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Exploring the Effectiveness of Appointment RemindersLevasseur, Lisamarie 23 April 2023 (has links)
Abstract
Missed appointment, referred to as “no-shows,” are appointments that were not attended or previously cancelled at least 24-hours prior to the scheduled time. Missed appointments negatively impact patients as well as health care systems. According to Ullah et al. (2018), the financial impact of missed appointments on the healthcare system is more than $150 billion a year. Also, patients with chronic health problems (who are noncompliant with their scheduled appointments) may cause their conditions to worsen. Researchers have implemented several strategies to reduce the negative effects of no-shows. The purpose of this literature review was to explore the effectiveness of appointment reminders. The question driving this literature review was whether the implementation of appointment reminders via other means were more effective in reducing no-show rates, compared to the standard appointment reminder via telephone call. An electronic search was conducted using CINAHL and PubMed. Inclusion criteria consisted of English language, peer-reviewed, academic journal articles published from 2017 to the present. A variety of articles were found, and five of those were critiqued for this review. The literature was synthesized using the John Hopkins Nursing Evidence-Based Practice Model. The key finding of this review is that telephone calls are the most efficient and feasible form of appointment reminders (Lance et al., 2021 & Lavin et al., 2017). Since phone bills are a normal expense for most businesses, health systems should be able to implement the use of this strategy.
Keywords: appointment adherence, no-show, missed appointments, appointment attendance
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Preventing Reincarceration of Women with Mental IllnessDolmovich, Anne M 01 January 2016 (has links)
Since deinstitutionalization of state hospitals began almost 50 years ago, there has been an increase in the population with mental illness seen in the prison system. A combination of factors were looked at when studying causes behind incarceration, including active symptoms of mental illness, socioeconomic status, social support systems, history of trauma, history of drug abuse, police education on mental illness, and public perspective on mental illness. This study is a literature review focusing on people with mental illness in the prison system, with particular attention to women.
It is costly to house inmates for any extended period of time. Specialized housing, needed for people requiring greater supervision, including those with mental illness, is particularly expansive. These funds were intended to go into community programs supporting those with mental illness after release from the institutions of the past. Without this support, many people with mental illness wind up homeless and turning to substance abuse, which leads to opportunities for incarceration. While further research is needed, there is evidence of promise shown in the combined efforts of increased case management and social support systems along with increased education of law enforcement officers on the symptoms and handling of cases of people with serious mental illness.
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Evidence-based management for decision-making legitimacyPascoe, P., McIntosh, Bryan 05 1900 (has links)
No / This commentary explores the role of evidence-based management for evidence-based decision-making legitimacy in mental health nursing.
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Shifting sands: The erosion of higher education provisionBreen, Liz, McIntosh, Bryan 07 1900 (has links)
Yes / This commentary considers changes to education in UK mental health nursing.
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Narrative self-inquiry to capture transformation in mental health nursing practiceFoster, Lei January 2013 (has links)
The aim of the study is to identify and map the process of transformation of the practice of a mental health nurse from everyday practice to desirable practice (that is, the realisation of mental health Recovery) through self-inquiry into a series of narratives derived from that practice. Recovery is desirable in terms of clinical governance and is also desirable practice for mental health nurses as a standard to which they should practice. A series of reflexive narratives signposted the transformative journey and also captured the lived experience of transformation. Experiences from practice were captured as spontaneous stories. Guided reflection obtained insights from these stories, and the insights derived from the stories were subsequently reflexively deepened by inquiring into them. In time the cues in the model of guided reflection became internalized to the extent that practitioner narratives arose that already embedded insights. Self-inquiry into these practitioner narratives indicated the nature and the felt affect of constraints met within practice. The affect of these constraints upon the individual practitioner and upon the ability of the individual practitioner to achieve desirable practice is indicated by self-inquiry into them. The result of the study was the realisation that transformation is unable to take place without the individual practitioner being fully aware of who one is, in order that s/he may effect transformation and change. Whilst self-inquiry into the narratives indicated the constraints upon the individual practitioner, the psychological unpreparedness also indicated by that self-inquiry indicated why that the tension between the reality of practice and desirable practice could not be adequately explored. The thesis takes the form of a narrative about writing narratives. The narratives illustrate the norms and values that affect individual practice both vertically (that is, from the organisation and the government), and horizontally (that is, from colleagues and managers), and how an individual practitioner experiences these as obstructive to delivering the service they desire. There have been no narratives written by practitioners about the journey to realise Recovery in their practice; and the structure of the narratives as performances is unique to this subject of thesis by a mental health nurse.
