Knowledge gap regarding dementia care among nurses in Taiwanese acute care hospitals: A cross-sectional study

2017 ◽  
Vol 18 (2) ◽  
pp. 276-285 ◽  
Author(s):  
Pei-Chao Lin ◽  
Mei-Hui Hsieh ◽  
Meng-Chin Chen ◽  
Yung-Mei Yang ◽  
Li-Chan Lin
Keyword(s):  
Acute Care ◽  
Acute Care Hospitals ◽  
Cross Sectional Study ◽  
Dementia Care ◽  
Knowledge Gap ◽  
Sectional Study ◽  
Cross Sectional

Hospital and unit variables of missed nursing care in acute care hospitals: A cross‐sectional study

2021 ◽  
Author(s):  
Darja Jarošová ◽  
Elena Gurková ◽  
Renáta Zeleníková ◽  
Ilona Plevová ◽  
Eva Janíková
Keyword(s):  
Acute Care ◽  
Nursing Care ◽  
Acute Care Hospitals ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Missed Nursing Care

scholarly journals Healthcare providers’ perception of advance care planning for patients with critical illnesses in acute-care hospitals: a cross-sectional study

2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Kanako Yamamoto ◽  
Yuki Yonekura ◽  
Kazuhiro Nakayama
Keyword(s):  
Critical Care ◽  
Acute Care ◽  
Healthcare Providers ◽  
Acute Care Hospitals ◽  
Cross Sectional Study ◽  
Decision Making Process ◽  
Sectional Study ◽  
Cross Sectional ◽  
Icu Patients ◽  
Advance Care

Abstract Background In acute-care hospitals, patients treated in an ICU for surgical reasons or sudden deterioration are treated in an outpatient ward, ICU, and other multiple departments. It is unclear how healthcare providers are initiating advance care planning (ACP) for such patients and assisting them with it. The purpose of this study is to clarify healthcare providers’ perceptions of the ACP support provided to patients receiving critical care in acute-care hospitals. Methods A cross-sectional study was conducted using questionnaires. In this study, 400 acute-care hospitals with ICUs in Japan were randomly selected, and 1490 subjects, including intensivists, surgeons, ICU nurses, surgical floor nurses, and surgical outpatient nurses, participated. Survey items examined whether ICU patients received ACP support, the participants’ degree of confidence in providing ACP support, the patients’ treatment preferences, and the decision-making process, and whether any discussion was conducted on change of values. Results Responses were obtained from 598 participants from 157 hospitals, 41.4% of which reportedly supported ACP provision to ICU patients. The subjects with the highest level of ACP understanding were surgeons (45.8%), and differences in understanding were observed across specialties (P < 0.001). Among the respondents, physicians and nurses expressed high levels of confidence in providing ACP support to patients requiring critical care. However, 15.2% of all the subjects mentioned that they would not attempt to resuscitate the patients. In addition, 25.7% of the participants handed over patients’ values to other departments or hospitals, whereas 25.3% handed over the decision-making process. Conclusions Among the participating hospitals, 40% provided ACP support to patients receiving critical care. The low number is possibly because support providers lack understanding of the content of patients’ ACP or about how to support and use ACP. Second, it is sometimes too late to start providing ACP support after ICU admission. Third, healthcare providers differ in their perception of ACP, widely considered an ambiguous concept. Finally, in acute-care hospitals with different healthcare settings, it is necessary to confirm and integrate the changes in feelings and thoughts of patients.

scholarly journals Healthcare Providers' Perception of Advance Care Plans for Patients with Critical Illnesses in Acute-Care Hospitals: A Cross-Sectional Study

2021 ◽  
Author(s):  
KANAKO YAMAMOTO
Keyword(s):  
Critical Care ◽  
Acute Care ◽  
Healthcare Providers ◽  
Acute Care Hospitals ◽  
Cross Sectional Study ◽  
Decision Making Process ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Plans ◽  
Advance Care

