Global ETD Search

31	Challenges in Discharge Planning with Adolescents Receiving Recurring Inpatient Psychiatric Treatment Richey, Chastity 01 January 2018 (has links) Mental health is a growing concern for adolescents. Billions of dollars are spent annually on mental services for youth. Many adolescents experience abuse, suicidal ideations, psychotic disorders, substance abuse, and other challenges. Recurring inpatient psychiatric hospitalizations are increasing among adolescents. The recurring admissions impact adolescents significantly socially, psychologically, and financially. Social workers are a vital part of this treatment process from admission to discharge. The research question asked what were the issues and challenges social workers encounter when conducting discharge planning with adolescents receiving recurring inpatient psychiatric treatment. The purpose for this doctoral project was to carefully examine the discharge planning process while identifying ways social workers can positively impact the process. Key concepts for this project were adolescent, inpatient hospitalization, recurring hospitalization, and discharge planning. Systems theory was used to inform the project. This action research study allowed social workers to share their experiences and perspectives about the role of social workers in discharge planning. Seven participants were identified using purposive sampling. One focus group provided data for project. Data analysis consisted of in vivo and process coding. Four participant-inspired themes identified related to issues and challenges in discharge planning include (a) adequate resources, (b) insurance restrictions, (c) rapport with adolescents, and (d) parental participation. Social work practice and positive social change implications include establishing follow-up protocol for all adolescent discharges from inpatient settings and increasing the use of encouragement and engagement strategies for rapport building with adolescents. discharge planning inpatient hospitalization pediatric hospital psychiatric inpatient treatment recurring admission social work Medicine and Health Sciences Social and Behavioral Sciences Social Work
32	Social work practice: A look at competency assessments with older adults in healthcare settings Kaposi, Krystal 08 January 2015 (has links) This research contributes to the social work understanding of mental competency assessments with older adults in healthcare settings. Utilizing a narrative research methodology, this qualitative research study analysed nine face-to-face interviews with social workers with experience assessing competency of older adults in the following Winnipeg, Manitoba healthcare settings: hospitals, personal care homes, and a number of community settings (home care, geriatric specialty programs, and private practice). Drawing from systems and ecological theories, as well as the social determinants of health, the results of this study revealed several key concerns such as the motivation behind what triggers an assessment, the specific tests and methods used to determine competency, inequitable treatment of the patient throughout the assessment depending on their cultural or socioeconomic background, and depending on the setting whether the social worker felt their role on the assessment team was valued or dismissed. Recommendations outlined implications for: enhancing the quality of the competency assessment process; expanding the role of social work in interdisciplinary settings; examining the use of methods and tests for assessment; and exploring opportunities for change in legislation, education and early detection. Potential areas of further study are discussed. Competency Healthcare Social Work Seniors Hospital Community Ethics Decision-making Discharge planning Narrative Assessment Interdisciplinary Aging Social determinants of health Systems theory Ecological theory Geriatric Legislation
33	Äldre patienters upplevelser av samordnad vårdplanering Serholt, Lena, Svärd, Helena January 2017 (has links) Vårdtiderna för äldre patienter på sjukhus har förkortats och detta har fått till följd att allt fler äldre med stora omvårdnadsbehov skrivs ut till det egna hemmet. Flera brister har uppmärksammats när det gäller samordnad vårdplanering för den äldre patienten vid utskrivning från sjukhus till hemmet. En av utmaningarna för den samordnade vårdplaneringen är att ge den äldre patienten en individuellt anpassad hjälp där patientens behov av trygghet och självbestämmande tillgodoses. Syftet med litteraturstudien var att beskriva äldre patienters upplevelser av samordnad vårdplanering. Den litteratur som studerades bestod av nio kvalitativa och en kvantitativ artikel. Resultatet sammanfattades till två centrala teman vilka beskrev äldre patienters upplevelse av Otrygghet och hinder för Självbestämmande. Underteman som påverkade de äldre patienternas upplevelse av otrygghet och självbestämmande identifierades och beskrev strukturen på den samordnade vårdplaneringen, de äldre patienternas förberedelse inför samordnad vårdplanering, samt olika slag av kommunikation som användes under den samordnade vårdplaneringen. Dessa underteman kunde antingen främja eller hämma de äldre patienternas upplevelse av trygghet och möjlighet till självbestämmande. Risk finns för att den samordnade vårdplaneringen orsakar vårdlidande då äldre patienters livsvärld inte inkluderas och patientperspektivet inte beaktas. Ytterligare forskning om äldre patienters upplevelser i samband med samordnad vårdplanering är angelägen för att kunna säkerställa patientens behov av trygghet och självbestämmande. / The length of stay for the elderly patients in hospitals are becoming shorter, and this has led to an increasing number of elderly people with high care needs being discharged to their own home. Several deficiencies have been noted when it comes to discharge planning for the elderly patient when being discharged from hospital to home. One of the challenges for the discharge planning is to provide the elderly patient with an individually adapted plan that satisfies the patient's need for security and self-determination. The aim of the literature study was to describe older patients' experiences in the context of discharge planning. The literature study consisted of nine qualitative and one quantitative article. The result was summarized into