| 1. |
- Edvardsson, David, et al.
(författare)
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Advancing Long-Term Care Science Through Using Common Data Elements : Candidate Measures for Care Outcomes of Personhood, Well-Being, and Quality of Life
- 2019
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Ingår i: Gerontology and geriatric medicine. - : Sage Publications. - 2333-7214. ; 5
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Tidskriftsartikel (refereegranskat)abstract
- To support the development of internationally comparable common data elements (CDEs) that can be used to measure essential aspects of long-term care (LTC) across low-, middle-, and high-income countries, a group of researchers in medicine, nursing, behavioral, and social sciences from 21 different countries have joined forces and launched the Worldwide Elements to Harmonize Research in LTC Living Environments (WE-THRIVE) initiative. This initiative aims to develop a common data infrastructure for international use across the domains of organizational context, workforce and staffing, person-centered care, and care outcomes, as these are critical to LTC quality, experiences, and outcomes. This article reports measurement recommendations for the care outcomes domain, focusing on previously prioritized care outcomes concepts of well-being, quality of life (QoL), and personhood for residents in LTC. Through literature review and expert ranking, we recommend nine measures of well-being, QoL, and personhood, as a basis for developing CDEs for long-term care outcomes across countries. Data in LTC have often included deficit-oriented measures; while important, reductions do not necessarily mean that residents are concurrently experiencing well-being. Enhancing measurement efforts with the inclusion of these positive LTC outcomes across countries would facilitate international LTC research and align with global shifts toward healthy aging and person-centered LTC models.
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| 2. |
- Heckemann, Birgit, 1969, et al.
(författare)
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Patient and visitor aggression in healthcare: a survey exploring organizational safety culture and team efficacy.
- 2019
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Ingår i: Journal of nursing management. - : Hindawi Limited. - 1365-2834 .- 0966-0429. ; 27:5, s. 1039-1046
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Tidskriftsartikel (refereegranskat)abstract
- This study investigates nurse managers' perception of organizational safety culture and team efficacy, in managing patient and visitor aggression (PVA), and determines the predictors of team efficacy.PVA is a serious hazard in healthcare. A positive organizational safety culture regarding PVA enhances the safety and staff efficacy in managing PVA.A cross-sectional online survey including nurse managers in psychiatric and general hospitals (n=446) was conducted in Switzerland, Austria and Germany (November 2016 to February 2017). Data were analysed descriptively and through binary logistic regression.The key results are as follows: 'Working in a mental health setting' was 3.5 times more likely, 'consideration of the physical environment' was four times more likely, and a 'shared organizational attitude' was twice as likely to predict high team efficacy. In comparison to psychiatric hospitals, general hospital managers perceived organizational safety cultures to be less positive.A positive organizational safety culture leads to the perception that teams are more effective at managing PVA.Consideration of the physical environment and a positive shared organizational attitude regarding PVA are crucial for high team efficacy. General hospitals could benefit from approaches utilized in psychiatry to enhance staff efficacy in managing PVA. This article is protected by copyright. All rights reserved.
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| 3. |
- Serraes, Brecht, et al.
(författare)
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Prevention of pressure ulcers with a static air support surface : A systematic review
- 2018
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Ingår i: International Wound Journal. - : Wiley-Blackwell Publishing Inc.. - 1742-4801 .- 1742-481X. ; 15:3, s. 333-343
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Forskningsöversikt (refereegranskat)abstract
- The aims of this study were to identify, assess, and summarise available evidence about the effectiveness of static air mattress overlays to prevent pressure ulcers. The primary outcome was the incidence of pressure ulcers. Secondary outcomes included costs and patient comfort. This study was a systematic review. Six electronic databases were consulted: Cochrane Library, EMBASE, PubMed (Medline), CINAHL (EBSCOhost interface), Science direct, and Web of Science. In addition, a hand search through reviews, conference proceedings, and the reference lists of the included studies was performed to identify additional studies. Potential studies were reviewed and assessed by 2 independent authors based on the title and abstract. Decisions regarding inclusion or exclusion of the studies were based on a consensus between the authors. Studies were included if the following criteria were met: reporting an original study; the outcome was the incidence of pressure ulcer categories I to IV when using a static air mattress overlay and/or in comparison with other pressure-redistribution device(s); and studies published in English, French, and Dutch. No limitation was set on study setting, design, and date of publication. The methodological quality assessment was evaluated using the Critical Appraisal Skills Program Tool. Results were reported in a descriptive way to reflect the exploratory nature of the review. The searches included 13 studies: randomised controlled trials (n = 11) and cohort studies (n = 2). The mean pressure ulcer incidence figures found in the different settings were, respectively, 7.8% pressure ulcers of categories II to IV in nursing homes, 9.06% pressure ulcers of categories I to IV in intensive care settings, and 12% pressure ulcers of categories I to IV in orthopaedic wards. Seven comparative studies reported a lower incidence in the groups of patients on a static air mattress overlay. Three studies reported a statistical (P < .1) lower incidence compared with a standard hospital mattress (10 cm thick, density 35 kg/m(3)), a foam mattress (15 cm thick), and a viscoelastic foam mattress (15 cm thick). No significant difference in incidence, purchase costs, and patient comfort was found compared with dynamic air mattresses. This review focused on the effectiveness of static air mattress overlays to prevent pressure ulcers. There are indications that these mattress overlays are more effective in preventing pressure ulcers compared with the use of a standard mattress or a pressure-reducing foam mattress in nursing homes and intensive care settings. However, interpretation of the evidence should be performed with caution due to the wide variety of methodological and/or reporting quality levels of the included studies.
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