scholarly journals Key stakeholders' perspectives on the development of a national transfer document, for older persons, when transferring between the residential and acute care settings: A qualitative descriptive study

2019 ◽  
Vol 14 (4) ◽  
Author(s):  
Pauline O'Reilly ◽  
Brid O'Brien ◽  
Margaret M. Graham ◽  
Jill Murphy ◽  
Louise Barry ◽  
...  
Keyword(s):  
Acute Care ◽  
Older Persons ◽  
Descriptive Study ◽  
Key Stakeholders ◽  
Qualitative Descriptive ◽  
Acute Care Settings

scholarly journals Why older adults may decline offers of post-acute care services: A qualitative descriptive study

2017 ◽  
Vol 38 (3) ◽  
pp. 238-243 ◽  
Author(s):  
Justine S. Sefcik ◽  
Ashley Z. Ritter ◽  
Emilia J. Flores ◽  
Rebecca H. Nock ◽  
Jo-Ana D. Chase ◽  
...  
Keyword(s):  
Older Adults ◽  
Acute Care ◽  
Descriptive Study ◽  
Care Services ◽  
Qualitative Descriptive ◽  
Acute Care Services ◽  
Post Acute Care

scholarly journals 155 The Development of a National Transfer Document for Older Persons, when Transferring Between Residential and Acute Care Settings

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Pauline O'Reilly ◽  
Pauline Meskell ◽  
Owen Doody ◽  
Michelle Kiely ◽  
Jane O'Doherty ◽  
...  
Keyword(s):  
Focus Group ◽  
Acute Care ◽  
Older Persons ◽  
Information Needs ◽  
Integrative Review ◽  
Focus Group Interviews ◽  
Convenience Sample ◽  
Acute Care Settings ◽  
Group Interviews ◽  
Qualitative Methodologies

Abstract Background The transition of older persons between care settings is recognised as a particularly critical and vulnerable period (Renom-Guiteras et al. 2014). Appropriate documentation and processes are key in assisting the provision of quality, safe, person-centred care when transferring older persons from residential to acute care settings. This paper reports on the design phase of a national transfer document for older persons. The objective was to inform the development of a draft national transfer document. Methods Development consisted of two phases 1) an integrative review and 2) focus group interviews with stakeholders. The review was guided by Whittemore and Knafl‘s (2005) integrative review framework. Data from studies using both quantitative and qualitative methodologies were extracted and thematically analysed. Using a qualitative descriptive approach, focus group interviews (n=8) were conducted with a convenience sample of key stakeholders (n=68) to establish their perspectives regarding transfer documents. Data were analysed using content analysis. Results from both phases were integrated to guide the development of the draft document. A multidisciplinary panel of experts in older persons care, reviewed and provided feedback on the draft transfer document. Results Within the review, thirty identified papers focused on transfer documentation between residential and acute care. Results indicated that using a standardised document can potentiate the delivery and acceptance of relevant person-centred information between all parties when transferring an older person between residential and acute care settings. Qualitative interview findings highlighted important aspects for consideration regarding the layout, content and format of future transfer documentation. Following collaboration with the expert panel the transfer document was developed for piloting. Conclusion Consistency and clarity of information is key for a successful transfer of older persons from residential to acute settings. Information needs to be evidence-based, current, and subject to response and change in accordance with best available international practice.

scholarly journals Vivencia del ocio entre hombres: los juegos de bocha (São Paulo, Brasil) y bolos tradicionales (Boiro, España) (Leisure time experiences among men: bocha´s game (São Paulo, Brazil) and traditional skittles game (Boiro, Spain))

Retos ◽  
2017 ◽  
pp. 129-133
Author(s):  
Luiz Gonçalves-Junior ◽  
Denise-Aparecida Corrêa ◽  
José Eugenio Rodríguez Fernández
Keyword(s):  
Older Persons ◽  
Leisure Time ◽  
Senior Citizens ◽  
Descriptive Study ◽  
Young Person ◽  
Sao Paulo ◽  
São Paulo ◽  
Structured Interviews ◽  
Usual Practice ◽  
Qualitative Descriptive

