Improving Self-Care Outcomes in Ostomy Patients via Education and Standardized Discharge Criteria

2020 ◽  
Vol 38 (1) ◽  
pp. 16-23
Author(s):  
Rachel Millard ◽  
Denise Cooper ◽  
Mary Jo Boyle
Keyword(s):  
Self Care ◽  
Care Outcomes ◽  
Discharge Criteria

scholarly journals SWK-09. SELF-CARE OUTCOMES AND INTERVENTIONS FOR CHILDREN WHO HAVE HAD A BRAIN TUMOUR: EVIDENCE AND HYPOTHESES. WHAT SHOULD SELF-CARE INTERVENTIONS FOR CHILDREN WITH PAST OR PRESENT BRAIN TUMOUR BE?

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii466-iii466
Author(s):  
Elizabeth Rowen ◽  
Niina Kolehmainen ◽  
Simon Bailey
Keyword(s):  
Brain Tumour ◽  
Peer Relationships ◽  
Public Involvement ◽  
Negative Impact ◽  
Self Care ◽  
Logic Model ◽  
Clinical Expertise ◽  
Personal Factors ◽  
Subsequent Research ◽  
Care Outcomes

Abstract OBJECTIVE To determine the evidence with regards to self-care outcomes and interventions for children who have been treated for a brain tumour and identify when best to intervene. METHODS A scoping review of the literature with regards to self-care interventions, outcomes and mechanisms was undertaken. The information from these themes were populated onto a logic model alongside the clinical expertise of the team. The logic model was used to develop hypotheses to inform subsequent research; and identified areas for further patient and public involvement. RESULTS Of 27 papers found, 13 were deemed relevant. The literature suggested the diagnosis of a brain tumour can have a long-term negative impact on self-care outcomes whilst evidence with regards to interventions to promote self-care is scarce. The child’s physical and cognitive functions were identified as hypothesised factors influencing self-care, while health related quality of life and participation in other life domains were secondary consequences of self-care. The team expertise was further used to hypothesise that parent factors (emotions, identity, actions), the child’s emotional functions and personal factors as well as peer relationships and norms may influence children’s self-care. These factors were not covered in the existing literature. CONCLUSIONS Subsequent research will investigate the hypotheses developed to further specify factors that self-care interventions for children and young people with a brain tumour should target. This will involve specifying when, how and to whom interventions should be targeted.

scholarly journals Perceptions of Strategies and Intervention Approaches for HIV Self-Management among Ugandan Adolescents: A Qualitative Study

2019 ◽  
Vol 18 ◽  
pp. 232595821882324 ◽  
Author(s):  
Massy Mutumba ◽  
Henry Mugerwa ◽  
Victor Musiime ◽  
Anudeeta Gautam ◽  
Hellen Nakyambadde ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Self Care ◽  
Hiv Care ◽  
Self Management ◽  
Care Needs ◽  
Behavioral Skills ◽  
Social Challenges ◽  
Management Intervention ◽  
Care Outcomes ◽  
Living With Hiv

The heightened vulnerability of adolescents to poor HIV care outcomes underscores the need for interventions that create and promote HIV self-management behavioral skills. Adolescents living with HIV (ALHIV) experience a complex array of physical, emotional, and social challenges that constrain their self-care, but the majority of existing psychosocial programs focus primarily on medication adherence. Understanding adolescents’ self-care needs, challenges, and preferences is necessary for developing effective culturally relevant interventions. The involvement of caregivers and stakeholders is also critical to realizing positive self-care outcomes. This article presents the findings from focus group discussions with ALHIV, caregivers, and healthcare providers on self-care. The data were collected as part of formative research in the development of a self-management intervention for Ugandan ALHIV. Participants’ discussions on self-care strategies and intervention approaches provide valuable insights to guide the development of interventions to promote positive HIV care outcomes among Ugandan ALHIV.

