Academic literature on the topic 'COPD, disease, nursing care, patient'
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Journal articles on the topic "COPD, disease, nursing care, patient"
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Bashir, Ayisha. "Commentary and Reflection Related to the Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care." Health Services Research and Managerial Epidemiology 5 (January 1, 2018): 233339281880054. http://dx.doi.org/10.1177/2333392818800549.
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Telehealth nursing enabling communication with chronic disease patients has shown to improve medical outcomes for patients suffering from diabetes mellitus, chronic obstructive pulmonary disease (COPD), and chronic heart disease. Studies have been conducted to examine whether telehealth technology impacts the perceived level of internal service quality (SQ) delivered by nurses within a telehealth organization. Overall, the perspectives toward telehealth SQ researched through case studies showed positive results. The innovative role of telehealth nursing and related technology toward patient care was highlighted. Literature establishes how telehealth provides daily monitoring of patient health, which has the benefits of peace of mind, immediate feedback for patients, family, and caregivers, as well as the convenience of scheduling. This commentary not only reflects but also aims to analyze the effectiveness of the telehealth nursing interventions and reasons for the delayed implementation across United States. Improving and implementing telehealth methods in the case of chronic patients suffering from diabetes, COPD, and heart disease can lead to reductions in health-care errors and readmissions. Telehealth nursing has the potential of decreasing the length of hospital stay, at the same time improving satisfaction of care teams, while the patient management continues at home.
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Rørth, Rasmus, Marianne F. Clausen, Emil L. Fosbøl, Ulrik M. Mogensen, Kristian Kragholm, Pardeep S. Jhund, Mark C. Petrie, et al. "Initiation of domiciliary care and nursing home admission following first hospitalization for heart failure, stroke, chronic obstructive pulmonary disease or cancer." PLOS ONE 16, no. 8 (August 4, 2021): e0255364. http://dx.doi.org/10.1371/journal.pone.0255364.
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Background Patients with chronic diseases are at higher risk of requiring domiciliary and nursing home care, but how different chronic diseases compare in terms of risk is not known. We examined initiation of domiciliary care and nursing home admission among patients with heart failure (HF), stroke, COPD and cancer. Methods Patients with a first-time hospitalization for HF, stroke, COPD or cancer from 2008–2016 were identified. Patients were matched on age and sex and followed for five years. Results 111,144 patients, 27,786 with each disease, were identified. The median age was 69 years and two thirds of the patients were men. The 5-year risk of receiving domiciliary care was; HF 20.9%, stroke 25.2%, COPD 24.6% and cancer 19.3%. The corresponding adjusted hazard ratios (HRs), with HF patients used as reference, were: stroke 1.35[1.30–1.40]; COPD 1.29[1.25–1.34]; and cancer 1.19[1.14–1.23]. The five-year incidence of nursing home admission was 6.6% for stroke, and substantially lower in patients with HF(2.6%), COPD(2.6%) and cancer (1.5%). The adjusted HRs were (HF reference): stroke, 2.44 [2.23–2.68]; COPD 1.01 [0.91–1.13] and cancer 0.76 [0.67–0.86]. Living alone, older age, diabetes, chronic kidney disease, depression and dementia predicted a higher likelihood of both types of care. Conclusions In patients with HF, stroke, COPD or cancer 5-year risk of domiciliary care and nursing home admission, ranged from 19–25% and 1–7%, respectively. Patients with stroke had the highest rate of domiciliary care and were more than twice as likely to be admitted to a nursing home, compared to patients with the other conditions.
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Chen, Yongqing, and Luyi Pan. "Nursing Research on Patients with Chronic Obstructive Pulmonary Disease and Respiratory Failure Based on Big Data." Journal of Healthcare Engineering 2021 (September 29, 2021): 1–8. http://dx.doi.org/10.1155/2021/2541751.
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This work organically integrates a systematic and individualized nursing plan with big data technology and applies it to the care of patients with chronic obstructive pulmonary disease (COPD) and respiratory failure (RF) and explores the continuous care model based on modern big data technologies to improve COPD and RF. It aims to relieve the symptoms of COPD and RF, reduce the number of acute episodes of COPD and RF and the number of hospitalizations, and improve the quality of life of patients. One hundred COPD and RF patients hospitalized in the respiratory medicine department of a tertiary hospital were selected and were categorized into control and experimental group. The nursing mode of the patients in the control group was the original telephone follow-up in the department, and the contents of the follow-up were determined according to the questions of the patients on the telephone at that time. Based on the original nursing in the department, the experimental group adopted individualized continual nursing plans based on the Internet and big data techniques for patients to conduct a pulmonary rehabilitation-related functional assessment, functional exercise guidance, and health guidance. Experimental results show that, compared with traditional continuous care, individualized continuous care combined with big data techniques can improve the lung function of patients with stable COPD and RF, reduce the number of acute COPD and RF attacks and the number of readmissions, and improve self-management ability and quality of life. The method can be applied and implemented in continuous nursing care.
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Øfsti, Ruth, Siri Andreassen Devik, Ingela Enmarker, and Rose Mari Olsen. "“Looking for Deviations”: Nurses’ Observations of Older Patients With COPD in Home Nursing Care." Global Qualitative Nursing Research 7 (January 2020): 233339362094633. http://dx.doi.org/10.1177/2333393620946331.
