Academic literature on the topic 'Self-care management Practices'
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Journal articles on the topic "Self-care management Practices"
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Roux, Nikki, and Tiffany Benita. "Best practices for burnout self-care." Nursing Management 51, no. 10 (2020): 30–35. http://dx.doi.org/10.1097/01.numa.0000698116.82355.0d.
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Millenbach, Linda, Mary G. Carey, Cathy DeChance, et al. "NYONL Study Explores Self-Care Practices." Nurse Leader 21, no. 4 (2023): 438–44. http://dx.doi.org/10.1016/j.mnl.2023.06.002.
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Gharaibeh, Besher, and Loai Issa Tawalbeh. "Diabetes self-care management practices among insulin-taking patients." Journal of Research in Nursing 23, no. 7 (2018): 553–65. http://dx.doi.org/10.1177/1744987118782311.
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Background Diabetes self-care management (DSCM) is complex because various factors and relationships influence its processes. Aims This study aimed to identify the level of DSCM, compare the levels of self care between patients with type 1 and patients with type 2 diabetes, and identify significant predictors of self-care among Jordanian patients with type 1 and type 2 diabetes who were taking insulin. Methods A descriptive cross-sectional design was employed using a convenience sample of 310 Jordanian patients. The Arabic translated version of the 40-item Diabetes Self-Management Scale was used to collect data. Results The type of diabetes ( t(310) = 4.81; p < .001) and the type of medications (insulin, or insulin and tablets) ( t(310) = 4.75; p < .001) significantly affected the level of self-care. Age ( t(296) = − 3.41; p = 0.001), gender ( t(296) = −4.78; p < 0.001) training in self-care ( t(296) = 4.30; p < .001), educational level ( t(296) = 2.81, P = .005) and using traditional treatment (herbal therapy) ( t(296) = −4.64, p < .001) significantly predicted self-care and explained around 58% of the variance in self-care. Conclusions Various factors were found to influence self-care. Further research is needed to explore the complex nature of DSCM.
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Mendez, Isabel, Elizabeth A. Lundeen, Magon Saunders, Alexis Williams, Jinan Saaddine, and Ann Albright. "Diabetes Self-Management Education and Association With Diabetes Self-Care and Clinical Preventive Care Practices." Science of Diabetes Self-Management and Care 48, no. 1 (2022): 23–34. http://dx.doi.org/10.1177/26350106211065378.
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Purpose: The purpose of the study is to assess self-reported receipt of diabetes education among people with diabetes and its association with following recommended self-care and clinical preventive care practices. Methods: We analyzed data from the 2017 and 2018 Behavioral Risk Factor Surveillance System for 61 424 adults (≥18 years) with self-reported diabetes in 43 states and Washington, DC. Diabetes education was defined as ever taking a diabetes self-management class. The association of diabetes education with self-care practices (daily glucose testing, daily foot checks, smoking abstention, and engaging in leisure-time physical activity) and clinical practices (pneumococcal vaccination, biannual A1C test, and an annual dilated eye exam, influenza vaccination, health care visit for diabetes, and foot exam by a medical professional) was assessed. Multivariable logistic regression with predicted margins was used to predict the probability of following these practices, by diabetes education, controlling for sociodemographic factors. Results: Of adults with diabetes, only half reported receiving diabetes education. Results indicate that receipt of diabetes education is associated with following self-care and clinical preventive care practices. Those who did receive diabetes education had a higher predicted probability for following all 4 self-care practices (smoking abstention, daily glucose testing, daily foot check, and engaging in leisure-time physical activity) and all 6 clinical practices (pneumonia vaccination, biannual A1C test, and an annual eye exam, flu vaccination, health care visit, and medical foot exam). Conclusions: The prevalence of adults with diabetes receiving diabetes education remains low. Increasing receipt of diabetes education may improve diabetes-related preventive care.
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Canonizado, Isagani Costales. "SELF-CARE PRACTICES AND WORK-LIFE BALANCE OF ELEMENTARY TEACHERS: BASIS FOR A WELLNESS PROGRAM." International Journal of Education Humanities and Social Science 07, no. 06 (2024): 699–713. https://doi.org/10.54922/ijehss.2024.0871.
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Self-care practices are essential for fostering work-life balance, especially for elementary teachers who face demanding workloads and stress. Effective self-care can improve physical, emotional, social, and professional well-being, ultimately enhancing job satisfaction and personal fulfillment. However, challenges in maintaining work-life balance persist, prompting the need to explore the relationship between self-care practices and work-life balance to identify strategies for improvement. This study aimed to assess the self-care practices and work-life balance of elementary teachers in the San Felipe District, Schools Division of Zambales, during the School Year 2024–2025. Using a quantitative-descriptive research design, data were collected through a validated researcher-designed questionnaire with high reliability scores (Cronbach’s Alpha = .983 for self-care practices and .986 for work-life balance). A total of 89 respondents were selected through simple random sampling. Results revealed that self-care practices were consistently and frequently practiced across physical, emotional, social, and professional dimensions. Despite this, work-life balance in terms of time management, stress management, personal fulfillment, and job satisfaction was only moderately evident. A very high positive significant correlation was established between self-care practices and work-life balance, highlighting their strong interrelationship. In response, a wellness program was drafted to enhance self-care practices and improve work-life balance. The program aims to address gaps in time and stress management while fostering personal and professional fulfillment. This study concludes that while teachers consistently engage in self-care practices, their work-life balance requires further enhancement. The significant correlation underscores the importance of optimizing self-care to improve overall well-being. The findings contribute to the growing recognition of self-care as a critical factor in achieving work-life balance and highlight the need for targeted wellness initiatives to support teachers effectively.
