...of Study design (RCT, phenomenology, etc.)/Purpose | Level of Evidence(According toMelnyk & Fineout-Overholt) | Sample, settingInclusion/ExclusionCriteria | Methods, instruments, data analysis | Findings/Implications | Inglis, S. C. (2011). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Of Systematic Reviews, (6), doi:10.1002/14651858.CD007228.pub2 | Systematic Review | Level I | Twenty-five studies and five published abstracts were included. 16 evaluated structured telephone support, 11 evaluated telemonitoring, and two tested both interventions. Inclusion criteria:only peer reviewed, published RCTs comparing structured telephone support or telemonitoring to usual care of CHF patients were included. | Various search engines such as: MEDLINE, EMBASE, CINAHL, and AMED were searched from 2006 to November 2008.Relevant studies and systematic reviews and abstract conference proceedings were hand searched. No language limits were applied. | Telemonitoringreduced all-cause mortality (RR 0.66, 95% CI 0.54 to 0.81, P < 0.0001) with structured telephone supportBoth structured telephone support (RR 0.77, 95% CI 0.68 to 0.87, P < 0.0001) and telemonitoring (RR 0.79, 95% CI 0.67 to 0.94, P = 0.008) reduced CHF-related hospitalization. | Antonicelli, R., Mazzanti, I., Abbatecola, A., & Parati,...
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...Running head: REHABILITATION CARE IN A SPECIALIZED SETTING Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis Dorota M. Loney University of Texas at Arlington school of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Rhonda Mintz-Binder, RN, MN, DNP April 29, 2012 Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis First we need to understand what Rehabilitation is to be able to focus on its concept analysis. It is a part of the continuum of care as it focuses on increasing a patient’s function for self care and mobility. The need for a rehabilitation care concept in a specialized rehabilitation hospital increases as the length of stay decreases in acute hospitals after surgery or procedures due to the financial burden on insurances, Medicare, Medicaid, and the acute hospitals themselves. No longer do we see in the United States two week long acute hospital stays after major surgeries, strokes or other injuries that affect the activities of daily living (ADL). The hospitals discharge patients back home much sooner than before or transfer them to facilities for further recovery. Unfortunately some of these facilities are long term acute care hospitals or nursing homes where continuing daily therapy is very limited. The fortunate ones get admitted to a specialty hospital called a rehabilitation (rehab) hospital that this paper will focus on. Here, nurses, occupational...
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...Operationalizing Values and Value Systems in National Agricultural Research System N.H. Rao National Academy of Agricultural Research Management Rajendranagar Hyderabad 500 030 Abstract Value systems serve as frames of reference for behavioural responses at both individual and organizational levels. Institutions in which the organizational culture is highly evolved have invested in developing strong internal value systems to resolve ethical dilemmas and value conflicts, and ensure high performance, quality, social responsibility and employee professional satisfaction. Such investments contribute to both individual and organizational development and growth. There is a need to develop a viable organizational culture in institutions of the National Agricultural Research System (NARS). This paper is concerned with how strong-willed and disciplined research and education managers, scientists and teachers can contribute to the development and operationalization of strong internal value systems in NARS. Three kinds of situations, where value conflicts can arise are identified. These relate to individual identity, identifying with the group in the work place, and organizational identity in society. By learning to identify each kind of value conflict situation, individuals can learn to resolve value conflicts in a practical way by a combination of self-inquiry and introspection with shrewedness and realism. The extent to which an individual can do this, without...
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...Aalto University School of Business Admissions to Master’s Degree Admission 2014 Guide Admission Guide 2014 Admissions to Master’s degree Master of Science in Economics and Business Applicants with an appropriate Finnish Administration or non-Finnish university or university of applied sciences degree may apply directly to a Master’s degree programme to take the degree of Master of Science in Economics and Business Administration at the Aalto University School of Business. The Master of Science (Economics and Business Administration) degree is a higher academic degree (second-cycle degree) in Finland and equals to 120 ECTS credits which corresponds to two years of full-time This admission guide covers only admissions studying. The student may also be assigned to Master’s degree and gives you information supplementary studies (max. 60 ECTS credabout the Master’s admission requirements, its). Studying towards the Master’s degree does not suit students working full time. the application and selection process and some general information regarding studying Depending on the course, the lectures may be during the daytime or sometimes also in the and living in Finland. The Aalto University evening. reserves the right to make changes to the names, contents and details of the degree programmes to further develop education. Admission criteria for admission round 2014 have been decided and cannot be changed. Application period begins 16 Dec 2013 and ends 31 Jan 2014 at 4:15 pm...
