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Perceived Impact of a Relationship-Based Care Curriculum
No full textPurpose: Authentic client-centered practice is integral to positive health-care outcomes. This study examined facilitator perspectives of the See Me as a Person (SMAAP) relationship-based health-care curriculum. Methods: Qualitative phenomenological interviews were conducted with five facilitators of the SMAAP curriculum. The principal question and sub questions explored the facilitation and teaching methods, perceived impact of the curriculum, and the impact on health-care practice. Findings: The concepts in the SMAAP curriculum are translatable into practice and may improve health care; organizational culture, leadership, and time constraints influence impact. Conclusion: Relationship-based practice training can positively affect health-care delivery. Practitioners must be dedicated to the learning process; implementation should go beyond short-term training
Student Emotional Intelligence and Fieldwork Success: Current Evidence, Practical Implications, and Student Trends in Occupational Therapy Education
No full textPhysical Health And Activity In An Urban Native American Community: A Photovoice Pilot Project
No full textConflict Resolution and Peacebuilding: Social Work Education and Practice in Humanitarian Settings
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Pediatric Group Well-Child Care: Addressing Parental Responses and Provider Concerns
No full textPediatric well-child care is the foundation of pediatric care for children in the United States. There are 15 well-child visits recommended in the first three years of life and well-child care occupies 50% of all ambulatory care visits. These visits are critical to enhancing health outcomes in children. The current state of well-child care is not meeting the needs of children and their families. Standardized guidelines developed by the American Academy Pediatrics, Bright Futures, guide well-child care and are not being adequately followed in the current state of well-child care. Furthermore, parents are not following the expected well-child care visit schedules; this may be because they are not getting what they need from well-child care. A quality improvement project to reimagine a new model of well-child care was implemented in this urban practice. Eight 6-month-old infants and their parents attended a group wellchild visit instead of their individual well-child visit. The visit lasted 90 minutes with the first 60 minutes centered around a group discussion focused on Bright Futures guidelines which included sleep, nutrition, immunizations, development, and age-appropriate play activities. Parents were surveyed after the visit. Survey results revealed that parents were well educated in the group visit about the Bright Futures guidelines. Qualitative results indicated that parents learned from each other, enjoyed the social support, did not feel as rushed as an individual well-child visit, and were interested in more group wellchild visits. Recommendations for future group well-child care are to offer the group well-child visit to other age groups, consider a cohort visit with the original group of parents and their infants, adding another pediatric provider, and offering more individual time with each parent by being more aware of time spent during the group portion
EDUCATION TO INCREASE DIABETES DISTRESS IDENTIFICATION IN A PRIMARY CARE CLINIC
No full textDiabetes distress is a phenomenon not well identified in providers in primary care clinics. Diabetes-specific instruments such as the Diabetes Distress Scale are tools to guide interventions directed at the emotional burden of diabetes experienced by patients. Diabetes distress and the burden of managing this disease contribute to the adverse outcomes in patients experiencing this disease. Therefore, identifying diabetes distress through the education of providers and registered dieticians is the goal of this quality improvement initiative
Implementation of Self-Measured Blood Pressure Monitoring Protocol in an Urban Underserved Population
No full textThis quality improvement project explored the development of a protocol for volunteer nursing staff to educate and empower residents on how to self-manage their hypertension using individual electronic blood pressure machines. The American Indian Family Center provided electronic blood pressure machines to each resident. A protocol was established based on community population screening data for the use of electronic blood pressure machines and self-care information about hypertension. The protocol provided activities that included weekly blood pressure screenings and culturally appropriate individualized health coaching at the onsite wellness clinic. The wellness clinic location is part of a low-income senior apartment complex. Survey data was collected prior to project implementation and at three months post implementation. The survey assessed residents’ self-efficacy in using their electronic blood pressure machines, ease of use, and usage frequency. The survey’s findings were analyzed using the t-test: paired two sample for means. The two tailed t-test result was statistically significant (p-value 0.0029) for the improvement in using their electronic blood pressure machines. Sixty-four percent of the residents who participated increased their use of the blood pressure machines, and thirty-six percent preferred having their blood pressure taken weekly at the Wisdom Wellness Clinic. Recorded blood pressure readings improved with the mean average for the systolic blood pressure decreasing by eighteen mmHg and the diastolic decreasing by eight mmHg. Over twelve weeks, ninety percent of the participating residents recorded blood pressure readings improved. Findings indicate blood pressure improvements were due to an increase in residents’ self-efficacy through weekly monitoring of their blood pressures using their electronic blood pressure machines or screening at the Wisdom Wellness Clinic and the individualized health coaching using motivational interviewing. Implementing a protocol for volunteer healthcare providers included continued weekly blood pressure monitoring, equipment troubleshooting, and individualized health coaching with resident-centered action plans
NURSING COMPETENCY ALIGNMENT PROJECT (NCAP)
Get PDFBackground: The lack of a standardized nursing competency model for a large healthcare organization prevented it from opportunity as a system.
Objective: This evidence-based project\u27s purpose was to select a nursing competency model that a large healthcare organization will use to evaluate nurses, standardize nursing competency training language for the healthcare organization, develop an education plan for nurse educators on the selected nursing competency model, and develop an implementation plan for the nursing competency model.
Methods: This project utilized a three-cycle Plan-Do-Study-Act (PDSA) change framework. Cycle One involved nursing leaders from the eight hospitals and 60 clinics of the large healthcare organization to evaluate different nursing competency models discussed in the literature, decide on the model, and evaluate the consensus on the model. Cycle Two involved creating an educational session on the selected nursing competency model for ongoing competencies for a pilot group of nurse educators, including collecting pre-and post-education survey data. Cycle Three involved creating and outlining the implementation/sustainability plan for the selected nursing competency model focused on the organizational needs.
Results: For Cycle One, a hybrid nursing competency model was selected for the organization. For Cycle Two, there was an increase in the educators\u27 knowledge of the model after receiving the education on it. For Cycle Three, nine buckets of work were identified to implement the nursing competency model successfully.
Conclusions: There needs to be a nursing competency model used throughout the large healthcare organization to evaluate nursing team members consistently to ensure they can deliver consistent, high-quality, safe patient care.
Nursing Implications: Nurse-led change was made using a PDSA change framework. For successful implementation of a nursing competency model at healthcare organizations, all key stakeholders must participate and all have an equal voice, the model needs to incorporate a nursing theory and organizational requirements, and there needs to be a comprehensive implementation plan, which includes the rights steps in the correct order
A Prepared Environment At Home For One Adolescent: The Effect of Exercises of Practical Life on Self-Regulation of an Adolescent
Get PDFThis action research project investigated the effect of exercises of practical life on the self regulation of an adolescent in his prepared environment at home. Participants included two parents (of which one was the researcher) and one adolescent boy aged sixteen. The research took place over seven weeks in the home of the adolescent. The researcher prepared areas of the house to create a setting for practical life exercises. A pre-attitude scale for the adolescent and pre assessments for the parents and the adolescent provided baseline data. This data supported the selection and design of the eight materials for the project. Quantitative and qualitative data were collected on school days using a daily observation log, journal, and weekly planning questionnaire. After the project, the parents and the adolescent completed a post-assessment, and the adolescent conducted a post-attitudes scale and interview. Analysis of the data suggests that some materials supported the adolescent. The interview provided clarification of data in the observation log. The adolescent has asked to continue using some of the materials. The project has given the family confidence in their ability to work together to create systems and tools to support routine and self-regulation