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Eugene, Verna, and Paul Bourne. "Hypertensive patients: knowledge, Self-care management practices and challenges." Journal of Behavioral Health 2, no. 3 (2013): 259. http://dx.doi.org/10.5455/jbh.20130217103511.
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Hitt, Jennifer M., Eva Tatum, Mary McNair, et al. "Self-Care Management Practices for the Home Health Nurse." Home Healthcare Nurse 30, no. 5 (2012): 295–305. http://dx.doi.org/10.1097/nhh.0b013e318252c49a.
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Hasnain, Seema. "KNOWLEDGE AND PRACTICES REGARDING SELF-CARE MANAGEMENT AMONG DIABETICS VISITING MEDICAL OUTPATIENT DEPARTMENT OF FATIMA MEMORIAL HOSPITAL, LAHORE." Journal of Akhtar Saeed Medical & Dental College 03, no. 01 (2021): 23–31. https://doi.org/10.51127/jamdcv03i01oa04.
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Background:Diabetes Mellitus is one of the major chronic diseases which has become a public health problem worldwide. The complications of diabetes can be reduced by proper self-care knowledge and practices among diabetics. The objectives of this study areto assessthe knowledge and self-care practices among patients having diabetes type 2 and its relationship with sociodemographic factors in of medical outpatient department of Fatima Memorial Hospital, Lahore.Material and methods:This was a cross-sectional survey. The study was conducted in the Medical Outpatient Department of Fatima Memorial Hospital, Lahore from 12thFebruary 2019 to 26thSeptember 2019.By using non-probability purposive sampling, 220 patients having type 2 diabetes fulfilling the inclusion criteria were selected. A pre-tested questionnaire was filled after taking written consent from them and data wereanalyzed in SPSS version 20.Results: Out of 220 respondents, 55.7% have belonged to the age group 40-54 having 64% females. The overall knowledge about self-care among diabetics was good in 44%, satisfactory in 49%,and poor in 7% of the respondents. Whereas the overall practices among the diabetics weregood at24.5%, satisfactory at60%,and poor at15.4%. There was a significant association between self-care knowledge and self-care practices (p-value=0.032) and only income has shown a statistically significant association with the overall knowledge (P-value: 0.000). Regarding knowledge about physical activity,87.7% were aware of its importance and about 95.9% had the knowledge that anti-diabetic medicines are to be taken regularly. However,only 27% participated in thirty minutes of physical activity and 85.5% took the anti-diabetes medicine over the past seven days before the interviewConclusion:About half of the respondents havesatisfactory self-care knowledge and one-fourth havepoor self-care practices. Among the sociodemographic factors, only income hasa statistically significant association with self-care knowledge.Key Words:Knowledge, Self-care, Diabetes mellitus
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Formosa, Cynthia, and Ryan Muscat. "Improving Diabetes Knowledge and Self-Care Practices." Journal of the American Podiatric Medical Association 106, no. 5 (2016): 352–56. http://dx.doi.org/10.7547/15-071.
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Background: This study sought to identify the nature and extent of diabetes-related knowledge and self-care practices in people living with type 2 diabetes who attend primary-care clinics and to determine whether a correlation between the two exists. Methods: In a nonexperimental prospective study, the Diabetes Knowledge Questionnaire and the Summary of Diabetes Self-care Activities were used to assess knowledge and self-management in 50 patients. Results: The mean diabetes knowledge score was 14.40 out of a total of 24 and the mean self-care activities score was 2.89 out of a total of 7, indicating a deficit in a number of key areas in the management of diabetes. There was no statistically significant correlation between diabetes knowledge score and diabetes self-care activities (r = 0.190, P = 0.187). On analysis of the individual subscales, a significant relationship resulted between diabetes knowledge score and diet (r = 0.324, P = 0.022) but physical activity (r = 0.179, P = 0.214), blood sugar testing (r = 0.231, P = 0.107) and footcare (r = 0.189, P = 0.189) gave no significant results. On further analysis, education level was significantly correlated to diabetes knowledge score (r = 0.374, P = 0.007) and self-care activities score (r = 0.317, P = 0.025) while age was significantly correlated to diabetes knowledge score (P = 0.008) and self-care activities score (P = 0.035). Conclusions: Integrating theories of behavior change into educational interventions at the primary-care level may translate to improved care, reduced long-term complications, and better quality of life.
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An, Ha Thi Tran, and Nguyen Tran Ngoc. "Holistic self-management behavior among urban patients with type 2 diabetes." International Journal of Public Health Science (IJPHS) 11, no. 3 (2022): 846~851. https://doi.org/10.11591/ijphs.v11i3.21707.
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This study aimed to measure the self-care practices of type 2 diabetes mellitus (T2DM) patients managed in an urban hospital in Hanoi, Vietnam. An observational cross-sectional study was performed. The adherence of self-care practices was measured by using the Condition-specific Recommendations and Adherence scale. Among 165 T2DM patients, nobody adhered to all self-care practices. The average number of adhered behavioral recommendations was 6.0 (SD=1.6). Gender, education and overweight/obesity were associated with self-care practice adherence. Repeated educational sessions should be provided to patients, especially male patients, and those with low education levels, overweight/obese, to improve their self-care ability.
