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Practice Interventions (practice + intervention)
Selected AbstractsTranslating Research into Practice Intervention Improves Management of Acute Pain in Older Hip Fracture PatientsHEALTH SERVICES RESEARCH, Issue 1 2009Marita G. Titler Objective. To test an interdisciplinary, multifaceted, translating research into practice (TRIP) intervention to (a) promote adoption, by physicians and nurses, of evidence-based (EB) acute pain management practices in hospitalized older adults, (b) decrease barriers to use of EB acute pain management practices, and (c) decrease pain intensity of older hospitalized adults. Study Design. Experimental design with the hospital as the unit of randomization. Study Setting. Twelve acute care hospitals in the Midwest. Data Sources. (a) Medical records (MRs) of patients ,65 years or older with a hip fracture admitted before and following implementation of the TRIP intervention and (b) physicians and nurses who care for those patients. Data Collection. Data were abstracted from MRs and questions distributed to nurses and physicians. Principal Findings. The Summative Index for Quality of Acute Pain Care (0,18 scale) was significantly higher for the experimental (10.1) than comparison group (8.4) at the end of the TRIP implementation phase. At the end of the TRIP implementation phase, patients in the experimental group had a lower mean pain intensity rating than those in the comparison group ( p<.0001). Conclusion. The TRIP intervention improved quality of acute pain management of older adults hospitalized with a hip fracture. [source] Using photographs and narratives to contextualise and map the experience of caring for a person with dementiaJOURNAL OF NURSING AND HEALTHCARE OF CHRONIC ILLNE SS: AN INTERNATIONAL INTERDISCIPLINARY JOURNAL, Issue 3 2009PGCLT (HE), Penny Hibberd RGN Aim., To capture the meaning and context of how carers adapt and develop their relationships throughout their caring role. Background., Family carers play a pivotal role in supporting and caring for a person living with dementia at home. To date, the majority of social research on carers has focussed upon the stress and burden that such demands evoke, and limited attention has been paid to locating the carer's own construction of their role with a relationship-centred approach. This paper attempts to build on this emerging understanding. Design., A participative, qualitative study using photographs and supportive narratives to contextualise and map carer's experiences of caring for a person with dementia. The study was conducted in one area of South East England, UK with all necessary ethical permission to conduct the study obtained prior to data collection. Method., Data was obtained between May,June 2008 with nine carers recruited from a not for profit organisation based in the UK. Photographs were taken by participants using a 27-print disposable camera with supporting written narratives provided on six photographs that participants selected to best represent their caring role and relationship. These photographs and supporting text were then shared with other participants in a focus group. Through this process, participants were helped to sort and group the data into narrative themes. Results., From this collaborative process, the group identified four types of caring relationships, these were: recognising (1); transforming (2); stabilising (3); and ,moving on' (4). Photographs and the supporting narratives were used to illustrate each type of relationship that helped to give meaning and shape to everyday life. Conclusion., The four types of caring relationships help nurses and other service providers to understand how carers of people with dementia construct and manage their day-to-day life. Recognition of a carer's personhood needs to be acknowledged in order to promote and support their role throughout the caring trajectory. Relevance to clinical practice., Recognition of the knowledge and skills held by carers of people with dementia can help inform professional decision-making and provide a platform for practice intervention. [source] Risk-Taking Behaviors in Early Adolescent Minority Women: Implications for Research and PracticeJOURNAL OF OBSTETRIC, GYNECOLOGIC & NEONATAL NURSING, Issue 4 2002FAAN, Willa M. Doswell RN Adolescence is a time of biologic, intellectual, and psychosocial transition for young women. For an African American or Hispanic girl, the challenge of being female is compounded by the challenge of being a member of a minority group. In this article, the authors present the reproductive health challenges faced by African American and Hispanic girls and suggest research-based programs and nursing practice interventions to address these challenges. [source] The Efficacy of Repeated Reading and Wide Reading Practice for High School Students with Severe Reading DisabilitiesLEARNING DISABILITIES RESEARCH & PRACTICE, Issue 1 2010Jade Wexler This experimental study was conducted to examine the efficacy of repeated reading and wide reading practice interventions for high school students with severe reading disabilities. Effects on comprehension, fluency, and word reading were evaluated. Participants were 96 students with reading disabilities in grades 9,12. Students were paired within classes and pairs were randomly assigned to one of three groups: repeated reading (N,= 33), wide reading (N,= 34), or typical instruction (N,= 29). Intervention was provided daily for approximately 15,20 minutes for 10 weeks. Results indicated no overall statistically significant differences for any condition, with effect sizes ranging from ,.31 to .27. Findings do not support either approach for severely impaired readers at the high school level. We hypothesize that these students require more intensive interventions that include direct and explicit instruction in word- and text-level skills as well as engaged reading practice with effective feedback. [source] The collaborative practice model for bipolar disorder: design and implementation in a multi-site randomized controlled trialBIPOLAR DISORDERS, Issue 5 2001Mark S BauerArticle first published online: 7 JUL 200 Bipolar disorder remains a high morbidity and costly illness in general clinical practice, despite the availability of efficacious medications. This ,efficacy,effectiveness gap'[1,2] may be addressed by better organizing systems of care. One type of intervention is the ,collaborative practice model' which can be defined as an organization of care that a) emphasizes development in the patient of illness management skills, and b) supports provider capability and availability in order to c) engage patients in timely, joint decision-making regarding their illness. This article describes such a collaborative practice model for bipolar disorder, designed to be widely adoptable and sustainable in general clinical practice. The first part of the article describes the theoretical background from which the collaborative practice approach developed, emphasizing its origins in the lithium clinics of the 1970s, in nursing theory and practice, and more recently in the management of chronic medical diseases. The second part describes the structure of one such intervention, the Bipolar Disorders Program (BDP) developed in the Veterans Affairs health care system. The third part summarizes results from single-site studies of the intervention. The fourth part describes several key issues in its implementation in an ongoing multi-site randomized controlled trial, VA Cooperative Study Program (CSP) #430. Data to date indicate that such collaborative practice interventions may improve important process and intermediate outcome variables for bipolar disorder. The BDP provides an example of a multi-faceted collaborative practice model that can be manualized and implemented across multiple sites in a randomized controlled trial. [source] | ||||||||||