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Nurses working in home care play a significant role in observing and identifying changes in the health status of patient with chronic obstructive pulmonary disease (COPD). The aim of this study was to explore and describe nurses’ observations of older patients with COPD when providing home nursing care. In this qualitative explorative study, data were collected through observations of 17 home care visits using the think-aloud technique, followed up with individual interviews with the nurses. Qualitative content analysis was used to analyze the data. The findings showed that the nurses’ observations (focus, methods, and interpretation) were characterized by their search for deviations from what they judged to be the patient’s habitual state. The nurses did not use any tool or guidelines, nor did they follow a standard procedure. Instead, when observing and interpreting, they performed a complex process guided by their experience and knowledge of the patient, and the patient’s individual and contextual circumstances. This knowledge contributes to warranted reflection on nurses’ practice in this context to secure COPD patients’ safety and quality of life.
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Schmid-Mohler, Gabriela, Christian Clarenbach, Gabi Brenner, Malcolm Kohler, Eva Horvath, Marc Spielmanns, and Heidi Petry. "Advanced nursing practice in COPD exacerbations: the solution for a gap in Switzerland?" ERJ Open Research 6, no. 2 (April 2020): 00354–2019. http://dx.doi.org/10.1183/23120541.00354-2019.
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AimThis study aimed to address the need for adaptation of the current model of chronic obstructive pulmonary disease (COPD) care in Switzerland, particularly in regard to acute exacerbations, and how far an integrated approach involving advanced nursing practice can meet those needs.MethodsA state analysis guided by the PEPPA framework was initiated by the Pulmonology Clinic of University Hospital Zürich. Literature describing the current provision of COPD care regarding exacerbations in Switzerland and international qualitative studies describing the patient perspective were systematically searched and summarised. The health providers' perspective was investigated in three focus-group interviews.ResultsA lack of systematic and state-of-the-art support for patient self-management in Switzerland was described in literature and confirmed by the health providers interviewed. While care was assessed as being comprehensive and of good quality in each individual sector, such as inpatient, outpatient, rehabilitation and home settings, it was identified as being highly fragmented across sectors. The interview participants described day-to-day examples in which a lack of support in COPD self-management and fragmentation of care negatively affected the patients' disease management.ConclusionThe necessity of coordinating the transition between healthcare sectors and self-management support and that these organisational boundaries should be addressed by a multi-professional team were identified. Initial evaluation indicates that advanced practice nurses potentially have the skill set to coordinate the team and address patients' self-management needs in complex patient situations. However, the legal foundation and a reimbursement system to ensure long-term implementation is not yet available.
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Dwi Anugrah, Annisa. "NURSING CARE IN EFFECTIVENESS OF BREATHING FOR CHRONIC OBSTRUCTION PATIENTS IN RSI NASHRUL UMMAH LAMONGAN." Journal of Vocational Nursing 2, no. 1 (May 31, 2021): 53. http://dx.doi.org/10.20473/jovin.v2i1.26877.
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Introduction: Air pollution can cause respiratory system disorders in the form of alveoli damage, airway, and lung tissue inflammation. Inflammation of the lungs can damage the respiratory tissue and stimulate excess sputum production which causes ineffective airway clearance. This process, if it takes a long time, causes irreversible structural damage to the airway wall. This condition can progress to severe airway obstruction, called COPD. This research aims to explain nursing care for patients with Chronic Obstructive Pulmonary Disease (COPD) in the Tuberose Room at RSI Nashrul Ummah Lamongan. Methods: The research design used in this research is case study research. Participants in the study for Mr. "K" 69 years. The result of problem identification that arises is Chronic Obstructive Pulmonary Disease (COPD) with the main nursing diagnosis of Ineffective Airway Cleansing. Interventions that were emphasized and carried out in the field in cases were maintaining oxygen therapy, semi-fowler position, and administration of a nebulizer. The final evaluation of nursing diagnoses in patients was not resolved within the specified time. Result: Implementation of Nursing Care Ineffective Airway Cleansing of COPD patients in the Tuberose Room at RSI Nashrul Ummah Lamongan, there are still gaps with the literature. Conclusion: Suggestions for nurses are expected to be the focus of nurses in developing science to be applied to all nursing personnel in providing nursing care to ineffective airway cleaning for COPD patients.
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Lane, Nicholas David, Karen Brewin, Tom Murray Hartley, William Keith Gray, Mark Burgess, John Steer, and Stephen C. Bourke. "Specialist emergency care and COPD outcomes." BMJ Open Respiratory Research 5, no. 1 (October 2018): e000334. http://dx.doi.org/10.1136/bmjresp-2018-000334.
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IntroductionIn exacerbation of chronic obstructive pulmonary disease (ECOPD) requiring hospitalisation greater access to respiratory specialists improves outcome, but is not consistently delivered. The UK National Confidential Enquiry into Patient Outcome and Death 2015 enquiry showed over 25% of patients receiving acute non-invasive ventilation (NIV) for ECOPD died in hospital. On 16 June 2015 the Northumbria Specialist Emergency Care Hospital (NSECH) opened, introducing 24/7 specialty consultant on-call, direct admission from the emergency department to specialty wards and 7-day consultant review. A Respiratory Support Unit opened for patients requiring NIV. Before NSECH the NIV service included mandated training and competency assessment, 24/7 single point of access, initiation of ventilation in the emergency department, a door-to-mask time target, early titration of ventilation pressures and structured weaning. Pneumonia or hypercapnic coma complicating ECOPD have never been considered contraindications to NIV. After NSECH staff-patient ratios increased, the NIV pathway was streamlined and structured daily multidisciplinary review introduced. We compared our outcomes with historical and national data.MethodsPatients hospitalised with ECOPD between 1 January 2013 and 31 December 2016 were identified from coding, with ventilation status and radiological consolidation confirmed from records. Age, gender, admission from nursing home, consolidation, revised Charlson Index, key comorbidities, length of stay, and inpatient and 30-day mortality were captured. Outcomes pre-NSECH and post-NSECH opening were compared and independent predictors of survival identified via logistic regression.ResultsThere were 6291 cases. 24/7 specialist emergency care was a strong independent predictor of lower mortality. Length of stay reduced by 1 day, but 90-day readmission rose in both ventilated and non-ventilated patients.ConclusionProvision of 24/7 respiratory specialist emergency care improved ECOPD survival and shortened length of stay for both non-ventilated and ventilated patients. The potential implications in respect to service design and provision nationally are substantial and challenging.