Dissertations / Theses on the topic "Self-care management Practices"
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McArthur-Kearney, Cynthia. "An examination of diabetes self-care practices among diverse populations living in rural North Carolina." Thesis, Central Michigan University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3558109.
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<p> Diabetes is a chronic disease that is revealed through the form of abnormal serum glucose levels. Serum glucose levels that are not maintained at acceptable clinical diagnostic standards contribute to additional physical complications that impact the individual’s ability to carry out effectively the activities of daily living. The chronic nature of the disease requires long-term monitoring and management by the healthcare team and the individual diagnosed with the condition. </p><p> Diabetes is a major health issue that impacts millions of individuals globally. Diabetes has been identified as one of the most challenging health problems of the 21st Century (International Diabetes Federation, 2011a). Many states such as North Carolina are experiencing significant increases in the diabetes prevalence rate among racial and ethnic groups. Unfortunately, diabetes prevalence rates are higher among minority populations. North Carolina has experienced a significant increase in the number of diverse populations living in rural and urban areas throughout the state. Therefore, delivery of healthcare services may need to be targeted towards populations at higher risk of developing chronic diseases such as diabetes. </p><p> Although the outlook of inhibiting the development of diabetes is daunting, much can be done to delay and manage the disease process more effectively. It has been well established that lifestyle changes related to nutrition, physical activity, blood glucose monitoring, medication therapy if applicable, and self-management education will improve the quality of life. Therefore, the health behavioral practices used to manage lifestyle activities are crucial to the state and outcome of the individual’s condition. Consequently, diabetes is a chronic disease that is heavily dependent on the actions of the individual and their frequency in carrying out critical diabetes self-care practices. The purpose of this research study was to examine the differences in diabetes self-care practices among diverse populations living in the rural southeastern portion of North Carolina. Understanding the differences in diabetes self-care practices is critically important to the management of diabetes. Self-care practices are the cornerstones to achieving a healthier outcome in the management of diabetes. Healthy diets and exercise practices are a few of the many diabetes self-care activities that can minimize the disease. This will help prevent the development of diabetes associated with complications such as blindness, hypertension, kidney and heart disease. Identifying differences in self-care practices among diverse populations should be taken into consideration when planning diabetes educational training. Increasing the span of knowledge regarding the differences or similarities of self-care practices may assist healthcare providers in selecting thoughtful planned initiatives that will move the culture of patient accountability in daily self-care practices to a new level of healthier outcomes.</p>
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Star, Katharina L. "The relationship between self-care practices, burnout, compassion fatigue, and compassion satisfaction among professional counselors and counselors-in-training." Thesis, Kent State University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3618924.
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<p> The present study examined the relationship between compassion fatigue, burnout, compassion satisfaction, and self-care among counselors and counselors-in-training. Additionally, the current study investigated if recent life changes, age, sex, race, years of experience, education level, and work/internship setting impacted counselors' and counselors'-in-training self-reports of compassion fatigue, burnout, compassion satisfaction, and self-care. </p><p> A total of 253 counselors and counselors-in-training were surveyed through a professional conference, internship classes, and email listservs. Variables were measured through the use of a demographic questionnaire, the Professional Quality of Life Scale (ProQOL 5), the Self-Care Assessment Worksheet (SCAW), and the Recent Life Changes Questionnaire (RLCQ). Pearson-product moment correlations, analysis of variances (ANOVAs), and t-tests were utilized to determine potential relationships between variables. </p><p> Results indicated that recent life changes impact both burnout and compassion fatigue. Compassion satisfaction appeared to influence burnout, but not compassion fatigue. Results also determined that burnout and compassion fatigue are positively correlated with each other. </p><p> When examining the demographic variables, results revealed that women experience higher levels of compassion fatigue than men. Burnout was found to be higher for participants who are working or interning in agency and school settings than those in private practices or hospitals. Participants in agency and school settings were also found to be associated with lower amounts of self-care than those in private practices. Nonstudent agency workers were determined to have higher amounts of compassion satisfaction with age and increased engagement in psychological self-care activities. However, self-care was negatively correlated with compassion satisfaction for participants in school settings. </p>
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Frey, Jeffrey Daniel. "The Sustainability of Nonprofit Leaders: Principles and Practices that Encourage and Restore Personal Wellbeing and Professional Effectiveness." Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1559916763158355.
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Carroll, Gretchen Kay. "AN EXAMINATION OF THE RELATIONSHIP BETWEEN PERSONALITY TYPE, SELF PERCEPTION ACCURACY AND TRANSFORMATIONAL LEADERSHIP PRACTICES OF FEMALE HOSPITAL LEADERS." Bowling Green State University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1288189512.
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Harris, Adelaide N. "Diabetes Self-Management Education Provision by an InterprofessionalCollaborative Practice Team: A Quality Improvement Project." Xavier University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1512645367935855.
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Grech, Paul. "Personality disorders in clinical practice : Axis 1 comorbidity, management/treatment, psychologist boundary issues and self-care." Thesis, The Author [Mt. Helen, Vic.] :, 2003. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/69979.
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Three thematically linked placement project reports and an exegesis addressing professional/ethical issues in the practice of clinical psychology submitted in partial fulfilment of the requirements for the degree of Doctor of Psychology (Clinical).<br>Doctor of Psychology (Clinical)
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Oduah, Chukwudi. "Chronic Low Back Pain- A Needs Assessment for Practice Change." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4666.