two key themes describing older patients' experience of insecurity and self-determination. Sub themes that affected the elderly patients 'experience of insecurity and self-determination were identified and described the structure of discharge planning, the elderly patients' preparation for discharge planning, and different types of communication used during discharge planning. These subjects could either promote or inhibit the elderly patient's experience of security and self-determination. There is a risk that the discharge planning will cause care suffering when the elderly's lifeworld is not included and the patient perspective is not taken into account. Further research on older patients' experiences in the context of discharge planning is anxious to ensure the patient's need for security and self-determination. elderly hospital discharge discharge planning experiences insecurity self-determination literature study äldre utskrivning samordnad vårdplanering upplevelser otrygghet självbestämmande litteraturstudie Nursing Omvårdnad
34	Att göra abstrakta begrepp och komplexa situationer konkreta : en avhandling om deltagarbaserad aktionsforskning i svensk vård och omsorg Petersson, Pia January 2009 (has links) This dissertation covers the subject of how abstract concepts and complex situations can be concretized through research together with practitioners. The dissertation is based on four empirical studies. The researcher role, the practitioner participation and the methods for data collection and analysis have varied. In study I the concept ‘Närsjukvård’ was explored to understand how practitioners, managers and politicians in hospitals, primary health care and municipalities interpreted the concept. The researcher acted as consultant who collected data by interviews and questionnaires. Practitioners’ participation was limited. ‘Närsjukvård’ was interpreted as accessibility to hospital beds, accessibility to primary health care, collaboration between care providers and continuity and developed home care. Study II aimed to explore how people experienced leg ulcer care. The researcher acted as a consultant who performed the interviews and analysed the data. Although the informants experienced their encounters with the nurses as satisfying, the study illuminated low participation in the care and low practitioner involvement in issues about daily living with the leg ulcer. The findings were brought back to the informants and the practitioners. The project did not proceed towards development and change. In study III the aim was to explore the Swedish concept ‘trygghet’ by using stories from daily life. Four older women were interviewed and the Story Dialogue method was used together with assistant nurses and registered nurses who participated in data collection and analysis. Two themes emerged: Sense of Security and factors strengthening the Sense of Security. Together with the assistant nurses, areas for improvements were identified. Study IV aimed to explore the discharge planning situation in order to generate ideas for development. Members from a discharge planning network participated in the whole research process. Conditions for a successful coordinated discharge planning situation were a system including: the participation of the patient, the competence of the staff and the support from the organisation. The group arranged a workshop about communication and interdisciplinary collaboration. The findings resulted in a form with self-evaluation questions. In conclusion, this thesis illustrates that it is possible to clarify abstract concepts and complex situations together with practitioners. To do this successfully, sense making activities and to start from practitioners’ experiences and their own context are key factors. The studies illuminate that building trust, relationship and sense of participation are essential in health and social care in general and specifically in the participatory action research process. Participatory action research Story Dialogue Method Health and social care Organisational change Leg ulcer care Sense of Security Discharge Planning Nursing Omvårdnad Social Sciences Interdisciplinary Tvärvetenskapliga studier Nursing Omvårdnad
35	Patienters erfarenheter av information i samband med utskrivning från slutenvården : En litteraturöversikt / Inpatients experiences of information associated with discharge from hospital : a literature review Boström, Rebecca, Nilsson, Angelica January 2023 (has links) Bakgrund: Tydlig information vid utskrivning från slutenvården har stor betydelse för patienten. I samband med utskrivning från slutenvården finns behov av tydlig och anpassad information om behandling och vård som givits under vårdtiden. Sjuksköterskan som ger information bör försäkra sig om att patienten har förstått både betydelsen och innehållet i den information som lämnats. En god kommunikation i patientmötet är nödvändig för att öka patientens delaktighet och förbättra patientsäkerheten. Syfte: Syftet med litteraturöversikten var att belysa patienters erfarenheter av information i samband med utskrivning från slutenvården. Metod: En strukturerad litteraturstudie baserad på 18 vetenskapliga artiklar med inslag av den metodologi som används vid systematiska översikter. Databaserna som användes var CINAHL och PubMed, artiklarna som användes var publicerade mellan år 2013 och 2022. Resultat: I resultatet identifierades tre huvudkategorier som påverkade patienters erfarenheter av information i samband med utskrivning från slutenvården: Mötet i samband med utskrivning, brist på information och anpassad information. Slutsats: Litteraturöversikten visar att patienter upplever bristande information vid utskrivning från slutenvård. Att tillgodose patientens behov av information och delaktighet vid utskrivning visar sig vara en utmaning för vårdpersonal. Genom att arbeta personcentrerat och fokusera på den enskilda individens behov samt inkludera och informera, ökar delaktighet på ett patientsäkert sätt. / Background: Clear deliver of information through the discharge process is important for the patient. Iti s also important with adapted and person-centered information about the patient treatment plan and the care provided during the period of time at the hospital. The nurse who is providing the information should ensure that the patient has understood the content of the