency in how information about the program was communicated made it difficult for clinicians to develop a shared understanding of clinical pathways.


Asunto(s)
Actitud del Personal de Salud , Vías Clínicas/estadística & datos numéricos , Difusión de Innovaciones , Adhesión a Directriz , Hospitales Comunitarios/normas , Desarrollo de Programa/métodos , Gestión de la Calidad Total/métodos , Comunicación , Vías Clínicas/organización & administración , Investigación sobre Servicios de Salud , Humanos , Servicios de Información/provisión & distribución , Participación en las Decisiones , Medio Oeste de Estados Unidos , Estudios de Casos Organizacionales , Grupo de Atención al Paciente , Evaluación de Programas y Proyectos de Salud , Responsabilidad Social
4.
J Gerontol A Biol Sci Med Sci ; 57(4): M197-202, 2002 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11909883

RESUMEN

The growing challenges of promoting health and managing illness in an ever-changing health care system require an arsenal of research approaches. Qualitative methods have a long tradition in disciplines such as sociology and anthropology and are being used with greater frequency as interdisciplinary health-related disciplines attempt to understand and explain complex problems. The purpose of this article is to define and describe the main features of qualitative research and to examine ways in which this methodology is relevant and useful in gerontological studies. A concise comparison of quantitative and qualitative methods is made, and suggestions are provided for when qualitative approaches are useful. A review of the three most common approaches is provided. Most important, references are provided for those gerontologists interested in learning more about qualitative research methods.


Asunto(s)
Geriatría , Investigación , Recolección de Datos/métodos , Humanos , Investigación/clasificación , Proyectos de Investigación , Terminología como Asunto
5.
J Nurs Educ ; 41(12): 531-4, 2002 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-12530565

RESUMEN

Implications for practice and education include recognition of the value of clinical outcome studies to clinicians and administrators in clinical agencies, as well as to nursing education. This project provides an example of the opportunity for mutually beneficial education and practice partnerships. Faculty, staff, and students demonstrated their ability to use the basic model for outcome studies developed by the United Way of America (1996). Teams of staff, faculty, and students were able to design small scale outcome studies that provided valuable information for clinicians and administrators about evaluating and improving the quality of clinical services, as well as for seeking continued funding. It is anticipated that further benefits may be discovered when faculty work with agencies to target program outcomes that will yield the most powerful effect for these agencies.


Asunto(s)
Redes Comunitarias , Docentes de Enfermería , Desarrollo de Programa , Estudiantes de Enfermería , Investigación en Enfermería Clínica , Conducta Cooperativa , Medicina Basada en la Evidencia , Humanos , Modelos Educacionales , Evaluación de Programas y Proyectos de Salud , Calidad de la Atención de Salud
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