Creating order out of chaos: Models of GNP practice with hospitalized older adults

Smyth, Carole; Dubin, Shelly; Restrepo, Adriana; Nueva-Espana, Herminia; Capezuti, Elizabeth

doi:10.1054/xc.2001.23120

Cited by 10 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…52 In order for non-restraint interventions used in the nursing home to be employed in the hospital, better communication between the nursing home and hospital will need to take place. 52,[55][56][57] In the future, more acute care will be provided in the nursing home which should promote better continuity of care 58,59 and, hopefully, less restraint use.…”

Section: Resultsmentioning

confidence: 99%

Outcomes of nighttime physical restraint removal for severely impaired nursing home residents

Capezuti¹,

Strumpf²,

Evans³

et al. 1999

American Journal of Alzheimer's Disease

Self Cite

View full text Add to dashboard Cite

There is ample evidence that physical restraint reduction does not lead to increased falls or injuries. This study tests the effect of removing nighttime restraints by comparing two groups: Restrained in bed at pre- but not postintervention (n = 51), or restrained in bed at both pre- and post-intervention (n = 11). No differences in nighttime fall rates between the two groups were detected. Nighttime physical restraint removal does not lead to increases in falls from bed in older nursing home residents. Although markedly reduced in nursing homes, restraint use remains a common practice among hospitalized older adults. We should continue to focus efforts on developing new, individualized approaches to reduce risk of falling from bed among frail elders.

show abstract

Section: Resultsmentioning

confidence: 99%

Outcomes of nighttime physical restraint removal for severely impaired nursing home residents

Capezuti¹,

Strumpf²,

Evans³

et al. 1999

American Journal of Alzheimer's Disease

Self Cite

View full text Add to dashboard Cite

show abstract

“…34 A hospitalização é fator de risco para óbito entre idosos, porque provoca condições de agravo à saúde, como infecções, isolamento social, iatrogenias, entre outras, que podem proporcionar perda de independência e autonomia, muitas vezes levando-os à morte. 35,36 A variável multimorbidade, por sua vez, é importante agravante durante hospitalizações em pacientes idosos e, posteriormente, na sua sobrevida pós-hospitalização. Esse aspecto é relevante, considerando que em 2003, 14% (24,6 milhões de pessoas) dos brasileiros idosos foram submetidos a uma ou mais internações hospitalares no ano anterior e, entre estes, 20,7% tiveram reinternações no mesmo período.…”

Section: Discussionunclassified

Impacto de multimorbidade sobre mortalidade em idosos: estudo de coorte pós-hospitalização

Sousa-Muñoz

Ronconi

Dantas

et al. 2013

Rev. bras. geriatr. gerontol.

View full text Add to dashboard Cite

OBJETIVOS: Avaliar a associação entre comorbidades e risco de morte e reinternação em idosos após alta de enfermarias de clínica médica de um hospital universitário. MÉTODOS: Estudo de coorte de idosos que receberam alta do Hospital Universitário Lauro Wanderley. Foram utilizados o Índice de Comorbidade de Charlson (ICC) e o ICC associado à idade (ICIC). O desfecho primário foi mortalidade pós-hospitalização e o secundário, ocorrência de reinternações. RESULTADOS: Foram acompanhados 104 pacientes por 40,9±27,6 semanas; 31 (29,8%) morreram e 38 (36,5%) foram reinternados. A curva de sobrevida foi descendente com proporção acumulada de 50%. Óbito relacionou-se com idade (p=0,04), número de prescrições hospitalares (p=0,01), ICC (p=0,001) e ICIC (p=0,001). Não houve associação de ICC com reinternação. CONCLUSÕES: A gravidade das comorbidades em idosos relacionou-se com maior risco de morte pós-hospitalização. Salienta-se a necessidade de se disporem de dados de comorbidade para avaliar cuidados a essa clientela.

show abstract

“…41 The need for improved collaboration between hospitals and primary care will be even more important in the near future. [42][43][44] The involvement of primary care professionals including general practitioners in the focus groups will have produced an effect on the mechanism factor 'cooperation with primary care'. The fifth factor 'follow-up of the care process' is defined as an outcome factor within the realistic evaluation paradigm.…”

Section: Discussionmentioning

confidence: 99%

Development and validation of a care process self-evaluation tool

Vanhaecht

Witte

Depreitere

et al. 2007

Health Serv Manage Res

View full text Add to dashboard Cite

Clinical pathways are used as a method of organizing care processes. Although they are used worldwide, the concept remains unclear, with little understanding of what exactly is being implemented. A recent systematic review revealed that, although a tool exists to score the instrumental qualities of clinical pathways, no tools are available to assess how the clinical pathway influences the process of care. These tools are needed for a better understanding of the impact of clinical pathways on the length of hospital stay and patient outcomes. In this study, a Care Process Self-Evaluation Tool (CPSET), based on the clinical pathway concept, for assessing the organization of the process of care has been developed and tested. Qualitative and quantitative methods, involving 885 professionals and patients, were used in the development and validation. The CPSET is a valid and reliable 29-item instrument for assessing how the process of care is organized. The CPSET has five subscales: patient-focused organization, coordination of care, communication with patients and family, cooperation with primary care and monitoring/follow-up of the care process. The CPSET can be used in the audit and accreditation of care processes and will help managers and clinicians to understand better how care processes are organized.

show abstract

Creating order out of chaos: Models of GNP practice with hospitalized older adults

Cited by 10 publications

References 0 publications

Outcomes of nighttime physical restraint removal for severely impaired nursing home residents

Outcomes of nighttime physical restraint removal for severely impaired nursing home residents

Impacto de multimorbidade sobre mortalidade em idosos: estudo de coorte pós-hospitalização

Development and validation of a care process self-evaluation tool

Contact Info

Product

Resources

About