Restrictive visiting hours have been an obstacle to family participation in care. To support increased and consistent access to patients, Baylor Health Care System implemented a system-wide approach to open access for visitation across all facilities. Nursing and medical leadership led the communication efforts, and shared nursing governance guided revisions to existing policies. Data collected from 13 hospitals demonstrated that patients and families felt more informed; that the nursing staff were more courteous and respectful and explained things in a way that could be understood; that the staff attitude toward visitors was markedly improved; and that comfort and accommodations for guests were extended and improved. The resources needed to deploy these changes are outlined as well as the iterative process needed to create a positive impact on the family partnership in care.
Statement of the Problem. Multiple sclerosis (MS), the most common demyelinating disease, significantly affects people's quality of life. Traditionally, wellness programs are not implemented to populations with potentially disabling chronic disorders such as MS. The objective of this research study was to investigate the long-term effectiveness of an innovative wellness program on the general health and well-being, and quality of life in MS populations. Methods. This randomized controlled trial compared the impact of a wellness program to a traditional rehabilitation and a social activity program. Outcome variables were measured by the Short Form-36 version 2 (SF-36v2) and the Quality of Life Inventory (QOLI), and by the Occupational Self-Assessment (OSA). A multivariate analysis of variance (MANOVA) was conducted. Results. The wellness group demonstrated a statistically significant increase in the mental composite score (MCS) of the SF-36v2 (p ϭ .093). The wellness group also demonstrated a statistically significant positive difference in the environmental impact scale of the OSA over the traditional rehabilitation group (p ϭ .115) and the social activity group (p ϭ .065). Conclusions. This pilot study supports the effectiveness of a wellness approach in improving coping skills and qualitative of life for populations with chronic disorders such as multiple sclerosis over the long term.
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