Thesis (M.S.)--University of Wisconsin-Madison. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 56-61).

Written for the School of Nursing, Faculty of Medicine. Includes bibliographical references.

Thesis (M.S.)--University of Wisconsin--Madison, 1982. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 79-84).

No description available.

Bakgrund: E-hälsa kan förväntas bli en större del av hälso- och sjukvården i takt med ökad digitaliseringen. Inom diabetesvården är patienten i fokus och patientdelaktighet lyfts som en av de mest centrala delarna för att kunna bedriva god och personcentrerad vård.  Syfte: Att undersöka patientens upplevelse av delaktighet vid e-hälsa inom diabetesvården.  Metod: Systematisk litteraturöversikt bestående av nio kvalitativa artiklar. Sökningarna genomfördes i databaserna CINAHL och PubMed. Analys av data är genomförd utifrån metod beskriven av Evans.  Resultat: Tre kategorier som påverkade patientens upplevelse av delaktighet återfanns; tillgänglighet, interaktion samt empowerment. Två underkategorier presenteras utifrån interaktion; interaktion mellan patienter samt interaktion mellan patient och vårdgivare.  Slutsats: Upplevelsen av delaktighet är beroende på interaktion, empowerment och tillgänglighet som tillsammans bidrar till att patientens position stärks vilket sammantaget leder till ökad delaktighet för den egna diabetesvården. / Background: E-health can be expected to become a larger part of health care as digitalization increases. In diabetes care, the patient is in focus and patient participation is highlighted as one of the most central parts of being able to conduct good and person-centered care. Aim: Examine the patient’s experience of participation within diabetes care through e-health. Method: Systematic literature review consisting of nine qualitative articles. The searches were performed in CINAHL and PubMed. Analysis of data are based on a method described by Evans.  Results: Three categories that affected the patient's experience of participation were found; availability, interaction, and empowerment. Two subcategories are presented based on interaction: interaction between patients and interaction between patient and caregiver. Conclusion: The experience of participation dependes upon interaction, empowerment, and availability that together contribute to strengthening the patient’s position. Altogether this leads to increased patient participation.

No description available.

Yes / Falls are the most common safety incident reported by acute hospitals. In England national guidance recommends delivery of a multifactorial falls risk assessment (MFRA) and interventions tailored to address individual falls risk factors. However, there is variation in how these practices are implemented. This study aimed to explore the variation by examining what supports or constrains delivery of MFRAs and tailored interventions in acute hospitals. A realist review of literature was conducted with searches completed in three stages: (1) to construct hypotheses in the form of Context, Mechanism, Outcome configurations (CMOc) about how MFRAs and interventions are delivered, (2) to scope the breadth and depth of evidence available in Embase to test the CMOcs, and (3) following prioritisation of CMOcs, to refine search strategies for use in multiple databases. Citations were managed in EndNote; titles, abstracts, and full texts were screened, with 10% independently screened by two reviewers. Two CMOcs were prioritised for testing labelled: Facilitation via MFRA tools, and Patient Participation in interventions. Analysis indicated that MFRA tools can prompt action, but the number and type of falls risk factors included in tools differ across organisations leading to variation in practice. Furthermore, the extent to which tools work as prompts is influenced by complex ward conditions such as changes in patient condition, bed swaps, and availability of falls prevention interventions. Patient participation in falls prevention interventions is more likely where patient directed messaging takes individual circumstances into account, e.g., not wanting to disturb nurses by using the call bell. However, interactions that elicit individual circumstances can be resource intensive and patients with cognitive impairment may not be able to participate despite appropriately directed messaging. Organisations should consider how tools can be developed in ways that better support consistent and comprehensive identification of patients' individual falls risk factors and the complex ward conditions that can disrupt how tools work as facilitators. Ward staff should be supported to deliver patient directed messaging that is informed by their individual circumstances to encourage participation in falls prevention interventions, where appropriate. PROSPERO: CRD42020184458. / This research is funded by the National Institute for Health Research (NIHR) Health and Social Care Delivery Research (HSDR) Programme (project number NIHR129488).

Source: Masters Abstracts International, Volume: 46-01, page: 0344. Adviser: Patricia Dolan Mullen. Includes bibliographical references (leaves xx-xx).

Thesis (Ph.D.)--University of Alberta, 2009. / A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Doctor of Philosophy, Faculty of Nursing. Title from pdf file main screen (viewed on November 15, 2009). Includes bibliographical references.

The general aim of this thesis was to examine the effect of interventions on the usage of inappropriate and hazardous multi-medication in the elderly ≥75 years with ≥5 drugs. Methods: Paper I describes a cluster randomization of nursing homes, the outcomes were; number of drugs, health status and evaluations. A randomized controlled trial concerning elderly in ordinary homes was performed in paper II and the outcomes were; EQ-5D index, EQ VAS and prescription quality. In paper III a cohort study was carried out and the outcomes were; medication appropriateness index, EQ-5D index and EQ VAS. In paper IV, registered nurses from the nursing homes study were interviewed in a descriptive study with a qualitative approach. Results:There was a significant reduction of number of drugs used per patient at the intervention nursing homes (p<0.05). Monitoring and evaluation of medications were significantly more frequent at the intervention homes (p<0.01). The registered nurses at the nursing homes described a self-made role in their profession and the leadership was not at sight. Drug treatment seems to be a passive process without own reflection. Extreme polypharmacy was persistent in all three groups of elderly living in ordinary homes and there was an unchanged frequency of drug-risk indicators. In the cohort study a lower medication quality was shown to be associated with a lower quality of life. EQ-5D index was statistically significantly different among the groups as was EQ VAS. Conclusion: The nursing home study showed an extreme shortage of monitoring of health status and surveillance of the effects of drugs in the elderly. More attention must be focused on the complexity of the nursing process; medication management must be promoted in teamwork with the physician. The resistance to change prescriptions in accordance with the intervention underlines the need of new strategies for improving prescription quality. Since medication quality is related to the patients’ quality of life, there is immense reason to continuously evaluate every prescription and treatment in shared decision with the patient.