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Nnate, Daniel A., David Barber, and Ukachukwu O. Abaraogu. "Discharge Plan to Promote Patient Safety and Shared Decision Making by a Multidisciplinary Team of Healthcare Professionals in a Respiratory Unit." Nursing Reports 11, no. 3 (July 30, 2021): 590–99. http://dx.doi.org/10.3390/nursrep11030056.
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Patients with chronic obstructive pulmonary disease (COPD) often require frequent hospitalization due to worsening symptoms. Preventing prolonged hospital stays and readmission becomes a challenge for healthcare professionals treating patients with COPD. Although the integration of health and social care supports greater collaboration and enhanced patient care, organizational structure and poor leadership may hinder the implementation of patient-oriented goals. This paper presents a case of a 64-year-old chronic smoker with severe COPD who was to be discharged on long-term oxygen therapy (LTOT). It also highlights the healthcare decisions made to ensure the patient’s safety at home and further provides a long-lasting solution to the existing medical and social needs. The goal was accomplished through a discharge plan that reflects multidisciplinary working, efficient leadership, and change management using Havelock’s theory. While COPD is characterized by frequent exacerbation and hospital readmission, it was emphasized that most failed discharges could be attributed to bureaucratic organizational workflow which might not be in the patient’s best interest. It was further demonstrated that healthcare professionals are likely to miss the window of opportunity to apply innovative and long-lasting solutions to the patient’s health condition in an attempt to remedy the immediate symptoms of COPD.
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Yin, Hua, Ling Yang, and Qiao Ye. "A systematic review of the effectiveness of clinical nurse specialist interventions in patients with chronic obstructive pulmonary disease (COPD)." Frontiers of Nursing 5, no. 2 (August 14, 2018): 147–56. http://dx.doi.org/10.2478/fon-2018-0019.
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Abstract Objective This review aimed to examine the effectiveness of clinical nurse specialist (CNS) interventions in patients with chronic obstructive pulmonary disease (COPD). COPD significantly affects people’s health worldwide. With the development in nursing, CNSs are playing increasingly important roles in different departments. However, the studies on the effectiveness of CNSs in COPD are not as well organized as the studies on the effectiveness of CNSs in bronchiectasis and asthma. Therefore, this review aims to find some updated evidence on the CNS interventions for patients with COPD and on whether these interventions are effective. Methods A narrative analysis of the data was performed for the eligible studies. Four databases were chosen: CINAHL, MEDLINE, British Nursing Index, and Cochrane Library. Other websites such as the National Institute for Health and Clinical Excellence, National Health Service Evidence, Association of Respiratory Nurse Specialists, and National Association of Clinical Nurse Specialist were searched as well. Two reviewers performed study identification independently, and all the retrieved articles were stored using the EndNote X7 software. The risk of bias in the included studies was assessed using the Cochrane Collaboration’s risk of bias tool. Results A total of nine studies were included in this review. There were five current interventions by CNSs for patients with COPD. These interventions were home nursing support, CNS’s supported discharge, multidisciplinary cooperation programs, nurse-led care programs, and self-care management education. The effectiveness of these five interventions was evaluated individually. There is low- to moderate-quality evidence indicating that home nursing support interventions may have a positive effect on mortality and quality of life. No significant difference in quality of life has been found between the CNS-supported discharge intervention and the usual service. The multidisciplinary cooperation program probably had a positive effect on quality of life in patients with COPD. Both nurse-led care and self-care management education intervention had a positive effect on mortality of patients with COPD. Conclusions The findings of this review provide updated evidence on the effectiveness of CNS interventions for patients with COPD. Although nine trials were included and five types of interventions were identified, there is still lack of high-quality evidence.
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Stellefson, Michael, Samantha R. Paige, Julia M. Alber, and Margaret Stewart. "COPD360social Online Community: A Social Media Review." Health Promotion Practice 19, no. 4 (June 8, 2018): 489–91. http://dx.doi.org/10.1177/1524839918779567.
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People living with chronic obstructive pulmonary disease (COPD) commonly report feelings of loneliness and social isolation due to lack of support from family, friends, and health care providers. COPD360social is an interactive and disease-specific online community and social network dedicated to connecting people living with COPD to evidence-based resources. Through free access to collaborative forums, members can explore, engage, and discuss an array of disease-related topics, such as symptom management. This social media review provides an overview of COPD360social, specifically its features that practitioners can leverage to facilitate patient–provider communication, knowledge translation, and community building. The potential of COPD360social for chronic disease self-management is maximized through community recognition programming and interactive friend-finding tools that encourage members to share their own stories through blogs and multimedia (e.g., images, videos). The platform also fosters collaborative knowledge dissemination and helping relationships among patients, family members, friends, and health care providers. Successful implementation of COPD360social has dramatically expanded patient education and self-management support resources for people affected by COPD. Practitioners should refer patients and their families to online social networks such as COPD360social to increase knowledge and awareness of evidence-based chronic disease management practices.