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The safety and effectiveness of interventions for aggression in mental health nursingParkes, J. January 2010 (has links)
This document presents five published journal articles all of which investigate the safety and effectiveness of interventions for aggression in mental health nursing. Early work focuses upon studies of the safety and effectiveness of interventions in the clinical setting. In the first article the research project examined the safety and effectiveness of a course of training in ‗control and restraint‘ (C&R) at a medium secure mental health unit. Mixed findings are reported, with some aspects of the study showing an increase in injuries whilst the overall outcome showed no significant change. The second article reports the pattern of incidents, and staff interventions, over a three year period in a different medium secure unit. A low threshold of reporting was encouraged and substantial numbers of incidents are described. Later work narrows the focus of the study onto a specific area of the safety of physical interventions for aggression: sudden death related to restraint. A published review of the literature on ‗positional asphyxia‘ is presented, discussing the key literature and developing the concept of ‗positional asphyxia.‘ Two research publications are also presented. In the first article the effect of body position on the rate of recovery from exercise is studied using pulse oximetry as a proxy measure of respiration. Equivocal results are reported. The second study shows a development of the methodology, following a similar design but using computer assisted pneumotachography to provide direct measurement of lung function. A clear pattern is demonstrated showing significant changes in lung function in prone restraint positions where the participant is flexed and/or body weight is applied. 4 The development of the concept of positional asphyxia and the contribution of the articles, academic and professional, is discussed. It is suggested that positional asphyxia should be viewed as one factor in a multi-factorial model of risk. The body of work is presented as having clear implications for practice. Early work examining the pattern of incidents in clinical settings has relevance to staff training, particularly in terms of a clearer understanding of the potential risks which need to be addressed by training. Later work has considerable implication for both policy and training by identifying those restraint positions which present less risk to the restrained person. Directions for future research are discussed.
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IMAGE OF GOD: EFFECT ON COPING, PSYCHO-SPIRITUAL WELL-BEING AND FEAR OF RECURRENCE IN EARLY BREAST CANCER SURVIVORSSchreiber, Judith Anne 01 January 2009 (has links)
The purpose of this dissertation was to examine whether a breast cancer survivor’s view of God influences her religious coping strategies, depression, anxiety, stress, fear of recurrence, and psychological well-being. These variables were selected based on literature that demonstrates relationships among them for breast cancer survivors. The specific aims of this dissertation were to: 1) identify religious coping strategies common to each of the four views of God; 2) examine the relationship of psychological well-being (Ryff) and religious coping strategies; and 3) examine differences in depression, anxiety, stress, fear of recurrence, and psychological well-being among women holding various views of God.
Three manuscripts comprise this dissertation. The first manuscript is a systematic review of the literature describing what is known about the relationships between psychological adjustment and religion/spirituality (R/S) in women with breast cancer. The second manuscript examines the psychometric properties of the Image of God Scale in a population responding to a crisis event, women with breast cancer. The original scale was developed from a general population survey. Finally, the third manuscript investigates the relationships between view of God, religious coping strategies, and psychological adjustment in women with breast cancer.
The systematic review identified three primary themes: 1) R/S domains and psychological adjustment; 2) dynamics of R/S conservation and struggle; and 3) reframing the cancer experience. The psychometric analysis confirmed the original 2-factor model with factor loadings ranging from .56 to .83. Cronbach’s alphas for the two subscales – belief in God’s anger (.80) and belief in God’s engagement (.89) – were consistent with those established at development. Differences were found between views of God and use of religious/spiritual coping strategies focused on Spiritual Conservation and Spiritual Struggle. Psychological Well-Being (SPWB) was inversely correlated with Spiritual Struggle. Differences were noted for psychological well-being, Fear of Recurrence, and the Stress subscale in women who viewed God as highly engaged or not. No differences were noted for the same variables in women who view God as more or less angry. Direct comparisons between groups and variations in outcomes based on common views of God could lead to effective screening for persons at risk for particular outcomes and to effective individualized interventions.