The influence of gender and race on heart failure self-care

2019 ◽  
pp. 174239531984316
Author(s):  
Lucinda J Graven ◽  
Laurie Abbott ◽  
Sabrina L Dickey ◽  
Glenna Schluck
Keyword(s):  
Heart Failure ◽  
Racial Differences ◽  
Care Management ◽  
Secondary Analysis ◽  
Self Care ◽  
Female Gender ◽  
Maintenance Management ◽  
Gender And Race ◽  
Care Outcomes ◽  
Univariate Analyses

Objectives To explore gender and racial differences in heart failure (HF) self-care processes and examine whether gender and race predict HF self-care. Methods A secondary analysis of baseline data ( n = 107) from a longitudinal HF study (54.2% males; 56% non-Caucasians) was conducted. The self-care of heart failure index was used to measure self-care maintenance, management, and confidence. Descriptive statistics and univariate analyses examined gender and racial differences in HF self-care outcomes. Multiple linear regression examined whether gender and race predicted HF self-care maintenance, management, and confidence. Results Univariate analyses indicated that Caucasians reported significantly better self-care maintenance ( p = 0.042), while non-Caucasians reported significantly better self-care management ( p = 0.003). Males had significantly higher self-care confidence scores versus women ( p = 0.017). Multiple regression analysis indicated Caucasian race predicted significantly worse self-care management (β = −11.188; p = 0.006) versus non-Caucasian, while male gender predicted significantly higher self-care confidence scores (β = 7.592; p = 0.010) versus female gender. Gender nor race significantly predicted self-care maintenance. Discussion Although gender and race may influence HF self-care, other factors may be more important. More research is needed to identify individual factors that contribute to HF self-care to improve education and intervention.

scholarly journals Shared heart failure knowledge and self-care outcomes in patient-caregiver dyads

Heart & Lung ◽  
2018 ◽  
Vol 47 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Julie T. Bidwell ◽  
Melinda K. Higgins ◽  
Carolyn M. Reilly ◽  
Patricia C. Clark ◽  
Sandra B. Dunbar
Keyword(s):  
Heart Failure ◽  
Self Care ◽  
Care Outcomes

scholarly journals Effectiveness of Patient-centered Care for Diabetes Self-management to Improve Glycemic Control and Self-care Behaviors in Adults With Type 2 Diabetes: a Systematic Review

2021 ◽  
Author(s):  
Kainat Asmat ◽  
Khairunnisa Dhamani ◽  
Raisa Gul ◽  
Erika Sivarajan Froelicher
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Self Care ◽  
Self Management ◽  
Foot Care ◽  
Patient Centered ◽  
Management Interventions ◽  
Centered Care ◽  
Care Outcomes

Abstract Background: Patient-centered care in diabetes self-management might be a significant factor in improving self-care outcomes yet the supporting evidence is inadequate. This review is aimed to assess the effectiveness of patient-centered self-management care interventions on self-care outcomes such as glycemic control (HbA1c) and self-care behaviors in adults with type-2 diabetes compared with usual care. Methods: CINAHL, PubMed, Cochrane Library, Google Scholar and the HEC Pakistan digital library were searched for English language studies that assessed patient-centered self-management educational and/or behavioral interventions in adults aged 18 years or above with type 2 diabetes from 1991 to 2020. Interventional studies comprising randomized controlled trials (RCT) and quasi experimental studies (QES) with at least three months follow up and reporting on self-care outcomes with glycemic control (HbA1c) as primary outcome and self-care behaviors including diet control, physical activity, medication adherence and foot care as secondary outcomes were included. Results: Of the 168 identified records, 25 were found eligible comprising 21 RCTs and 4 QESs with total 4,443 participants. The meta-analysis involved 23 studies that provided enough information for a pooled estimate of HbA1c. Compared with the control group, patient-centered self-management interventions significantly lowered HbA1c −0.53 (95% CI −0.73, −0.32). Stratified analysis for HbA1c with respect to various aspects of intervention showed larger effects in interventions employing both educational and behavioral components −0.59 (95% CI −0.86, −0.32), spanned over shorter (<03 months) duration −0.56 (95% CI −0.86, −0.27), administered by nurses −0.80 (95% CI −1.44, −0.16) and delivered in community setting −0.65 (95% CI −1.00, −0.29). Moreover, patient-centered self-management interventions were found effective in improving diet control, physical activity and foot care. Conclusion: This systematic review provided the evidence supporting the effectiveness of patient-centered self-management care interventions in improving glycemic control and self-care behaviors in adults with type 2 diabetes and identified key features of intervention contributing towards success.