Dissertations / Theses on the topic "COPD, disease, nursing care, patient"
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Zakrisson, Ann-Britt. "Management of patients with chronic obstructive pulmonary disease in primary health care : a study of a nurse-led multidisciplinary programme of pulmonary rehabilitation." Doctoral thesis, Örebro universitet, Hälsoakademin, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-15732.
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The aim of this thesis was to modify and evaluate effects, as well as todescribe experiences of a nurse-led multidisciplinary programme of pulmonaryrehabilitation in primary health care for patients with chronicobstructive pulmonary disease (COPD) and their next of kin.Interviews were performed with 12 COPD nurses about their experiencesof patient education (I). Forty-nine patients participated in the interventiongroup and 54 in the control group in a quasi-experimentalstudy which investigated the effects of the programme on functional capacity,quality of life and exacerbation frequency during one year (II).Interviews were performed related to the experiences of 20 patients whohad participated in the six-week programme (III) and the experiences of20 next of kin to the patients that had participated (IV).The results showed that COPD nurses fluctuated between security andinsecurity in patient education and were in need of support, time, structureand collaboration to develop their patient education (I). In Study IIthere were no differences between the groups with regard to functionalcapacity and quality of life, but the number of exacerbations decreased inthe intervention group and increased in the control group (II). The patientsin study III had allowed themselves to live at their own pace followingthe programme but a constant fear was present in spite of the programme(III). Next of kin in Study IV had a life that remained overshadowedby illness but there were positive outcomes of the programme aslong as two years afterwards. The next of kin also had constant fear,however (IV).In conclusion, the six week programme brought about results in changingeveryday life. Nevertheless, all lived in the shadow of fear and uncertaintyin spite of the programme. More research is needed to address therequirements of COPD nurses, patients and next of kin.
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Hodson, Matthew. "Development of a patient reported experience measure in chronic obstructive pulmonary disease (COPD)." Thesis, University of Portsmouth, 2014. https://researchportal.port.ac.uk/portal/en/theses/development-of-a-patient-reported-experience-measure-in-chronic-obstructive-pulmonary-disease-copd(c7bf6540-155f-4245-b764-daa61ea6f73a).html.
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The experience of patients living with chronic obstructive pulmonary disease (COPD) and their views on the quality of healthcare they receive is not currently captured in patient reported measures. Aim: To develop and validate a patient reported experience measure to assess experiences of living with COPD and perceived quality of healthcare provision. Method: Previous work with 83 COPD patients identified 38 items for inclusion in a patient reported experience measure. These, together with the COPD Assessment Test and Hospital Anxiety and Depression Scale were administered to patients with COPD. Items demonstrating significant gender or age bias (p<0.05), floor or ceiling effects (set at 40%), missing data >15%, or high item to item correlations (r>0.8) were removed. Rasch analysis was applied to the remaining items. Results: 174 patients (Mean age 71 years, SD 9; 91 female; Mean Forced Expiratory Volume1 59%, SD 21.9) were studied. 29 items were removed, providing a 9-item unidimensional scale (chi-square p=0.33) with a wide scaling range (logits from -0.1 to +0.2). These cover experiences of living with COPD (e.g. I feel that I am in control of my condition) and health care (e.g. I am concerned that my GP won't listen to my point of view). Internal consistency was good (PSI= 0.77) and correlations between the COPD PREM-9, COPD Assessment Test and Hospital Anxiety and Depression Scale were moderate (r=0.42 and r=0.30, respectively). Conclusions: The COPD PREM-9 demonstrated good internal reliability and showed a wide scaling range suggesting, regardless of severity, people with COPD can have good or bad experiences. There were low to moderate correlations with the COPD Assessment Test and Hospital Anxiety and Depression Scale, which suggests the PREM COPD-9 is measuring a different concept. The COPD PREM-9 may be a useful measure of quality of care that complements measures of health status and mood.
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Jones, Sharon Scardina. "Evaluating a Discharge Bundle for Chronic Obstructive Pulmonary Disease." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4861.
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Acute exacerbation of chronic obstructive pulmonary disease (COPD) is one of the leading causes of hospital readmissions within 30 days. Frequent readmissions negatively affect hospital reimbursements and patient outcomes. Creative strategies, such as COPD care bundles, have been shown to reduce readmission rates according to existing studies. A COPD discharge bundle was developed and implemented at 1 community hospital in response to an identified problem with COPD readmissions. Evaluation of this quality improvement initiative was the purpose of this project study. The practice-focused question was: Have 30-day readmission rates changed following the implementation of a COPD discharge bundle prior to transitioning from hospital to home? The framework selected for this project was the model for improvement. Sources of evidence included existing hospital data to evaluate the change in readmissions. The chi-square test of independence was used to assess the difference in frequency of 30-day readmissions. Pre and post-bundle implementation comparisons of readmission rates showed a decrease for 3 out of the 4 groups compared; these results were not statistically significant. Analysis of the post-bundle intervention groups revealed lower 30-day readmissions for individuals who were bundle compliant versus noncompliant and for those who spoke with a pharmacist within 48 hours of discharge opposed to those who did not; these results were statistically significant. Continued use of the bundle and maintaining the role of the pharmacist was recommended. Reduction of readmissions within 30-days has positive social implications for hospitals through financial gains and for the COPD population by improving overall health outcomes.
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Askratni, Josette. "A Chronic Obstructive Pulmonary Disease Self-Management Packet to Reduce 30-Day Readmissions." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4709.