Abstract BackgroundIt is unclear how healthcare providers provide advance care plans (ACPs) support to the patients treated in ICUs. The purpose of this study is to clarify healthcare providers’ perceptions of the ACPs support provided to patients receiving critical care in acute-care hospitals.MethodsA cross-sectional study was conducted using questionnaires. In this study, 400 acute-care hospitals with ICUs in Japan were randomly selected, and 1490 subjects, including intensivists, surgeons, ICU nurses, surgical floor nurses, and surgical outpatient nurses, participated. Survey items examined whether ICU patients received ACPS support, the participants’ degree of confidence in providing ACPS support, the patients’ treatment preferences and the decision-making process, and whether there was any discussion on and succession of values.ResultsResponses were obtained from 598 participants from 157 hospitals. Sixty-five hospitals (41.4%) reportedly supported ACPs provision to ICU patients. The subjects with the highest level of ACPs understanding were surgeons, 27 out of 59 (45.8%), and differences in understanding were observed across specialties (p < 0.001). Among the respondents, physicians and nurses expressed high levels of confidence in providing ACPs support to patients requiring critical care. However, 15.2% of all the subjects mentioned that they would not attempt to resuscitate the patients. In addition, 25.7% of the participants handed over patients’ values to other departments or hospitals, whereas 25.3% handed over the decision-making process.ConclusionsAmong the participating hospitals, 40% provided ACPs support to patients receiving critical care. This is probably because support providers lack ACPs knowledge and it is sometimes too late to start providing ACPs support after ICU admission. In addition, the perception of ACPs, widely considered an ambiguous concept, differs among healthcare providers. Finally, in acute-care hospitals with different healthcare settings, it is necessary to confirm and integrate the changes in feelings and thoughts of patients’ family members and healthcare providers.

Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals—A cross sectional study

2013 ◽  
Vol 50 (2) ◽  
pp. 230-239 ◽  
Author(s):  
Maria Schubert ◽  
Dietmar Ausserhofer ◽  
Mario Desmedt ◽  
René Schwendimann ◽  
Emmanuel Lesaffre ◽  
...  
Keyword(s):  
Acute Care ◽  
Nursing Care ◽  
Acute Care Hospitals ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Physical restraint to patients with dementia in acute physical care settings: effect of the financial incentive to acute care hospitals

2017 ◽  
Vol 30 (7) ◽  
pp. 991-1000 ◽  
Author(s):  
Miharu Nakanishi ◽  
Yasuyuki Okumura ◽  
Asao Ogawa
Keyword(s):  
Acute Care ◽  
Financial Incentive ◽  
Physical Restraint ◽  
Acute Care Hospitals ◽  
Dementia Care ◽  
Lower Percentage ◽  
Public Healthcare ◽  
Cross Sectional ◽  
Insurance Program ◽  
Healthcare Insurance

ABSTRACTBackground:In April 2016, the Japanese government introduced an additional benefit for dementia care in acute care hospitals (dementia care benefit) into the universal benefit schedule of public healthcare insurance program. The benefit includes a financial disincentive to use physical restraint. The present study investigated the association between the dementia care benefit and the use of physical restraint among inpatients with dementia in general acute care settings.Methods:A national cross-sectional study design was used. Eight types of care units from acute care hospitals under the public healthcare insurance program were invited to participate in this study. A total of 23,539 inpatients with dementia from 2,355 care units in 937 hospitals were included for the analysis. Dementia diagnosis or symptoms included any signs of cognitive impairment. The primary outcome measure was “use of physical restraint.”Results:Among patients, the point prevalence of physical restraint was 44.5% (n= 10,480). Controlling for patient, unit, and hospital characteristics, patients in units with dementia care benefit had significantly lower percentage of physical restraint than those in any other units (42.0% vs. 47.1%; adjusted odds ratio, 0.76; 95% confident interval [0.63, 0.92]).Conclusions:The financial incentive may have reduced the risk of physical restraint among patients with dementia in acute care hospitals. However, use of physical restraint was still common among patients with dementia in units with the dementia care benefit. An educational package to guide dementia care approach including the avoidance of physical restraint by healthcare professionals in acute care hospitals is recommended.

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