Objective: To evaluate if the positive effects of an initially successful emergency department protocol of care for victims of partner abuse (PA) were maintained at one year follow-up. Method: A community intervention...
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Objective: To evaluate if the positive effects of an initially successful emergency department protocol of care for victims of partner abuse (PA) were maintained at one year follow-up. Method: A community intervention trial compared two public hospital EDs in Auckland, NZ, at baseline (BL), following implementation of a PA intervention (PI), and at one year follow-up (FU). The initial intervention involved training staff at one ED in a protocol for the identification and acute management of abused women. Later, an on-site protocol co-ordinator worked to ensure that new staff received training in protocol use. Outcomes were assessed by reviewing a random sample of women's medical records. Identification of PA was assessed for each record on a yes/no basis. Identified cases were classified as 'confirmed' or 'suspected' PA. Acute management was assessed by ascertaining staff use of interventions and documentation of abuse. Results: Approximately equal numbers of records were reviewed at each ED at BL, PI and FU (total n=10,961). Significant interactions were found for classification of PA and acute management offered to victims between EDs over the different study phases. However, the increase in identification of confirmed cases and the improved acute management offered to identified victims found at the intervention ED in the PI phase were not maintained at follow-up. Conclusion: Although staff training in the use of protocols for victims of partner abuse can result in improved cam, these effects were not maintained. Implications: More intensive institutional efforts are needed if protocol benefits are to be maintained.
The increasing complexities in the health care system have produced a need for well-planned patient education. Integral to the development of these programs is: the assessment of patient populations' educational n...
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The increasing complexities in the health care system have produced a need for well-planned patient education. Integral to the development of these programs is: the assessment of patient populations' educational needs; the design of a program to meet these defined needs; the implementation of this pre-designed program; and, the evaluation of that total learning experience. The literature suggests that a patient education coordinator facilitates this program planning process. It is also suggested that in agencies where a coordinator position is non-existent, that staff development related to patient education can enhance programming efforts. This investigation examined the impact of staff development and the coordinator on the program-planning process. It researched the effect of these factors singularly and collectively. The results suggest that individually and in tandem both factors have a positive impact on patient education. Best results were observed in institutions having a coordinator and a staff development program.
HealthEast, an integrated care delivery system based in St. Paul, MN, established a care management program in 1993. At HealthEast, care management is defined as "an interdisciplinary process of coordinating clie...
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HealthEast, an integrated care delivery system based in St. Paul, MN, established a care management program in 1993. At HealthEast, care management is defined as "an interdisciplinary process of coordinating client-centered services across the continuum of care to achieve quality and cost-effective outcomes." The program included establishing a collaborative practice model that was used to drive the organization's improvement efforts. The use of this model has been instrumental in achieving significant improvements in financial and clinical performance. As a result, HealthEast received a leadership award for "Improving Clinical Effectiveness within a Healthcare System" from VHA, Inc., a nationwide membership alliance of approximately 1,700 community healthcare organizations.
The past 25 years of health education in Africa has experienced the growth of indigenous health education service, training and research programmes and activities. Research in Africa and by Africans has provided a bas...
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The past 25 years of health education in Africa has experienced the growth of indigenous health education service, training and research programmes and activities. Research in Africa and by Africans has provided a basis for developing culturally relevant principles of practice for training service. (Quotes from original text)
Persons residing in long-term care facilities are especially vulnerable to potentially preventable morbidity and mortality caused by influenza S. pneumoniae, and tuberculosis. This project's objective was to incre...
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Persons residing in long-term care facilities are especially vulnerable to potentially preventable morbidity and mortality caused by influenza S. pneumoniae, and tuberculosis. This project's objective was to increase the rates of pneumococcal vaccination, tuberculosis screening, and annual influenza vaccination. intervention consisted of staff training videos, sample policies, and educational materials for residents and their families. At baseline during the 1995-1996 flu season, 84% of Colorado long-term care residents were vaccinated for influenza;16% of residents had ever received pneumococcal vaccination;and 59% had been screened for tuberculosis. At remeasurement during 1997 to 1998, influenza vaccination rates were up to 89%, p = 0.006. The percentage of residents who had ever received pneumococcal vaccination increased to 48% at remeasurement, p < 0.001. Tuberculosis screening rates increased to 83%, p < 0.001. Following an educational intervention targeting both residents and staff residents were significantly more likely to receive all three preventive services.
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