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...Demystifying the American Graduate Admissions Process Karthik Raghunathan Graduate Class of 2010 Stanford Computer Science kr@cs.stanford.edu Abstract This paper attempts to discuss at length the various factors (along with their respective weightage) that the admissions committee at a top graduate school in the US takes into account while reviewing a Master of Science (MS) application. Disclaimer This paper is a mixture of facts, inferences and extrapolations, based on my personal experience as an admissions committee member at Stanford. All views expressed here are solely mine and do not necessarily reflect the views or opinions of Stanford University. 1. Introduction In this paper, I outline the various parameters involved in the complex decision making process of a Masters admissions committee in a top graduate school in the US. To clarify this further, (i) This report is mainly targeted at MS applicants, but a lot of it can be extended to PhD applications as well. In most cases, the requirements for a PhD admit will just be a stricter version of those mentioned here. (ii) I do not have a specific list of universities in mind when I say "a top graduate school". Stanford, MIT, UC Berkeley and CMU are certainly up there, but I am not particularly referring to any specific list of graduate school rankings. In a more general sense, I am talking about schools where the default attitude of the admissions committee is "rejected, unless strongly proved otherwise" rather...
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...Course Project Anise Hutcherson Approaches to Disease Management in Managed Care DeVry University `12/11/15 Table of Contents 1. Introduction…………………………………………………………….. Page 3 2. Background…………………………………………………………….. Page 4 3. The Challenges and Problems Associated with Disease Management…….. Page 6 4. Review of the Research and Literature…………………………………… Page 8 5. Challenges/Problems Analysis with Disease Management……………….... Page 9 6. Recommend Solutions of Improvements in Disease Management…………..Page 10 7. Implementation of Solutions in Disease Management in Managed Care Industry..Page 11 8. Justification………………………………………………………………… Page 12 9. Summary and Conclusion…………………………………………………...Page 14 10. Works Cited-References………………………………………………….. Page 16 Introduction It is very well known how most physicians or healthcare facilities and organizations handle diseases in our society in my opinion. Managed care for diseases are mostly not focused on, it is for large populations. But typically physicians do try to focus on individuals however once you throw MCO in the mix it becomes similar to a farmer caring for cattle which I hate to say. And I am very much passionate about this subject because of my experience in the very arena. Before I had a stable job with wonderful health insurance, I relied on government paid insurance for a minute and during that time I was diagnosed with Lupus which is a autoimmune disease with no cure. However...
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...Analysis and Synthesis of Chronic Heart Failure Research Studie Analysis and Synthesis of Chronic Heart Failure Research Studies Background Chronic heart failure (CHF) is a disease characterized by high mortality, readmission rates and a marked decrease in health-related quality of life. Psychological distress is common in patients with CHF and different psychological variables may have an impact on the prognosis in chronic heart failure patients. Chronic heart failure patients also need to be involved in their plan of health care in order to be able to manage their own disease at home. However, patients’ perspective on the role of their informal carers regarding information management process revealed how much they depend on their knowledge and support. The studies that I have chosen to compare and contrast in this paper will shed light onto both of these subjects in regard to chronic heart failure patients as well as inform about the various studies that pinpoint relevant data in regards to CHF. These studies are important because they help medical professionals in regard to providing the highest level of care to their CHF patients. Quantitative Research Study Introduction For the quantitative research study in this analysis, I examined the journal article entitled Predictors of readmission and health related quality of life in patients with chronic heart failure: a comparison of different psychosocial aspects. This research study’s purpose was to “investigate the differential...