scholarly journals Effects of a Safe Patient Handling and Mobility Program on Patient Self-Care Outcomes

2014 ◽  
Vol 68 (5) ◽  
pp. 589 ◽  
Author(s):  
Amy R. Darragh ◽  
Mariya Shiyko ◽  
Heather Margulis ◽  
Marc Campo
Keyword(s):  
Self Care ◽  
Patient Handling ◽  
Safe Patient Handling ◽  
Care Outcomes

scholarly journals Current Practice of Discharging Patients From Post Anesthesia Care Unit After Surgical Operations, 2018

2020 ◽  
Author(s):  
Yosef Belay Bizuneh ◽  
Yophtahe wodegerima berhe ◽  
Henos Enyew Ashagrie ◽  
Girmay Fitwi Lema ◽  
Demeke Yilkal Fentie
Keyword(s):  
Scoring Systems ◽  
Cross Sectional Study ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Cross Sectional ◽  
Anesthetic Care ◽  
Maximum Score ◽  
Care Outcomes ◽  
Audit Standard ◽  
Discharge Criteria

Abstract Background: Post-Anesthesia discharge criteria scoring systems have been used successfully to help discharge from the post anesthetic care unit for more than many years. They provide standardized documentation of a patient’s readiness for discharge. A formal checklist is highly recommended for the staff to decide discharge of patients either to the ward or not from post-anesthesia care unit. In our study area there is no any standardized discharging systems. So the aim of this study was to improve post-anesthesia care outcomes.Methods: Institutional based cross sectional study was conducted from January, 1- 15, 2018. All patients who were discharged from post anesthesia care unit to wards after operation were involved and a consecutive sampling method was done within the stud period. From the checklist form maximum score of subscales is two and minimal score is zero .The total scores should be greater than or equal to nine out of ten to transfer the patient from post anesthesia care unit to wards.Results: This study showed that only 73.3 % patients were meet the audit standard. From sub scales, patients awakens scored was 91.1%, however all the rest scales were scored less than the standard. Able to move four extremities was 73.3%,able to deep breath and cough freely was 80%, blood pressure ± 20 mmHg of pre-anesthetic level was 75.6% and able to maintain oxygen saturation > 92% on room air was 84.4%.Conclusion and recommendation: This finding was low compared with standard as well as with the other studies. Then the staffs who work in post anesthesia care unit should be given training and they must discharge patients based of the standard as well as r- auditing is important to achieve the standard.

School-Based Dental Education for Improving Oral Self-Care in Mexican Elementary School–Aged Children

2019 ◽  
Vol 20 (5) ◽  
pp. 684-696
Author(s):  
Benjamín López-Núñez ◽  
Jolanta Aleksejūnienė ◽  
María del Carmen Villanueva-Vilchis
Keyword(s):  
Elementary School ◽  
Dental Education ◽  
Self Care ◽  
Care Practice ◽  
Control Group ◽  
School Aged Children ◽  
School Based ◽  
Care Outcomes ◽  
Group 2

Aim. To test the efficiency and acceptance of school-based dental education for improving oral self-care in Mexican elementary school–aged children. Method. A total of 408 students from 4 schools were examined at the baseline, 3 months (follow-up rate was 94%) and 6 months observations (follow-up rate 91%). Group 1 served as a control, Group 2 received a lecture-based education, and Group 3 consisted of trained peer-leaders who educated their peers. Oral self-care practice and oral self-care skills were assessed at the baseline and both follow-ups. A number of sociodemographic and oral health behavior/knowledge characteristics were tested as predictors of oral self-care outcomes at different observation periods. Results. Oral self-care outcomes improved in Groups 2 and 3, but not in the control group. The selected child population, their caregivers and teachers perceived the school-based educational strategy as important and necessary. There was no consistent pattern of predictors explaining variations in oral self-care outcomes at any of the observation periods. Oral self-care improvement observed at the 6 months observation was mainly predicted by the baseline oral self-care levels, dental education, and age. Conclusions. The school-based dental education was easy to implement, and it was effective for improving children’s oral self-care practice and skills.

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