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There is a practice gap in the self-management education of patients with chronic low back pain. Insufficient self-management leads to increased frequency of flare-ups of low back pain, disability, loss of productivity, and increased cost of health care. The guiding practice-focused question was focused on the unmet self-management support needs of the chronic low back pain patients in a Midwestern state local pain clinic. The purpose of this descriptive cross-sectional study was to ascertain the unmet needs of patients' self-management support by analyzing the results of a patient study performed by this clinic. The theoretical principles of the model for evidence-based practice change, the chronic care model, and the middle-range theory of self-care of chronic illness were used. The evidence included the analysis of the Patient Assessment of Chronic Illness Care Survey (PACIC) data from 100 patients treated in this pain clinic. The clinic used the PACIC questionnaire to collect data from its 100 chronic low back pain patients, selected by simple random sampling method. The average weighted scores of these patients' responses were below the norm on all PACIC subscales and summary scores. According to study results, this pain clinic did not meet the self-management support needs of its chronic low back pain patients. Evidence-based recommendations were made for the improvement in the medical model of patient care by including nurse-led patient education and support. The positive social change is the improvement in the health status of this growing health population by meeting their identified education and support needs. Positive results from this nurse-led intervention could lead to the dissemination and widespread implementation of these recommendations in other pain clinics.
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au, A. Eades@murdoch edu, and Anne-Marie Eades. "Factors that influence participation in self-management of wound care in three Indigenous communities in Western Australia: Clients' perspectives." Murdoch University, 2008. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20090702.111437.
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The purpose of this study was to identify any barriers or enablers as influences on wound care self-management by Indigenous people. A qualitative, interpretive study sought to investigate how participants perceived their wounds and their general health, and to identify the influences on them accessing wound care services.
There is a dearth of information on culturally appropriate practice in wound management for Indigenous Australians. This research project was therefore significant in attempting to bridge the gap in nursing knowledge of Indigenous clients' perceptions of barriers and enablers for seeking wound care services,especially in relation to lower leg ulcers. The lack of culturally sensitive wound management practices potentially impacts on Indigenous clients' behaviours in seeking treatment from their health service providers.
Participant observations and semi-structured interviews with the research participants investigated the management of their wounds, and the ways in which their culture influences wound management. The main aim was to understand participants' comprehension of the importance of wound care through reflection. Understanding the enhancing or obstructive influences on wound management practices was expected to provide a foundation for teaching self care of wounds in Indigenous populations and inform health professionals' approach to health education.
The data were analysed using thematic analysis, which generated common themes related to the research questions. These themes are: visibility, of the problem,4 perceived versus actual level of knowledge, acceptance of co-morbid health conditions and pre-determined path of ill health. These findings indicated that in one region, participants' perception of poor health was related to visibility of the problem. Participants chose to have their visible wounds managed by Silver Chain Nursing Association, whereas Diabetes and Hypertension and any other non-visible disorders were seen as appropriate to the Aboriginal Medical Service (AMS). Further to this finding, most participants displayed a sense of helplessness and hopelessness when sharing information about their diagnosis of diabetes, believing this was the norm. Many also believed that having a strong family history of a particular disease resulted in the participants also inheriting the disease. During post interview educational sessions many of the Indigenous participants were surprised by the evidence based-research reported to them by the researcher that diabetes is a manageable disease with life style changes.
Another issue highlighted was the perceived level of knowledge the participants had about wound care. Reassurance was given by the participants that their level of knowledge about how to manage their wounds was adequate. However, none of the participants were concerned about the length of time that their wound/s had or were being managed, between 3 months and 5 years. This acceptance that although a wound is not getting any worse and not getting any better was the norm is cause for concern, and indicates a low level of health literacy. This theme was 'perceiving an imbalance in perceptions of wound care knowledge with actual knowledge'.
The most important recommendation from the study findings is the need to consider health literacy more carefully in the development of health promotion and health education for Indigenous clients with wounds.
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Nicholas, Jennifer. "The roles and responsibilities of WA general practice nurses in diabetes care and management." Thesis, Curtin University, 2009. http://hdl.handle.net/20.500.11937/1313.