La expectativa de vida de brasileños y españoles ha aumentado considerablemente en los últimos años y habitualmente podemos ver grupos de tercera edad organizándose y reuniéndose con el propósito de programar y realizar actividades de ocio, siendo el juego de Bocha uno de los más comunes entre el género masculino en São Paulo (Brasil) y el juego de Bolos en Boiro (España). El objetivo de esta investigación es comprender la vivencia del ocio entre señores practicantes de ambos juegos populares y las similitudes existentes sobre el juego y los participantes de ambos países. Diseñamos un estudio cualitativo/descriptivo, empleando la entrevista individual semiestructurada como herramienta para la obtención de datos. Se realizan 20 entrevistas, con media de edad de 65 años (Brasil) y 73 años (Boiro). Los resultados muestran que el juego de Bocha y de Bolos son los más importantes para los hombres en sus respectivas ciudades, donde es raro encontrar una persona joven o una mujer practicando estas modalidades y en las que destaca su carácter lúdico y no reglamentado en su práctica habitual. Se constatan patrones de comportamiento similares entre los practicantes de Bocha y Bolos, pasatiempo favorito entre personas con edades comprendidas entre los 50 y 75 años y que ambas actividades contribuyen al incremento y diversificación de las actividades de ocio a personas mayores. Abstract. Life expectancy of Brazilian and Spanish people has increased considerably in recent years and usually there exist many senior citizens groups organizing meetings with the purpose of planning recreational activities, the bocha´s game being one of the most common among males in Sao Paulo (Brazil), while traditional skittles game in Boiro (Spain). The objective of this research is to understand the experience of leisure among practitioners of the abovementioned popular games, and to study the similarities existing in these games and the participants involved in them. We used a qualitative/descriptive study design, employing individual semi-structured interviews as a tool for obtaining data. A total of 20 interviews were conducted on senior citizens with average age of 65 years (Brazil) and 73 years (Boiro). Results show that the bocha´s game and traditional skittles game are the most important for men in their respective cities, where it is rare to find a young person or a woman practicing these modalities, which highlights their playful and not regulated nature in its usual practice. Similar standards of behavior are found among players of Bocha and Skittles. Both activities are considered the favorite hobby among people aged between 50 and 75 years, as well as they contribute to the increase and diversification of leisure-time activities in older persons.

‘Patients of concern’ to nurses in acute care settings: A descriptive study

2009 ◽  
Vol 22 (4) ◽  
pp. 178-186 ◽  
Author(s):  
Jane Cioffi ◽  
Richard Conwayt ◽  
Leanne Everist ◽  
Janet Scott ◽  
John Senior
Keyword(s):  
Acute Care ◽  
Descriptive Study ◽  
Acute Care Settings

Improving Patient Safety and Patient–Provider Communication

2019 ◽  
Vol 4 (5) ◽  
pp. 1017-1027 ◽  
Author(s):  
Richard R. Hurtig ◽  
Rebecca M. Alper ◽  
Karen N. T. Bryant ◽  
Krista R. Davidson ◽  
Chelsea Bilskemper
Keyword(s):  
Acute Care ◽  
Augmentative And Alternative Communication ◽  
Health Care Team ◽  
Provider Communication ◽  
Alternative Communication ◽  
Patient Provider Communication ◽  
Acute Care Settings ◽  
Nurses Perceptions ◽  
Communication Needs ◽  
The Impact

Purpose Many hospitalized patients experience barriers to effective patient–provider communication that can negatively impact their care. These barriers include difficulty physically accessing the nurse call system, communicating about pain and other needs, or both. For many patients, these barriers are a result of their admitting condition and not of an underlying chronic disability. Speech-language pathologists have begun to address patients' short-term communication needs with an array of augmentative and alternative communication (AAC) strategies. Method This study used a between-groups experimental design to evaluate the impact of providing patients with AAC systems so that they could summon help and communicate with their nurses. The study examined patients' and nurses' perceptions of the patients' ability to summon help and effectively communicate with caregivers. Results Patients who could summon their nurses and effectively communicate—with or without AAC—had significantly more favorable perceptions than those who could not. Conclusions This study suggests that AAC can be successfully used in acute care settings to help patients overcome access and communication barriers. Working with other members of the health care team is essential to building a “culture of communication” in acute care settings. Supplemental Material https://doi.org/10.23641/asha.9990962

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