information and the meaning of it. Good communication is necessary to increase patient participation and improve patient safety. Aim: The aim of this literature review was to highlight inpatients experiences of information associated with discharge from hospital. Method: A structured literature review has been made based on 18 scientific articles with elements of the methodology used in systematic reviews. The databases used were CINAHL and PubMed, the articles used were published between 2013 and 2022. Results: The result identified three categories that affected patients experiences of information associated with discharge from hospital: Meeting associated at discharge, lack of information and customized information. Conclusions: The literature review shows that patients experience lack of information when discharge from hospital. Meeting the patient's need for information and participation at discharge turns out to be a challenge for healthcare professionals. By working personcentered and focusing on the individual's needs as well as including and informing, participation increases in a patient-safe manner. Attitude discharge discharge planning experience information information transfer inpatient patient perception views Attityd erfarenhet information informationsöverföring patient slutenvård uppfattning utskrivning utskrivningsplanering Nursing Omvårdnad
36	Implementation of Educational Program for Nurses to Improve Knowledge and Use of Discharge Planning Best Practices Snyder, Eric C. 21 April 2015 (has links) No description available. Nursing Adult Education Education Educational Tests and Measurements
37	THE DEVELOPMENT OF A SYSTEMATIC DISCHARGE PLANNING PROCESS FOR THE CARE OF COPD PATIENTS IN A SMALL URBAN COMMUNITY HOSPITAL Barton-Verdi, Michele A. 17 June 2021 (has links) No description available. Medicine Adult Education Bioinformatics Communication Cultural Resources Management Education Philosophy Health Care Management Health Education Information Science Instructional Design Literacy Management Minority and Ethnic Groups Multicultural Education Nursing Organizational Behavior Public Health Systematic Urban Planning
38	The Role of Organizational Culture on Patient Discharge Planning Fredericks, Melanie Rosanna 18 November 2021 (has links) No description available. Behavioral Psychology Behaviorial Sciences Business Administration Business Education Clinical Psychology Cognitive Psychology Cultural Resources Management Demography Ethics Ethnic Studies Gerontology Health Health Care Health Care Management Health Education Health Sciences Labor Relations Law Legal Studies Literacy Management Medical Ethics Mental Health Minority and Ethnic Groups Multicultural Education Multilingual Education Operations Research Organizational Behavior Personal Relationships Personality Personality Psychology Philosophy Public Administration Public Health Public Health Education Public Policy Rehabilitation Social Psychology Social Research
39	Ontario’s Home First Approach, Care Transitions, and the Provision of Care: The Perspectives of Home First Clients and Their Family Caregivers English, Christine 23 May 2013 (has links) Home First is an Ontario transition management approach that attempts to reduce the pressure on hospital and Long Term Care (LTC) beds through early discharge planning, the provision of timely and appropriate home care, and the delay of LTC placement. The purpose of this qualitative descriptive study was to obtain descriptions from South Eastern Ontario Home First clients and their family caregivers of their experiences with and thoughts about care transitions, the provision of care, and the Home First approach. The goal was to enable insight into the Home First approach, care transitions, and the provision of care through access to the perspectives of study participants. Nine semi structured interviews (and one or more follow-up calls for each interview) with Home First clients discharged from hospitals in South East Ontario and their family caregivers were conducted and their content analyzed. All participating Home First clients were pleased to be home from hospital and did not consider LTC placement a positive option. All had family involved with their care and used a mix of formal and informal services to meet their care needs. Four general themes were identified: (a) maintaining independence while responding (or not) to risks, (b) constraints on care provision, (c) communication is key, and (d) relationship matters. Although all Home First clients participating in the study were discharged home successfully, a sense of partnership between health care providers, families, and clients was often lacking. The Home First approach may be successfully addressing hospital alternative level of care issues and getting people home where they want to be, but it is also putting increasing demands on formal and informal community caregivers. There is room for improvement in how well their needs and those of care recipients are being met. Health professionals and policy makers must ask caregivers and recipients about their concerns and provide them with appropriate resources and information if they want them to become true partners on the care team. / Thesis (Master, Rehabilitation Science) -- Queen's University, 2013-05-23 16:10:53.323 home support workers home health care community care older home support clients elder care discharge planning relationships family relationships nursing home Ontario health care Canadian health care placement Home First transition management care transitions aging in place maintaining independence caregiving community health and support services community long-term care family carers frail seniors client satisfaction hospital discharge health care older people aged frail elderly aging elderly supportive home care client perspectives long-term care quality of care evaluation of services care planning risk decisions case management communication independence home care constraints on care provision maintaining independence qualitative research family caregivers nursing home placement qualitative description program evaluation alternative level of care patient discharge self-care formal care aged care informal care post-discharge care home support community support services health services research

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