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The rising incidence of chronic diseases such as diabetes, associated comorbidities, an ageing population and rising health expenditure are all creating a greater burden on the Australian health care system.Purpose of the Study. The role of the practice nurse (PN) working within the general practice setting is expanding in response to health care demands and government policies, yet there is a lack of Australian research into how this role may impact upon the management of diabetes. This study explores current practice of PNs, their diabetes specific education, and driving and restraining forces that influence their involvement in diabetes management.Methodology. A cross sectional design with a postal survey, whereby 758 surveys were distributed to PNs via each of the 13 Western Australian Divisions of General practice, between October 2006 and May 2007. The final response rate was 16% (n = 118) with 118 surveys completed and returned. The Statistical Package for Social Sciences 15.0 was used for data entry and analysis.General Practice Setting. In the current study 85% (n = 94) of practices had a diabetes register, with 75% (n = 83) of PNs involved in operating this system. The PN has a defined role in contributing towards the development of chronic disease care plans and annual diabetes complication screening processes, services that are reimbursed through Medicare. However, current models of primary care delivery and funding appear to support the PN in this role as an adjunct to the general practitioner (GP), which may not permit full utilisation and recognition of the PNs’ professional scope of practice.The Role of the Practice Nurse. A statistically significant association was found between those PNs having completed diabetes related continuing education and the greater likelihood of providing education in insulin initiation, blood glucose monitoring, dietary advice, exercise and sick day education (p < .05). Whilst PNs in the current study displayed a high level of involvement in various areas of diabetes care, not all will be educationally prepared, yet may be undertaking what could be considered a more advanced practice role in diabetes self management education.Diabetes Knowledge Test. There was significantly higher scoring in the Diabetes Knowledge Test (DKT) where questions related to insulin therapy, amongst those PN’s with a role in providing education in self monitoring of diabetes (p = .036). Likewise, where the provision of dietary advice was part of the PN role, scoring was significantly higher in the DKT overall (p = .029). For those spending greater than two hours per week in diabetes related care, scores were significantly higher where questions examined principles surrounding management of blood glucose levels (p = .031). Practice nurses having undertaken a clinical audit related to diabetes care, scored significantly higher in the DKT overall (p = .037), particularly where those questions related to the complications associated with diabetes (p = .009).Barriers and Facilitators to PN Role in Diabetes Self Management Education. Practice nurses in the current study placed a significantly high level of importance on their role in patient teaching. However, time was found to be a significant barrier to this role (p < .05). The current study displays a high level of involvement by PNs in various areas of diabetes self management education and related clinical assessment, with a low level of involvement in diabetes specific continuing formal education. Whilst this facet of their role has more recently been acknowledged within general practice guidelines for diabetes management, the question remains as to the level of educational preparedness of the PN, to meet this expanding role.
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Armstrong, Dometrives. "Educational Module Toolkit to Assist Adult Patients with Type II Diabetes Mellitus." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4498.
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Diabetes is a challenging chronic disease for adult patients to manage effectively. Poor adherence to prescribed medications treatment is one of the main reasons for poor blood sugar control. Despite healthcare providers' efforts to emphasize the importance of taking medications, adult patients with Type II diabetes frequently present with complications related to persistent failure to adhere to prescribed medication regimen. These patients should thoroughly understand why adhering to a strict medication regimen to maintain control of their blood sugar is so important. The purpose of this project, guided by Orem's self-care deficit nursing theory, was to develop an educational module toolkit that identifies best practices for nurses to address issues of medication adherence with adult patients with Type II diabetes. Future implementation of these toolkit resources may enhance nurses' ability to teach adult patients how to adhere to their medication regimen. Five participants, all considered professional diabetes content experts, were invited to evaluate the educational module toolkit subject matter. The completion response rate was 100% (n = 5). The content experts rated survey items using a 5-point Likert scale where 1= strongly disagree, 2= disagree, 3= not applicable, 4 = agree and 5= strongly agree and responded to 2 questions that allowed for narrative feedback. The experts were satisfied with the content of the educational module toolkit; suggesting that the toolkit may serve as a functional guide for nurses assisting adult patients with diabetes. Improved medication regimen compliance may produce cascading effects; helping these patients achieve a better quality of life while producing positive social change within their families and communities.
Books on the topic "Self-care management Practices"
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Orange, Cynthia. Shock waves: A practical guide to living with a loved one's PTSD. Hazelden, 2010.
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Orange, Cynthia. Shock waves: A practical guide to living with a loved one's PTSD. Hazelden, 2010.
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Service, U. S. Customs, ed. Financial management: Customs' self-assessment of its internal control and accounting systems is inadequate : report to the Commissioner, U.S. Customs Service. The Office, 1993.
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United States. Internal Revenue Service., ed. Financial management: IRS' self-assessment of its internal control and accounting systems is inadequate : report to the Commissioner, Internal Revenue Service. The Office, 1993.
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Martz, Erin, ed. Promoting Self-Management of Chronic Health Conditions. Oxford University Press, 2017. http://dx.doi.org/10.1093/med-psych/9780190606145.001.0001.
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This book explores the theories and practices that help to facilitate self-management of chronic health conditions (also known as chronic impairments or chronic diseases). It consists of four parts, in addition to an introductory chapter and a chapter on defining self-management, for a total of 22 chapters. This book includes discussions about self-management models, psychological interventions, and collaborative care on both individual and systemic levels for the promotion of self-management. Self-management requires that individuals understand the range of symptoms related to their specific chronic impairment, what those symptoms may indicate, and what actions to take to address those symptoms. Healthcare providers are an integral part of providing self-management support (SMS) to these individuals. Self-management includes the micro-decisions that individuals with chronic health conditions make about their conditions and the macro-decisions (e.g., creating treatment plans) that healthcare providers make in collaboration with individuals with chronic health conditions. This book focuses on exploring a range of self-management practices that can empower individuals with chronic health conditions to be less dependent on healthcare systems and, ultimately, to be more in control of their lives.
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Appelbaum, Kenneth L. Self-injurious behaviors. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0049.