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Sentidos sobre cuidado na atenção à saúde mental no contexto da enfermagem. / Senses about care in attention to mental health in the Nursing context.Alves, Sirlei 15 December 2015 (has links)
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Previous issue date: 2015-12-15 / Although Nursing adopts the notion of care in accordance with contemporary
debates on mental health and although care is naturally associated to the
feminine, instrumental practices which impact how Nursing performs this care are
still prevailing. In this context, this dissertation intends to explore the senses which
are attributed to care and the nexus with a gender perspective in the Nursing
context from public domain documents. The dissertation is a qualitative research
in Social Psychology anchored on socio-constructivist perspective with focus on
real events socio-historically built as well as on language effects on social
practices. Discursive practices and creation of meaning in daily life have been
used as analysis methodology. The analyzed documents convey different
meanings regarding care and indicate it is polissemic. Among the different
conceptions, two positions from different origins of thoughts have excelled: a more
holistic perspective, which accesses a comprehension of relational, integral, and
human care, in which repertoires, meanings and notions associated to the
language of Human Rights paradigm coexist. The other matrix, a more biological
perspective, accesses a technicistic, hospitalocentric, and pathological care, which
is influenced by biological sciences paradigm, demonstrating that this discursive
field is marked by controversies. In relation to the intersection between care,
Nursing, and gender, in one hand, Nursing has gained visibility as the profession
of care in the health field; on the other hand, this care is often underestimated
when it is historically associated to the feminine. Those discussions are also
pertinent in an attempt to break off stigmas, bias, and prejudices which involve the
insertion of the man in the Nursing profession. The care, intertwined to the
historically built social relations established between men and women, positions
the woman, the nurse, in a place of inferiority and subordination in relation to the
man, the doctor. / Embora a enfermagem adote a noção de cuidado em consonância com os
debates mais contemporâneos em saúde mental, e apesar de o cuidado ser
naturalmente associado ao feminino, ainda prevalecem práticas instrumentais que
impactam a forma como a enfermagem performa esse cuidado. Nesse contexto,
pretende-se, nesta dissertação, explorar os sentidos atribuídos ao cuidado e aos
nexos com a perspectiva de gênero no contexto da enfermagem a partir de
documentos de domínio público. Trata-se de uma pesquisa qualitativa em
Psicologia Social, ancorada na perspectiva socioconstrucionista com foco nos
acontecimentos/realidade construídos sócio-historicamente, tal como nos efeitos
da linguagem nas práticas sociais. Tem como metodologia de análise as práticas
discursivas e a produção de sentidos no cotidiano. Os documentos analisados
veiculam diferentes sentidos acerca do cuidado, indicando que ele é polissêmico.
Dentre as distintas concepções sobressaíram duas posições, que vêm de
matrizes distintas de pensamentos: uma perspectiva mais holística, que dá
acesso a um entendimento do cuidado relacional/integral/humanizado, no qual
coexistem repertórios, sentidos e noções associados à linguagem do paradigma
dos Direitos Humanos. A outra matriz, mais biológica, dá acesso ao cuidado
tecnicista/hospitalocêntrico/patológico, que recebe influência do paradigma das
ciências biológicas, demonstrando que esse campo discursivo está sob disputa.
Em relação à intersecção entre cuidado, enfermagem e gênero, se, por um lado,
no campo da saúde, a enfermagem ganhou visibilidade como a profissão do
cuidado, por outro esse cuidado é por vezes desvalorizado quando se associa,
historicamente, ao feminino. Essas discussões são pertinentes, ainda, na
tentativa de romper com os estigmas e preconceitos que envolvem a inserção do
homem na profissão de enfermagem. O cuidado, entrelaçado às relações sociais
historicamente construídas que se estabelecem entre homens e mulheres
posiciona, a enfermagem, em um lugar de inferioridade e subalternidade.
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Perceived Barriers to Obtaining Psychiatric Treatment at Johnson City Community Health CenterBolton, Mychal 01 May 2014 (has links)
The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semi-structured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: Realities of Treatment with the sub-themes of Therapy-Related Realities and Logistics Realities, The Way It Is with the sub-themes of Take Care of It Myself and Don’t Want People to Know. The findings indicate that there is a duality of positive and negative aspects of treatment at Johnson City Community Health Center. Understanding the needs and perceptions of those with psychiatric diagnoses will assist all staff and mental health providers in developing programs that are better suited for those with psychiatric diagnoses receiving treatment from Johnson City Community Health Center.
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What Do Veterans with Posttraumatic Stress Disorder Experience in Receiving Care in AppalachiaThomas, Brittany L 01 December 2014 (has links)
This qualitative research study explores what veterans living in the Appalachian region experience in receiving care for Posttraumatic Stress Disorder through personal interviews. These interviews will give insight into how veterans in Appalachia perceive their care through specific questions pertaining to healthcare for Posttraumatic Stress Disorder.
A convenient sample of veterans attending the specific study site was used for this study. An email, which contained information about the background and nature of the study was used for participant recruitment of veterans. In addition, flyers with the same information were posted throughout the study site. This study will highlight specific details of veterans’ care for Posttraumatic Stress Disorder that will help to accumulate information on the care given to veterans in Appalachia. The Appalachian region is described by the Appalachian Regional Commission as "a 205,000 square mile region that follows the spine of the Appalachian Mountains from southern New York to northern Mississippi"(The Appalachian region- Appalachian Regional Commission, n.d.).
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