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...Abdelhak under the “health data users and uses” section. - Patient: uses their medical data to understand their health care and to become more active partners in maintain or improving their health. - Health care practitioners: uses it as a primary means of communications among themselves. - Health Care providers and Administrators: uses the data to evaluate care, monitor the use of resources, and receive payment for services rendered. Administrators analyze financial and patient case mix information for business planning and marketing activities - Third party payers: the data become the basis for determining the appropriate payment to be made. - Utilization and case managers: uses it to coordinate care so that the patient is cared for in the most clinically cost-effective manner. - Quality of care committees: use the information as a basis for analysis, study, and evaluation of the quality of care given to the patient. - Accrediting, licensing, and certifying agencies: use the record to provide public assurance that quality health care is being provided. - Governmental agencies and public health: to determine the appropriate use of the governmental financial resources for health care facilities and educational and correctional institutions - Health information exchanges: provides patient centered care that improves quality, safety, efficiency, timeliness and accessibility - Employer: used to access job related conditions...
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...outcome. It is apparent that KHCC Lab enjoys a good to very good customer satisfaction in most aspects; nevertheless the major drawbacks were the delays and repetitive activities. As we went through the process and analyzed the workflow utilizing flowcharts, and control charts, we concluded that some functions are working perfectly and others need a little refinement. In conclusion, the team members identified two areas of concern; the workflow and the layout. Therefore the processes should be revisited; a new layout is to be redesigned to improve efficiency and patient’s satisfaction. In addition to the above the Lab must also eliminate or improve their blood specimen rejection problem, which is considered to be a costly problem in the long run; with our OM Pareto analysis we noticed that inadequate sample volume and Hemolysed sample are the...
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...Information and Quality Authority National Quality Standards: Residential Services for People with Disabilities About the Health Information and Quality Authority The Health Information and Quality Authority is the independent Authority which has been established to drive continuous improvement in Ireland’s health and social care services. The Authority was established as part of the Government’s Health Service Reform Programme. The Authority’s mandate extends across the quality and safety of the public, private (within its social care function) and voluntary sectors. Reporting directly to the Minister for Health and Children, the Health Information and Quality Authority has statutory responsibility for: Setting Standards for Health and Social Services — Developing personcentred standards, based on evidence and best international practice, for health and social care services in Ireland (except mental health services) Social Services Inspectorate — Registration and inspection of residential homes for children, older people and people with disabilities. Monitoring dayand pre-school facilities and children’s detention centres; inspecting foster care services Monitoring Healthcare Quality — Monitoring standards of quality and safety in our health services and implementing continuous quality assurance programmes to promote improvements in quality and safety standards in health. As deemed necessary, undertaking investigations into suspected serious service failure in healthcare...
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...Running head: STRESS DISTRESS OF PARENTS OF CHILDREN ADMITTED TO This should be your name and course info Stress distress of parents of children admitted to intensive care unit This paper will examine stress experienced by parents of children who are admitted to the pediatric intensive care unit (PICU). It will then identify the potential causes of stress in the PICU and nursing interventions that would reduce parental stress level in the PICU hence improving patient outcome as well as enabling parents to continue in their family roles to be effective and therapeutic to their children. Approximately 150,000 to 250,000 children are admitted to the PICU each year (Board & Ryan-Wagner, 2002). Admission to an intensive care unit usually comes with no warning, creating an uneasy situation for the families in which uncertainty, shock, helplessness, and confusion are some of the immediate responses (Lam & Beaulieu, 2004). Health care providers are often so focused on the patient who is severely ill or injured that the needs of the family are overlooked. Research has shown that having a child in the pediatric intensive care unit is a stressful experience for parents (Board, 1994; Board &Ryan-Wagner, 2002; Curley, 1988; Curley & Wallace, 1992; Miles et al., 1989). Miles, Carter, and colleagues studied 37 parents who recently had a child discharged from the PICU. Findings indicated that both mothers and fathers experience a high level...
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...E. Carlton Powell Hospice Center, which provides care within the center for patients who have been given 6 months or less to live and are not able to remain in their homes. Apart from the hospice center they also have a home care agency that provides care for patients that remain in their home or in nursing facilities. This paper will discuss the vision, mission, how it is governed and staffed, the stakeholders and their influences on the organization, marketing strategies and importance, values of diversity, and any environmental trends in which they are faced. Mission and Vision The Community Home Care and Hospice provides care within the Carolinas and is the largest provider. The agency was developed in 1995, by the Carrolton Management Corporation. The agency has grown in response to the increase in admissions, the 24/7 care, and the efforts of personal care. The foundation is non-profit 501 © 3 organization. The mission and visions of the agency is: “As a charitable wing of Community Home Care Hospice, the Community Hospice Foundation raises funds to support the crusade against life-limiting conditions by contributing to community awareness and education; scholarships and research; and programs that engage in the practical ministry of indigent care while honoring those we serve and memorializing those for whom we have cared. Community Hospice is committed to providing supportive, palliative, and loving care to terminally ill clients and their families through...