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One of the most challenging management challenges in correctional settings is self-injurious behavior (SIB). Often, the motivations, demographics, and characteristics are distinct from SIB found in the community. In community samples, about 4% of adults report a history of SIB with no significant gender differences in rate. Despite its serious consequences in jails and prisons, reliable data on self-injury in those settings remains sparse. A survey of the 51 state and federal directors of correctional mental health services in the United States found that less than 2% of inmates per year self-injure. Although relatively few inmates engage in this behavior, they do so often enough that almost all systems that responded to the survey reported at least weekly incidents and over 70% of systems had episodes occurring several times per week to more than once per day. The most common psychiatric conditions associated with SIB include psychotic, personality, cognitive, and mood disorders. Environmental factors, which include behavioral triggers and responses, often play a key role in SIB, especially in jails and prisons. Self-injury can return a degree of control and autonomy to inmates who otherwise have limited means to affect their environment, cope with stress, or get what they want. Effective management of self-injurious behaviors in correctional settings almost always requires partnership and cooperation between health care and custody staff. This chapter reviews context and nosology, epidemiology and best practices for assessment, diagnosis, and intervention in jail and prison settings.
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Martz, Erin. Promoting Self-Management of Chronic Health Conditions: Theories and Practice. Oxford University Press, Incorporated, 2017.
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Yang, Jingduan, and Daniel A. Monti. Self-Care for the Body, Mind, and Spirit. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190210052.003.0018.
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This chapter details the tradition of ancient Chinese medicine that puts self-care for disease prevention and health promotion first and advocates the importance of maintaining a healthy lifestyle while keeping in mind sensitivities to the seasonal and environmental energies. It discusses the essential components of lifestyle, including sleep, diet, exercise, sex, meditation, and life cultivation, that address the health of the mind, body, and spirit. It emphasizes energetic circadian times of the day and seasons of the year in relation to the management of health. This book also uniquely introduces the ancient concept of Xiu Liang, or cultivating one’s life for health, and an example of its modern practice.
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Trinacty, Connie M. Evaluating racial differences in quality of diabetes care and self-management practice in an HMO. 2006.
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Davidson, Larry, Michael Rowe, Janis Tondora, Maria J. O'Connell, and Martha Staeheli Lawless. A Practical Guide to Recovery-Oriented Practice. Oxford University Press, 2008. http://dx.doi.org/10.1093/oso/9780195304770.001.0001.
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This book takes a lofty vision of "recovery" and of "a life in the community" for every adult with a serious mental illness promised by the U.S. President's 2003 New Freedom Commission on Mental Health and shows the reader what is entailed in making this vision a reality. Beginning with the historical context of the recovery movement and its recent emergence on the center stage of mental health policy around the world, the authors then clarify various definitions of mental health recovery and address the most common misconceptions of recovery held by skeptical practitioners and worried families. With this framework in place, the authors suggest fundamental principles for recovery-oriented care, a set of concrete practice guidelines developed in and for the field, a recovery guide model of practice as an alternative to clinical case management, and tools to self-assess the recovery orientation of practices and practitioners. In doing so, this volume represents the first book to go beyond the rhetoric of recovery to its implementation in everyday practice. Much of this work was developed with the State of Connecticut's Department of Mental Health and Addiction Services, helping the state to win a #1 ranking in the recent NAMI report card on state mental health authorities. Since initial development of these principles, guidelines, and tools in Connecticut, the authors have become increasingly involved in refining and tailoring this approach for other systems of care around the globe as more and more governments, ministry leaders, system managers, practitioners, and people with serious mental illnesses and their families embrace the need to transform mental health services to promote recovery and community inclusion. If you've wondered what all of the recent to-do has been about with the notion of "recovery" in mental health, this book explains it. In addition, it gives you an insider's view of the challenges and strategies involved in transforming to recovery and a road map to follow on the first few steps down this exciting, promising, and perhaps long overdue path.
Book chapters on the topic "Self-care management Practices"
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De Souza, Lorraine, Lorely Ide, and Claudius Neophytou. "Promoting Health through a Self-help Care Model for the Management of Multiple Sclerosis." In Health Promoting Practice. Macmillan Education UK, 2005. http://dx.doi.org/10.1007/978-0-230-20995-4_15.
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van Staa, AnneLoes, Mariëlle Peeters, and Jane Sattoe. "On Your Own Feet: A Practical Framework for Improving Transitional Care and Young People’s Self-Management." In Transition from Pediatric to Adult Healthcare Services for Adolescents and Young Adults with Long-term Conditions. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-23384-6_9.
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Hinnen, Deborah, and Richard A. Guthrie. "Self-Management Practices: Problem Solving." In Complete Nurse’s Guide to Diabetes Care, 3rd ed. American Diabetes Association, 2017. http://dx.doi.org/10.2337/9781580405690.ch08.
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The essence of diabetes self-management is problem solving, detecting patterns, and making proactive changes in the food plan, physical activity, or medication protocols. These are advanced skills for people with diabetes. First, the basic self-care skills for diabetes management must be mastered, including glucose monitoring, insulin injection and oral medication dosing and timing, hypoglycemia prevention and treatment, daily schedule delineation, basic meal planning, and knowing when to call the practitioner. As a component of continuous, lifelong outpatient diabetes education, all nurses working with people with diabetes should be able to teach, reinforce, and verify these daily care activities.
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Montaudon- Tomas, Cynthia Maria, Ingrid N. Pinto-López, and Anna Amsler. "Occupational Health and Well-Being in Higher Education Institutions in Mexico." In Self-Care and Stress Management for Academic Well-Being. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-6684-2334-9.ch011.