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Chronic obstructive pulmonary disease (COPD) signifies a significant public health challenge that is both avoidable and treatable. There was no standardized education offered to the COPD population at the practice location. The scope of the project encompassed standardizing education by developing a self-management packet for the COPD patients. The goal of this project was to examine how the development of a standardized COPD self-management packet enhances the quality of care and strategizes reducing 30-day readmissions compared to nonstandardized delivery of education. Orem's self-care theory and Bandura's self-efficacy concept were used to explain the principle of self-management, while Rosswurm and Larrabee's evidence-based practice model was used to guide practice change. The U.S. Prevention Service Task Force's level of evidence hierarchy was chosen to categorize the strengths and weaknesses of the evidence referenced for this project. Postdevelopment surveys using the Likert scale were distributed to the facility's COPD committee, and a 70% response rate of strongly agreed to all questions was achieved. There were no adverse responses, and the packet was approved unanimously. Based on the positive responses, the packet will be easily adapted and beneficial in practice. The recommendation is to pilot the packet on the medical-surgical unit and follow-up postdischarge with phone calls to ascertain patients' perspective of the packet. Utilization of the education packet will lead to positive social change by affording the stakeholders self-management awareness and positive outcome measures including reducing the COPD 30-day readmission rate, curtailing economic strains, and promoting positive patient-centered relationships.
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Fuseya, Yoshinori. "Perspectives on End-of-Life Treatment among Patients with COPD: A Multicenter, Cross-sectional Study in Japan." Kyoto University, 2020. http://hdl.handle.net/2433/252978.
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Newman, Linda C. "Maintaining self integrity in the care of AIDS patients : a grounded theory approach." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834521.
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The purpose of the study was to explore barriers hospital nurses perceive in the care of AIDS or HIV positive patients. According to the Center for Disease Control, the total number of AIDS cases reported in the United States as of December 1991 was 206,392. The Center for Disease Control reported of the known AIDS cases in the United States 59% have resulted in death.A grounded theory approach was used in the study of sixteen nurses working with AIDS patients in a medical surgical area of the hospital. Results of the study showed nurses had a need to maintain self integrity. All barriers found as a result of the study related to the nurses need to maintain self integrity. Barriers found as a result of the study include the following: fear of contagion, family concerns, fear of the unknown, issues in confidentiality, issues in universal precautions, and emotional and spiritual aspects.School of Nursing
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Prieto, Roseanne. "Preventing Progression of End Stage Renal Disease: A Systematic Review of Patient-Provider Communication in Primary Care." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/612943.
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Background: Chronic kidney disease (CKD) affects approximately 26 million individuals in the United States and is a top priority in the objectives for Healthy People 2020. Despite efforts to improve awareness, discussion of CKD is often minimal or ineffective in the primary care setting. This leads to a lack of patient awareness and knowledge of self-care skills to prevent or slow progression of the disease. A lack of communication of has been attributed to the provider's lack of confidence and knowledge to discuss CKD and to avoid unnecessary stress. Purpose: The purpose of the DNP project is to provide a systematic review of patient-provider communication processes used to influence self-management or behavioral change in primary care and propose a tool to enhance communication and slow progression of CKD. Methods: A systematic review was conducted following the method guidelines of the Cochrane Collaboration. Six electronic databases were searched. Inclusion criteria were adult humans, primary research studies, systematic and literature reviews, focus on communication of self-management or behavioral change strategies, primary outcomes of improving self-management and/or patient outcomes and availability of full-text online or by request. Outcomes: Of the 5765 articles initially identified, 28 studies met inclusion criteria. The studies revealed a lack of evidence directed towards CKD and communication was not directly addressed in a majority of the studies. Interventions most successful in improving patient outcomes were individualized, elicited collaboration or interaction with the patient and provider, were motivational or encouraging and aided in barrier identification and problem solving. A communication tool was developed from the evidence in order to stimulate more meaningful conversation between the patient and provider.
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Cheung, Mei-ying Josephine, and 張美盈. "Taking care of pediatric SARS patient in isolation ward: a phenomenological view." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B45011606.
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Österlund, Efraimsson Eva. "Communication in Smoking Cessation and Self-management : a study at Nurse-led COPD-clinics in Primary Health Care." Doctoral thesis, Högskolan Dalarna, Omvårdnad, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:du-5307.
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ABSTRACTThe general aim of this thesis was to investigate behavioral change communication at nurse-led chronic obstructive pulmonary disease (COPD) clinics in primary health care, focusing on communication in self-management and smoking cessation for patients with COPD.Designs: Observational, prospective observational and experimental designs were used.Methods: To explore and describe the structure and content of self-management education and smoking cessation communication, consultations between patients (n=30) and nurses (n=7) were videotaped and analyzed with three instruments: Consulting Map (CM), the Motivational Interviewing Treatment Integrity (MITI) scale and the Client Language Assessment in Motivational Interviewing (CLAMI). To examine the effects of structured self-management education, patients with COPD (n=52) were randomized in an intervention and a control group. Patients’ quality of life (QoL), knowledge about COPD and smoking cessation were examined with a questionnaire on knowledge about COPD and smoking habits and with St. George’s Respiratory Questionnaire, addressing QoL. Results: The findings from the videotaped consultations showed that communication about the reasons for consultation mainly concerned medical and physical problems and (to a certain extent) patients´ perceptions. Two consultations ended with shared understanding, but none of the patients received an individual treatment-plan. In the smoking cessation communication the nurses did only to a small extent evoke patients’ reasons for change, fostered collaboration and supported patients’ autonomy. The nurses provided a lot of information (42%), asked closed (21%) rather than open questions (3%), made simpler (14%) rather than complex (2%) reflections and used MI non-adherent (16%) rather than MI-adherent (5%) behavior. Most of the patients’ utterances in the communication were neutral either toward or away from smoking cessation (59%), utterances about reason (desire, ability and need) were 40%, taking steps 1% and commitment to stop smoking 0%. The number of patients who stopped smoking, and patients’ knowledge about the disease and their QoL, was increased by structured self-management education and smoking cessation in collaboration between the patient, nurse and physician and, when necessary, a physiotherapist, a dietician, an occupational therapist and/or a medical social worker.Conclusion The communication at nurse-led COPD clinics rarely involved the patients in shared understanding and responsibility and concerned patients’ fears, worries and problems only to a limited extent. The results also showed that nurses had difficulties in attaining proficiency in behavioral change communication. Structured self-management education showed positive effects on patients’ perceived QoL, on the number of patients who quit smoking and on patients’ knowledge about COPD.
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Landim, Camila Aparecida Pinheiro. "Adaptação cultural para o Brasil e Portugal do instrumento Patient Assessment of Chronic Illness Care (PACIC)." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-17042013-144940/.
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O Patient Assessment of Chronic Illness Care (PACIC) é o único instrumento disponível na literatura científica para avaliação da qualidade do cuidado sobre os elementos do Modelo de Cuidados Crônicos, na perspectiva da pessoa com condição crônica. No contexto cultural do Brasil e de Portugal, não há instrumentos para avaliar essa dimensão de cuidado no diabetes mellitus (DM), considerada como uma importante condição crônica, em decorrência da sua prevalência e mortalidade mundial. Trata-se de um estudo metodológico com o objetivo de realizar a adaptação cultural para o Brasil e Portugal do instrumento PACIC. Constituído por 20 itens, o PACIC possui cinco domínios: Participação Ativa do Paciente no Tratamento, Modelo do Sistema de Cuidado/Modelo para a Prática, Estabelecimento de Metas/Adaptação, Resolução de Problemas/Contexto e Seguimento/Coordenação. O processo de adaptação cultural seguiu as etapas preconizadas pela literatura: Tradução, Comitê de Especialistas, Retrotradução (Back-Translation), Pré-Teste e Entrevista Cognitiva. O estudo foi realizado em ambulatório de endocrinologia, de uma unidade básica distrital de saúde no município de Ribeirão Preto, São Paulo, Brasil e de um hospital público e de ensino na cidade do Porto, Portugal. Os dados foram obtidos por meio da entrevista dirigida, nos meses de novembro (Brasil) e maio (Portugal) de 2012. Mediante os critérios de seleção, a população do estudo foi constituída por 50 pessoas brasileiras e 50 pessoas portuguesas, perfazendo um total de 100 pessoas com DM. Para a coleta de dados foi utilizado os instrumentos Impressão Geral e Específica do Projeto DISABKIDS ® . Para apresentação dos resultados utilizou-se análise descritiva, por meio de quadros e tabelas. Os resultados encontrados foram satisfatórios, demonstrando que o instrumento foi considerado muito bom pela maioria da população do estudo, com questões fáceis de entender e categorias de respostas não difíceis de serem utilizadas. Somado a isso, 92% (Brasil) e 86% (Portugal) dos participantes declararam que os itens do instrumento são muito relevantes para o diabetes mellitus, como condição de saúde. Visando a maneira como os 20 itens do instrumento avaliado foram formulados, a maioria mostrou-se de fácil compreensão, apenas quatro (6, 10, 12 e 16) foram adaptados culturalmente no Brasil e um (19) em Portugal. Conclui-se que o estudo resultou em um instrumento adaptado culturalmente e compreensível para o Brasil e Portugal. Há necessidade de prosseguir com a avaliação das propriedades psicométricas para o estudo de validação do instrumento adaptado em ambos os contextos culturais.The Patient Assessment of Chronic Illness Care (PACIC) is the only instrument available in the scientific literature to assess the quality of care for the elements of Chronic Care Model from the perspectives of individuals with chronic diseases. In the Brazilian cultural context, there is no instrument to evaluate this dimension in the care provided for diabetes mellitus (DM) patients, which is considered an important chronic condition due to its prevalence and mortality worldwide, nor is there one in the Portuguese cultural context. This methodological study\'s objective was to perform the cultural adaptation of the PACIC instrument for both Brazil and Portugal. It comprises 20 items and five domains: Patient Activation, Delivery System Design/Practice Design, Goal-Setting/Tailoring, Problem-Solving/Context and Follow- up/Coordination. The cultural adaptation process followed the steps recommended by the literature: Forward Translation, Expert Panel, Back-Translation, Pre-testing, and Cognitive Interviewing. The study was conducted in the endocrinology outpatient clinic of a primary health unit in the city of Ribeirão Preto, SP, Brazil and in a public university hospital in the city of Porto, Portugal. Data were obtained through focused interviews in November (Brazil) and in May (Portugal), 2012. A total of 50 Brazilian and 50 Portuguese individuals met the inclusion criteria, totaling 100 individuals with DM. The instruments General and Specific Impression of DISABKIDS ® Project were used to collect data. Descriptive analysis was used and the results are presented in tables. The results were satisfactory, showing the instrument was considered very good by most of the study\'s population. Questions were considered to be easy to understand and the answer categories were also easy to use. Additionally, 92% (Brazil) and 86% (Portugal) of the participants reported the instrument\'s items are very relevant for DM as a health condition. Due to the way the instrument\'s 20 items were developed, most were easy to understand and only four (6, 10, 12 and 16) were culturally adapted for Brazil and only one (19) was culturally adapted for Portugal. The conclusion was an instrument culturally adapted and easy to understand both in Brazil and Portugal. There is a need to assess its psychometric properties to validate the adapted instrument for both cultural contexts.
Books on the topic "COPD, disease, nursing care, patient"
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DeLorenzo, Lori A. Nursing care of the HIV-positive patient. 3rd ed. South Easton, MA: Western Schools Press, 2000.
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Connie, Ingram, ed. Nursing care of the HIV-positive patient. 4th ed. Brockton, MA: Western Schools Press, 2001.
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Jan, Ellerhorst-Ryan, and Hargrave-Koertge Victoria, eds. Nursing care of the immunocompromised patient. Philadelphia: W.B. Saunders, 1993.
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L, Wilkins Robert, and Dexter James R. 1948-, eds. Respiratory disease: Principles of patient care. Philadelphia: F.A. Davis, 1993.
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Care of the intervention cardiac patient. Chichester, West Sussex, England: Wiley, 2007.
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Gee, Zena L. Nursing care of the stroke patient: A therapeutic approach, based on Bobath principles. Pittsburgh, PA: AREN-Publications, 1985.
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Gee, Zena L. Nursing care of the stroke patient: A therapeutic approach : based on Bobath principles. Pittsburgh, PA (P.O. Box 11386, Guys Run Rd., Pittsburgh 15238): AREN Publications, 1985.
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Mandy, Odell, and Welch John 1960-, eds. Rapid assessment of the acutely ill patient. Chichester, U.K: Wiley-Blackwell, 2010.
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Advanced practice nursing: Ethics in chronic disease self-management. New York: Springer, 2013.
Find full textBook chapters on the topic "COPD, disease, nursing care, patient"
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Moksnes, Unni Karin. "Sense of Coherence." In Health Promotion in Health Care – Vital Theories and Research, 35–46. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_4.
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AbstractThis chapter introduces the concept of sense of coherence which is a core concept in the salutogenic model defined by Aron Antonovsky. The salutogenic model posits that sense of coherence is a global orientation, where life is understood as more or less comprehensible, meaningful, and manageable. A strong sense of coherence helps the individual to mobilize resources to cope with stressors and manage tension successfully with the help of identification and use of generalized and specific resistance resources. Through this mechanism, the sense of coherence helps determine one’s movement on the health ease/dis-ease continuum. Antonovsky developed an instrument named Orientation to Life Questionnaire to measure the sense of coherence which exists in two original versions: a 29-item and a 13-item version. This chapter presents the measurement of the sense of coherence and the validity and reliability of the 13-item scale. It gives a brief overview of empirical research of the role of sense of coherence in association with mental health and quality of life and also on sense of coherence in different patient groups including nursing home residents, patients with coronary heart disease, diabetes, cancer, and mental health problems. It also briefly discusses the implications of using salutogenesis in health care services and the importance of implementing this perspective in meeting with different patient groups. The salutogenic approach may promote a healthy orientation toward helping the patient to cope with everyday stressors and integrate the effort regarding how to help the patient manage to live with disease and illness and promote quality of life.
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Cotza, Mauro, and Giovanni Carboni. "Nursing Care for Patient with Heart Failure." In Congenital Heart Disease, 247–70. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-78423-6_15.
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Buttaro, Terry Mahan. "Infectious Disease." In Nursing Care of the Hospitalized Older Patient, 324–50. West Sussex, UK: John Wiley & Sons, Ltd.,, 2013. http://dx.doi.org/10.1002/9781118704769.ch12.
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Gabay, Theresa M., and Davonna Ledet. "Neurovascular Disease." In Nursing Care of the Pediatric Neurosurgery Patient, 283–331. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-32554-0_9.
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Gabay, Theresa M., and Davonna Ledet. "Neurovascular Disease." In Nursing Care of the Pediatric Neurosurgery Patient, 395–456. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-49319-0_12.
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Colvin, Erin L., Dana Shiderly, Tamara Maihle, and Dana Casciato. "Nursing Care of the Pediatric Cardiac Patient." In Critical Care of Children with Heart Disease, 121–25. London: Springer London, 2009. http://dx.doi.org/10.1007/978-1-84882-262-7_12.
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Shields, Ashlee, Ashley Cole, Alexandra Mikulis, and Erin L. Colvin. "Nursing Care of the Pediatric Cardiac Patient." In Critical Care of Children with Heart Disease, 131–32. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-21870-6_11.
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Fingeroth, James M., and William B. Thomas. "Medical Management and Nursing Care for the Paralyzed Patient." In Advances in Intervertebral Disc Disease in Dogs and Cats, 208–14. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118940372.ch27.
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Fisher, Jennifer H., Jane H. Kass-Wolff, Ernestine Kotthoff-Burrell, and Jeanie M. Youngwerth. "Advanced nursing practice in aged care: developing communication and management skills in patients with Alzheimer's disease." In Simulated Patient Methodology, 130–33. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118760673.ch19.
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Haugan, Gørill, and Jessie Dezutter. "Meaning-in-Life: A Vital Salutogenic Resource for Health." In Health Promotion in Health Care – Vital Theories and Research, 85–101. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_8.
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AbstractBased on evidence and theory, we state that facilitating and supporting people’s meaning-making processes are health promoting. Hence, meaning-in-life is a salutogenic concept.Authors from various disciplines such as nursing, medicine, psychology, philosophy, religion, and arts argue that the human search for meaning is a primary force in life and one of the most fundamental challenges an individual faces. Research demonstrates that meaning is of great importance for mental as well as physical well-being and crucial for health and quality of life. Studies have shown significant correlations between meaning-in-life and physical health measured by lower mortality for all causes of death; meaning is correlated with less cardiovascular disease, less hypertension, better immune function, less depression, and better coping and recovery from illness. Studies have shown that cancer patients who experience a high degree of meaning have a greater ability to tolerate bodily ailments than those who do not find meaning-in-life. Those who, despite pain and fatigue, experience meaning report better quality-of-life than those with low meaning. Hence, if the individual finds meaning despite illness, ailments, and imminent death, well-being, health, and quality-of-life will increase in the current situation. However, when affected by illness and reduced functionality, finding meaning-in-life might prove more difficult. A will to search for meaning is required, as well as health professionals who help patients and their families not only to cope with illness and suffering but also to find meaning amid these experiences. Accordingly, meaning-in-life is considered a vital salutogenic resource and concept.The psychiatrist Viktor Emil Frankl’s theory of “Will to Meaning” forms the basis for modern health science research on meaning; Frankl’s premise was that man has enough to live by, but too little to live for. According to Frankl, logotherapy ventures into the spiritual dimension of human life. The Greek word “logos” means not only meaning but also spirit. However, Frankl highlighted that in a logotherapeutic context, spirituality is not primarily about religiosity—although religiosity can be a part of it—but refers to a specific human dimension that makes us human. Frankl based his theory on three concepts: meaning, freedom to choose and suffering, stating that the latter has no point. People should not look for an inherent meaning in the negative events happening to them, or in their suffering, because the meaning is not there. The meaning is in the attitude people choose while suffering from illness, crises, etc.
Conference papers on the topic "COPD, disease, nursing care, patient"
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Zwakman, Marieke, Saskia Weldam, Jan-Willem Lammers, and Marieke Schuurmans. "Patient perspectives of the COPD-GRIP intervention, a new nursing care intervention in COPD." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa328.
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Bicalho, Tamires, Ana Paula Peçanha Passos, Aline Marques, and Carolina Magalhães dos Santos. "Impact of the COVID-19 pandemic on the life habits of the nursing staff working in intensive care units of hospitals in the city of Campos dos Goytacazes-RJ." In 7th International Congress on Scientific Knowledge. Biológicas & Saúde, 2021. http://dx.doi.org/10.25242/8868113820212387.
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The COVID-19 pandemic remains a major public health challenge. Most patients infected with the SARS-CoV2 virus are critical patients requiring admission to intensive care units (ICU) and qualified nursing care. However, the experiences of nurses from China and Italy showed that one of the biggest obstacles in the care of patients with the disease occurred within the scope of the organization of trained and qualified teams, staff dimensioning, management of supplies and equipment, and attention to the mental health of these professionals. Faced with this pandemic scenario, professional nurses face important challenges concerning care and the quality of nursing services in intensive care. The objective of this research will be to identify the impact caused by the COVID-19 pandemic on the life habits of professionals from the Nursing teams who work in the Intensive Care Units in the municipality of Campos dos Goytacazes-RJ. This is a cross-sectional study to be carried out between October and December 2021. Data collection will be carried out through an online questionnaire (Google Forms®) whose sample will consistof professionals from the Nursing teams (nurses and nursing technicians), working in the Intensive Care Units of Private and Public Hospitals in the city of Campos dos Goytacazes-RJ. Subsequently, the data obtained will be analyzed using descriptive statistics in the SPSS® software. This study aims to contribute to improving the quality of life and health of nursing professionals working in ICUs and, consequently, the quality of care and patient safety. Furthermore, it is expected that the results corroborate the need to implement health protection strategies for these professionals in the context of the pandemic.
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Do, Quan, Kris Robinson, and Son Tran. "Big Data Analysis: Why Not an Asthma APP?" In InSITE 2015: Informing Science + IT Education Conferences: USA. Informing Science Institute, 2015. http://dx.doi.org/10.28945/2216.
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Asthma and Chronic Obstructive Pulmonary Disease (COPD) is among the highest health diagnosis and therefore an economic drain, which puts substantial pressure on a huge number of patients, communities, and health systems. These chronic conditions are presently incurable but their symptoms can be controlled through quality health care, appropriate medications, and good self-management skills. Many asthma APPs have been developed to support asthma patients’ self-management of the disease. Asthma APPs are still in the infancy stage of development. Literature review indicates satisfaction to be equivocal. Moreover, available APPs have many unresolved issues, such as the following: (1) No APP provides comprehensive asthma information while at the same time possessing the characteristics of an efficient tool for self-management of the disease; (2) No APP has the ability to integrate data from disparate formats; (3) Not many APPs provide for two way communication between patients and Health Care Providers (HCPs) and support the providers decision making process; (4) No APP targets older adults. Different sources of data often imply data stored in inherently different formats. The integration of such data, culled from different databases requires use of Big Data (BD) techniques. The proposed asthma mobile APP aims to promote elderly asthma patients’ positive adjustment to this chronic disease by being an effective tool for patients to control their asthma triggers and support asthma self-management. Adjustment is a dynamic process and varies by individual. For that reason, a personalized asthma APP is necessary to control this chronic disease. The proposed asthma APP will allow patients to input their own asthma self-management data so the APP can identify patient personal triggers and will predict an asthma attack accordingly. Considering a patient’s individual determinants and uniqueness is required to push the patient’s positive adjustment to asthma since these elements affect the ability of individual to adapt to the illness. The paper reports our effort to establish the desirable characteristics for the next generation asthma APP and for a population segment not presently well served.