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...Prevalence, outcome and prognostic factors of sepsis in Jimma Specialized Hospital. By Dr Tadiwos Hailu (M.D) A Proposal Submitted to the Department of Internal Medicine, Jimma University, in Partial Fulfillment of The Requirement for a Specialty Certificate in Internal Medicine. September, 2012 Jimma, Ethiopia Prevalence, outcome and prognostic factors of sepsis in Jimma specialized hospital. Dr Tadiwos Hailu By Advisors: 1-Dr.Daniel yilma [M.D] 2-Birtukan Tsehayneh [Bsc. Msc.] September, 2012 Jimma Ethiopia i Abstract summary Background: Sepsis is a final pathway of infectious disease in critically ill patients. It is highly fatal condition. Though many researches are undertake in pathophysiology, epidemiology and management of sepsis in developed nation ,very limited information is available in low incomes countries where infections are prevalent. Objective: The objective of the study was to determine the prevalence and outcome of sepsis and its prognostic factors in patients admitted to Jimma University Specialized Hospital. Method: Patients with systemic inflammatory response due to infections were studied using prospective cohort study design for four month period in Jimma University hospital. A structured questioner was used to collect data on socio demographic feature of the patient and clinical feature, outcome and prognostic factors . Data was cleaned, edited and entered to SPSS window for analysis. The survival analysis and determination...
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...goal implementation long-term goals nursing diagnosis nursing orders nursing process objective data planning possible diagnosis potential diagnosis short-term goals signs standards for care subjective data symptoms syndrome diagnosis wellness diagnosis Learning Objectives On completion of this chapter, the reader will: ● ● ● ● ● ● ● ● ● ● ● ● Define nursing process. Describe six characteristics of the nursing process. List five steps in the nursing process. Identify four sources for assessment data. Differentiate between a data base assessment and a focus assessment. Distinguish between a nursing diagnosis and a collaborative problem. List three parts of a nursing diagnostic statement. Describe the rationale for setting priorities. Discuss appropriate circumstances for short-term and long-term goals. Identify four ways to document a plan of care. Describe the information that is documented in reference to the plan of care. Discuss three outcomes that result from evaluation. n the distant past, nursing practice consisted of actions based mostly on common sense and the examples set by older, more experienced nurses. The actual care of clients tended to be limited to the physician’s medical orders. Although nurses today continue to work interdependently with physicians and other health care practitioners, they now plan and implement client care more independently. In even stronger terms, nurses are held responsible and accountable for providing client care that is appropriate...
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...factor in determining medical courses of action. Nurses have long used tradition rather than evidence in making decisions about beside care; to convince them to switch practice, it is useful to draw a comparison between the efficacy of these disparate routes. Our study designed a research question based on the PICOT model for the cardiac floors and designed procedures using the Kotter and Cohen’s Model of Change. In order to study the effect discussed in our PICOT question, a web search was conducted and the quality of each pertinent study reviewed. Introduction In the nursing staff of an adult Cardiac Surgical Care unit, how does the buy-in from the staff for Evidence-Based Practice (EBP) changes in a new Coronary Arterial Bypass Graft (CABG) pathway affect the decreases in infection rate among this patient population when compared to the old way of delivering patient care through nursing tradition in a six month time frame? The formation of a guideline for practice in nursing is not a new occurrence; books and manuals have been a reality for many years. However, in the past these resources lacked the evidence for standards of care, which traditionally have been based on professional consensus and tradition. The Joint Commission has recognized processes that can be measured regarding patient outcomes and care in order to meet standards for Medicare qualification. These standards, known in cardiac care as the Surgical Care Incision Protocol (SCIP), help to guarantee that cardiac...
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