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This chapter presents an overview of occupational health in remote work from the self-care perspective. A literature review regarding remote working conditions and their effects on health and well-being is included, along with an analysis of the most relevant self-care and practices that have been developed for working at the distance. The study focuses on faculty, specifically at a private university in Puebla, Mexico, and the effects of the pandemic-induced remote work schemes on their well-being, along with the most common ailments that emerged from remote working conditions and self-care practices that can be adopted to prevent or reduce them. A survey was conducted among faculty members to understand the health implications of remote work and what people have been doing to deal with them. The concept of health circles is introduced to help explain specific actions taken to promote self-care and group care.
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Bishop, Malachy, and Michael Frain. "Self-Management of Multiple Sclerosis." In Promoting Self-Management of Chronic Health Conditions, edited by Erin Martz. Oxford University Press, 2017. http://dx.doi.org/10.1093/med-psych/9780190606145.003.0016.
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Multiple sclerosis (MS) is a chronic neurological condition that can impact one’s health and functioning, role participation, and quality of life in a wide variety of ways. Self-management is increasingly recognized as a critical component of MS care and a person-directed approach to health and wellness. Given the range of ways that MS may affect physical and cognitive as well as psychosocial functioning, effective and comprehensive MS self-management may require a broad range of knowledge and resources. Thus this chapter explores current perspectives on MS self-management, evaluates the research evidence and current research directions, and identifies effective practices in MS self-management.
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Khati, Awesh, Anindita Das, and Debajit Karmakar. "The Role of Self in Health Management." In Advances in Healthcare Information Systems and Administration. IGI Global, 2025. https://doi.org/10.4018/979-8-3693-9092-4.ch002.
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This chapter, “The Role of Self in Health Management,” explores the crucial role of individual effort in maintaining and improving health. It focuses on self-management, highlighting how individuals actively engage in their health care, make informed decisions, and adopt behaviors that enhance well-being. The chapter emphasizes self-awareness, motivation, and personal responsibility in managing both physical and mental health. It examines how attitudes, beliefs, and knowledge shape health behaviors, stressing the link between self-confidence and overcoming health challenges. Furthermore, it covers self-care practices, preventive measures, stress reduction, and healthy lifestyle choices as essential for sustaining long-term health. By integrating theoretical insights and research findings, the chapter provides strategies for developing a proactive health mindset, resilience, and adaptability. Additionally, it discusses the empowering impact of digital tools in self-management, urging readers to take an active role in shaping their health for lasting well-being.
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Singha, Ranjit. "Self-Care Strategies for Grief Counselors and Caregivers." In Advances in Educational Marketing, Administration, and Leadership. IGI Global, 2024. http://dx.doi.org/10.4018/979-8-3693-1375-6.ch012.
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This chapter analyzes the significance of self-care within the bereavement counselling and caregiving fields, focusing on its capacity to avert burnout and sustain professional effectiveness. Alongside case studies demonstrating the successful application of self-care practices, this chapter examines techniques for efficient time management, establishing boundaries, and cultural sensitivity. Addressing practitioners' ethical obligations and emphasizing the need for continuous dedication to one's welfare are critical points of emphasis. Making self-care a priority cultivates resilience and enables professionals to deliver empathetic and enduring assistance to individuals requiring care.
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Collins, Paul. "Finding Wellness in Faraway Places." In Self-Care and Stress Management for Academic Well-Being. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-6684-2334-9.ch002.
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This chapter is designed to speak to those educators in the field who can relate to functioning on a mental, emotional, and physical low frequency based on the challenges of the workplace. The author unravels how he, as an educator, struggled to find balance in his own self-care practices while simultaneously devoting himself to helping students, and a school community, flourish. The requirements of becoming better as teachers and school leaders, supporting students and their families, and being agile in maneuvering organizational change can prove to be daunting at best. These are some of the challenges that are outlined. Nevertheless, this work will unpack some actionable strategies that have been helpful by being proactive, rather than reactive, in coping with the challenges that educators face.
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Tuna, Ayşe. "Self-Care Skills of Children With Pervasive Developmental Disorders." In Handbook of Research on Policies and Practices for Assessing Inclusive Teaching and Learning. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-7998-8579-5.ch021.
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Self-care skills are the everyday tasks undertaken so children are ready to participate in life activities. While they are typically supported by parents or carers in young children, it is expected that children develop independence while getting older and maturing. Self-care skills are assumed as precursors for most school-related tasks, are expected to be performed independently, and usually it becomes inappropriate for others to assist for tasks related to these. Assistive technology enhances to strengthen children's ability to participate in eating, dressing, bathing, and personal hygiene routines. As a self-management tool, assistive technology helps children with pervasive developmental disorders or mild intellectual disabilities promote to perform daily tasks involved in activities related to self-care skills. In this chapter, first, information about self-care problems with a focus on children with pervasive developmental disorders is given. Then, opportunities, challenges, and assistive tools are presented. Finally, future research directions in this domain are stated.
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Afşar, Füsun. "Self-Care of Patients with Advanced Stage Heart Failure." In End Stage Therapy and Heart Transplantation [Working Title]. IntechOpen, 2023. http://dx.doi.org/10.5772/intechopen.113273.
