Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 3 de 3
Filtrar
1.
Soc Work Health Care ; 62(2-4): 107-120, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36946209

RESUMO

There are currently no national data regarding U.S. Primary Care Physicians' (PCPs') suicide screening practices. This study surveyed 302 U.S. PCPs about their current suicide screening practices to identify service gaps and intervention points for social workers. Although one-third of PCPs reported providing screening and safety planning, few were using evidence-based tools. Factors that increased the likelihood of routine screening were belief in the importance of screening (p < .01), time (p < .01), and access to co-located behavioral health (p < .01). Findings support the role of social workers in primary care and suggest areas for training and collaboration.


Assuntos
Médicos de Atenção Primária , Assistentes Sociais , Humanos , Prevenção do Suicídio , Padrões de Prática Médica , Atenção Primária à Saúde
2.
Psychosomatics ; 61(6): 698-706, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32646611

RESUMO

OBJECTIVE: The purpose of this study was to evaluate the feasibility and impact of a suicide risk screening program in a rural West Virginia primary care practice. METHODS: Patients presenting for routine and sick visits were asked to participate in electronic suicide risk screening using the Ask Suicide-Screening Questions tool; screen positive individuals were assessed with the Ask Suicide-Screening Questions Brief Suicide Safety Assessment. Screening program feasibility was evaluated by the proportion of patients consenting to participate, participant Ask Suicide-Screening Questions and Brief Suicide Safety Assessment completion rates, and response to a question asking whether primary care providers should ask about suicide. Screening impact was evaluated quasi-experimentally by comparing electronic medical record documentation of suicide risk screening, assessment, and risk determination in practice patients before and after implementing the screening program. RESULTS: Over half of the patients approached agreed to participate in a research study about suicide (N = 196; 57.7%). Feasibility of the screening program was demonstrated by the high completion rates for the Ask Suicide-Screening Questions (99.0%) and the Brief Suicide Safety Assessment (100.0%) among study participants. Additionally, 95.4% (N = 187) of participants agreed primary care providers should screen patients for suicide. Suicide screening rates rose significantly between the baseline and intervention phases (5.8% to 61.0%; X2 = 200.61, P < 0.001), as did suicide risk detection rates (0.7% to 6.2%; X2 = 12.58, P < 0.001). CONCLUSION: Suicide risk screening was feasible and well accepted by adult patients in rural primary care and has potential to improve suicide risk detection in this setting.


Assuntos
Prevenção do Suicídio , Adulto , Estudos de Viabilidade , Humanos , Programas de Rastreamento , Atenção Primária à Saúde , Fatores de Risco
3.
Res Nurs Health ; 33(6): 477-85, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20957666

RESUMO

This article describes the development and psychometric evaluation of the short-form Pulmonary Functional Status Scale (PFSS-11©) derived from the previously validated 35-item PFSS, using data from 179 subjects (120 Chronic Obstructive Pulmonary Disease [COPD]/59 normative, non-COPD). Items were extracted based on item-response distribution and commonality >.60. Factor analysis yielded a three-factor solution, accounting for 65.6% of total variance. Construct validity was supported by PFSS-11© scores for COPD versus norms (p < .001). The PFSS-11© was robustly associated with the PFSS-35 (r = .93), accounting for 88% of variance in the longer version. Internal consistency was satisfactory and significant response to treatment was shown by score changes pre/post-rehabilitation. The PFSS-11© has solid psychometric properties useful in research and clinical practice, similar to the PFSS-35.


Assuntos
Atividades Cotidianas/psicologia , Atitude Frente a Saúde , Nível de Saúde , Doença Pulmonar Obstrutiva Crônica/psicologia , Inquéritos e Questionários/normas , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Estudos de Casos e Controles , Análise Discriminante , Emoções , Análise Fatorial , Feminino , Humanos , Modelos Lineares , Estudos Longitudinais , Masculino , Avaliação em Enfermagem/métodos , Pesquisa em Avaliação de Enfermagem , Análise de Componente Principal , Psicometria , Doença Pulmonar Obstrutiva Crônica/complicações , Doença Pulmonar Obstrutiva Crônica/fisiopatologia , Doença Pulmonar Obstrutiva Crônica/reabilitação , Sensibilidade e Especificidade
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA