Relevant bibliographies by topics / Keywords: multiple sclerosis, nursing care, care model

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Academic literature on the topic 'Keywords: multiple sclerosis, nursing care, care model'

Author: Grafiati
Published: 24 April 2022

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Journal articles on the topic "Keywords: multiple sclerosis, nursing care, care model"

1

Afrasiabifar, Ardashir, Zahra Mehri, and Hamid Reza Ghaffarian Shirazi. "Orem’s Self-Care Model with Multiple Sclerosis Patients’ Balance and Motor Function." Nursing Science Quarterly 33, no. 1 (December 3, 2019): 46–54. http://dx.doi.org/10.1177/0894318419881792.

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Orem’s self-care model has been introduced as a nursing model to empower participants with chronic diseases. This study aims to investigate the effectiveness of nursing interventions using Orem’s self-care model with multiple sclerosis participants’ balance and motor function. Sixty-three participants with multiple sclerosis were randomly assigned to intervention and control groups. The nursing intervention using Orem’s self-care model was performed for eight sessions of 45–60 minutes in the intervention group. In the intervention group, a significant increase (improvement) was observed in the mean scores of balance before (17.09 ± 1.97) and after the intervention (33.75 ± 6.01). A significant decrease (improvement) was observed in the mean of motor functions before (4.12 ± 0.34) and after the intervention (1.59 ± 0.71) ( p = 0.001). However, no significant difference existed in the mean scores of balance ( p = 0.10) and motor function in the control group ( p = 0.20). The nursing intervention using Orem’s self-care model improved balance and motor function of participants with multiple sclerosis.
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GULICK, ELSIE E. "Parsimony and Model Confirmation Of the ADL Self-Care Scale For Multiple Sclerosis Persons." Nursing Research 36, no. 5 (September 1987): 278???283. http://dx.doi.org/10.1097/00006199-198709000-00008.

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3

Halpern, Michael T., Heather Kane, Stephanie Teixeira-Poit, Corey Ford, Barbara Giesser, June Halper, Shana Johnson, Nicholas G. LaRocca, Aaron Miller, and Steven P. Ringel. "Projecting the Adequacy of the Multiple Sclerosis Neurologist Workforce." International Journal of MS Care 20, no. 1 (January 1, 2018): 35–43. http://dx.doi.org/10.7224/1537-2073.2016-044.

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Abstract Background: Anecdotal reports suggest shortages among neurologists who provide multiple sclerosis (MS) patient care. However, little information is available regarding the current and future supply of and demand for this neurologist workforce. Methods: We used information from neurologist and neurology resident surveys, professional organizations, and previously reported studies to develop a model assessing the projected supply and demand (ie, expected physician visits) of neurologists providing MS patient care. Model projections extended through 2035. Results: The capacity for MS patient visits among the overall neurologist workforce is projected to increase by approximately 1% by 2025 and by 12% by 2035. However, the number of individuals with MS may increase at a greater rate, potentially resulting in decreased access to timely and high-quality care for this patient population. Shortages in the MS neurologist workforce may be particularly acute in small cities and rural areas. Based on model sensitivity analyses, potential strategies to substantially increase the capacity for MS physicians include increasing the number of patients with MS seen per neurologist, offering incentives to decrease neurologist retirement rates, and increasing the number of MS fellowship program positions. Conclusions: The neurologist workforce may be adequate for providing MS care currently, but shortages are projected over the next 2 decades. To help ensure access to needed care and support optimal outcomes among individuals with MS, policies and strategies to enhance the MS neurologist workforce must be explored now.
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Schultz, Timothy J., Anne Thomas, Paul Georgiou, Lynette Cusack, Mahasen Juaton, Lorraine Simon, Kerisha Naidoo, Kevin Webb, Jonathan Karnon, and Janakan Ravindran. "Developing a Model of Care for Home Infusions of Natalizumab for People With Multiple Sclerosis." Journal of Infusion Nursing 42, no. 6 (2019): 289–96. http://dx.doi.org/10.1097/nan.0000000000000343.

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5

Asano, Miho, Rebecca Raszewski, and Marcia Finlayson. "Rehabilitation Interventions for the Management of Multiple Sclerosis Relapse." International Journal of MS Care 16, no. 2 (July 1, 2014): 99–104. http://dx.doi.org/10.7224/1537-2073.2013-031.

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Background: This review was undertaken to identify and summarize the existing evidence regarding postrelapse rehabilitation interventions in people with multiple sclerosis (MS). Methods: Literature searches were conducted within the following databases: CINAHL Plus with Full Text, MEDLINE via Ovid, and PsycINFO via CSA Illumina. The following terms were searched as subject headings or keywords: choice behavior, counseling, decision making, disease management, health education, health promotion, patient education, patient participation, patient satisfaction, psychotherapy, rehabilitation, self-care, self-management. Then these searches were combined with the subject headings for relapsing-remitting multiple sclerosis and subject heading or keywords for recurrence/relapse. Through the initial database search and additional citation search, 260 potentially relevant citations were identified. After screening the titles and abstracts as well as the citation search results, the reviewers agreed to keep five studies for the full-text reviews. Three rehabilitation intervention studies were included in the final review. Results: A combined total of 145 adults who experienced a relapse within the previous 5 months received 3 to 18 days of rehabilitation. All three studies suggested the benefit of multidisciplinary rehabilitation for individuals with MS to improve impairment or disability. Conclusions: The three multidisciplinary rehabilitation interventions included in this review appear to be effective in improving impairment or disability of people with MS who experienced a relapse. Given the limited number of studies and their methodological limitations, the results must be interpreted cautiously. Further investigation is needed to better understand the rehabilitation needs of people with MS after relapse in order to improve research and care.
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Leary, Alison, Debbie Quinn, and Amy Bowen. "Impact of Proactive Case Management by Multiple Sclerosis Specialist Nurses on Use of Unscheduled Care and Emergency Presentation in Multiple Sclerosis." International Journal of MS Care 17, no. 4 (July 1, 2015): 159–63. http://dx.doi.org/10.7224/1537-2073.2014-011.

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Background: Multiple sclerosis (MS) affects approximately 100,000 people in the United Kingdom, with rising emergency admissions to the hospital. The multiple sclerosis specialist nurse plays a pivotal role in managing MS care in the United Kingdom, and there is anecdotal evidence that this role can help avoid emergency presentations and unnecessary hospital admissions. Methods: A retrospective service evaluation took place in one established MS nursing service. The impact of the introduction of proactive nurse-led management and a rapid response service on rates of emergency presentation, hospital admission, and bed use was examined. The primary intervention was the introduction of extra nursing hours (6 hours per week) and the reallocation of some routine administrative duties, which allowed the service to move to a proactive management model aimed at avoiding the need for unplanned care. In addition, a care pathway was implemented in the emergency department for patients with MS who did present. Results: Reduction in utilization was from a mean of 2700 bed-days per year (2002–2006) to a mean of 198 bed-days per year (2007–2013). Conclusions: During a 10-year period, moving from reactive management to proactive management demonstrated an increase in complex specialist nursing interventions and led to a decrease in emergency presentation and bed use at the local acute-care center.
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7

Buchanan, Robert J., and Chunfeng Huang. "Informal Caregivers Assisting People with Multiple Sclerosis." International Journal of MS Care 13, no. 4 (December 1, 2011): 177–87. http://dx.doi.org/10.7224/1537-2073-13.4.177.

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The objective of this study was to identify characteristics of informal caregivers, caregiving, and people with multiple sclerosis (MS) receiving this assistance that are associated with the strength of the care-giver/care recipient relationship. Data were collected in a national survey of informal caregivers and analyzed using an ordered logistic regression model to identify factors associated with caregiver perceptions of the strength of the relationship with the person with MS. The overall health of the person with MS was significantly associated with caregiver perceptions that providing assistance strengthened the caregiver/care recipient relationship, with poor health having a negative impact on the relationship. A spousal relationship between the caregiver and the person with MS was associated with significantly lower perceptions of a strengthened relationship. Conversely, caregiver perceptions that MS symptoms interfered with the independence of the person with MS in daily life were associated with caregiver perceptions of a strengthened relationship. Longer duration of caregiving and more hours per week spent providing assistance also were associated with a stronger relationship. In contrast, we found a significant negative association between caregiver perceptions that assisting the person with MS was burdensome and the strength of the relationship. Similarly, higher levels of education among caregivers tended to have a significantly negative impact on the caregiver/care recipient relationship. Our findings highlight the importance of addressing the needs and concerns of spousal caregivers. Health professionals who treat informal caregivers, as well as those treating people with MS, should be sensitive to the impact caregiving has on caregivers, especially spouses providing assistance.
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8

Heinz, Amy, and Jennie Antolak. "Group Coaching for Individuals with Multiple Sclerosis." International Journal of MS Care 12, no. 2 (January 1, 2010): 59–64. http://dx.doi.org/10.7224/1537-2073-12.2.59.

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The physical, emotional, and mental changes associated with multiple sclerosis (MS) can disrupt patients' lives on many levels and interfere with their pursuit of life goals. Health-care practitioners usually work with people with MS in traditional medical settings—for example, upon initial diagnosis of MS or after an exacerbation of symptoms. Because of the nature of such settings and the current state of health care, it is challenging to provide the ongoing support and guidance that patients need to work toward life goals that were in place before the onset of their illness. Coaching is a talk-based process that uses tools and techniques designed to help individuals make progress toward their life goals. Coaching in a group format is an emerging method for guiding people with similar situations or needs toward their goals. The pilot group coaching project described here provides initial evidence that group coaching may be a valuable service-delivery model for expanding possibilities for individuals with MS living in the community.
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9

Ahmadi, Zakieh, and Tabandeh Sadeghi. "Application of the Betty Neuman systems model in the nursing care of patients/clients with multiple sclerosis." Multiple Sclerosis Journal – Experimental, Translational and Clinical 3, no. 3 (August 18, 2017): 205521731772679. http://dx.doi.org/10.1177/2055217317726798.

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10

Johnson, Kurt L., Deborah Hertz, Gary Stobbe, Kevin Alschuler, Rosalind Kalb, Katharine S. Alexander, George H. Kraft, and John D. Scott. "Project Extension for Community Healthcare Outcomes (ECHO) in Multiple Sclerosis." International Journal of MS Care 19, no. 6 (November 1, 2017): 283–89. http://dx.doi.org/10.7224/1537-2073.2016-099.

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Background: A pilot program using the Project Extension for Community Healthcare Outcomes (ECHO) model was conducted for multiple sclerosis (MS) clinicians in the Pacific Northwest. The pilot was a collaboration between the National Multiple Sclerosis Society and faculty at the University of Washington. The goal was to determine the feasibility of using this telehealth model to increase the capacity and capability of clinicians in rural areas to treat people with MS. Methods: Thirteen practice sites with 24 clinicians were recruited to participate. Videoconferencing was used to conduct weekly sessions consisting of brief didactics followed by case consultations. Results: Most participants completing the outcome survey (10 of 15) indicated that they were more confident in treating patients with MS. They were satisfied with the training, felt better able to care for their patients, and had made changes in their treatment based on the case consultations and didactic content. They valued the case studies and case-based didactics and learned from each other as well as from the team. Conclusions: The pilot MS Project ECHO warrants further investigation regarding its potential effect on access to MS care delivery for underserved populations.
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