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Despite continuing scientific and technological developments in the field of healthcare, heart failure has increasing prevalence and incidence throughout the world and remains one of the most important causes of morbidity and mortality. According to the 2015 data of the American Heart Association, there were approximately 6.2 million heart failure patients aged >20 years in the USA, and when 870,00 new diagnoses per year are added, it is estimated that the rate of diagnosed cases will increase by 46% by the year 2030. As heart failure is a chronic and progressive disease, it requires many years of follow-up, treatment, and care. The primary aims of heart failure treatment are to reduce mortality and hospital admissions, increase functional capacity, correct symptoms and findings, and improve quality of life. In addition to the medical treatment of patients with heart failure, to provide compliance with the recommendations related to the management of signs and symptoms which cause mild-severe impairments in daily life because of fatigue, shortness of breath, and other cardiac findings, it is necessary to record and strengthen self-care practices. Self-care is essential for patients with heart failure [HF], and improving self-care is a major focus of multidisciplinary HF management programmes worldwide. This chapter will consider self-care in four phases, determining the self-care evaluation, self-care maintenance, self-care monitoring, and self-care management.
Conference papers on the topic "Self-care management Practices"
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Gawash, Ahmed, David F. Lo, Kunal P. Shah, et al. "Exploring Geriatric Self Management of Type 2 DM: A Systematic Review." In 28th Annual Rowan-Virtua Research Day. Rowan University Libraries, 2024. http://dx.doi.org/10.31986/issn.2689-0690_rdw.stratford_research_day.102_2024.
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This review explores diabetic self-management in geriatric individuals, focusing on positive attitudes and support from family/friends as crucial for self-care optimization. A comprehensive search in health databases was conducted, which involved screening 248 participants across eight qualitative research studies. Themes emphasizing the importance of listening to one’s body, acknowledging hidden issues, and recognizing the impact of various factors on diabetes self-care were established. A holistic approach to self management, emphasizing the significance of positive attitudes, cultural sensitivity, and individual values in healthcare practices is recommended. Embracing cultural diversity and addressing barriers can enhance self-management and quality of life for geriatric individuals with diabetes.
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Clarke, Chantelle, and Talitha Best. "Addressing weight stigma through self- compassion: Psychological benefits for women with lipoedema." In 10th Annual International Weight Stigma Conference. Weight Stigma Conference, 2024. https://doi.org/10.31076/2024.p18.
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Weight stigma and physical symptoms of lipoedema (a fat disorder primarily affecting women) are related to depressive symptoms in lipoedema. Expressing self-compassion can improve psychological well-being in chronic health conditions. This cross-sectional survey study explored relationships between self-reported expressions of self-compassion (e.g., self-compassion meditations) lipoedema- related stressors (lipoedema symptom severity, mobility, experienced weight stigma and internal weight bias), fears of compassion and depressive symptoms in 829 women with lipoedema. Experiencing greater stressors did not relate to compassion use. Using self-compassion techniques (n = 66) related to lower depressive symptoms (p = .033) and lower internalised weight bias (p <.001). Interestingly, those who did not practice compassion-based techniques had higher fears of compassion towards the self (p <.001) and towards others (p = .010), but not from others, indicating that fears of expressing compassion may be hindering the uptake of self-compassionate practices. This study suggests that expressing self-compassion could benefit psychological well-being in lipoedema, particularly regarding depressive symptoms and weight-related self-perception. However, the adoption of self-compassionate practices is limited (8%) indicating a gap in self-care practices. Together, these findings demonstrate the potential for promoting compassion-based interventions as a psychological strategy in lipoedema management focusing on cultivating compassion and fear reduction.
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Gamlath, G. R. I. K., O. M. I. Jayalath, S. M. S. N. K. Samarakoon, et al. "Exploring Self-Care Management Practices among Patients Diagnosed with Type 2 Diabetes Mellitus at District General Hospital in Chilaw, Sri Lanka." In IECN 2023. MDPI, 2023. http://dx.doi.org/10.3390/iecn2023-15794.
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Silva Lidiane Aparecida Viera, Bernardes, de Lima Luciana, and Rodrigues Rita. "Enhancing teacher training for emotional and technological competence." In International conference Czech republic and lusophonic countries 2024: Education, art and digital technology in teaching. University of West Bohemia, Czech Republic, 2024. http://dx.doi.org/10.24132/zcu.2024.12426.86-87.
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The rapid transition to remote learning due to the COVID-19 pandemic emphasized the importance of integrating technological and socioemotional skills into teacher training. Facing the challenge of adapting to digital tools, educators encountered significant obstacles that affected their emotional health, leading to increased stress and burnout. In response, targeted training programs were initiated, focusing on educational technology and developing teachers’ emotional awareness and self-care practices. The study aimed to improve teachers’ understanding of their emotions, promoting self-regulation and strengthening pedagogical strategies through technology-mediated teaching. Over an 18-month period, 87 municipal teachers from the state of São Paulo, Brazil, participated in this initiative, which emphasized the importance of balancing technological skills with emotional health. Results showed notable progress in teachers’ ability to manage their emotions and use self-regulation strategies effectively, creating a more vibrant learning environment. This underscores the vital role of integrating technological mastery with emotional self-management in teaching practices. The combination leads to a more effective and enriching educational atmosphere, demonstrating that thoughtful technology use, coupled with an emphasis on emotional well-being, can profoundly benefit teacher training. This concise exploration reveals the necessity for comprehensive teacher training programs that equip educators with both the digital competencies and the emotional resilience needed in today’s educational landscape.
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Schiopu, Ana. "Problematic aspects of cost and expenditure accounting in technical vocational education institutions." In International student scientific conference "Challenges of accounting for young researchers", 8th Edition. Academy of Economic Studies of Moldova, 2024. https://doi.org/10.53486/issc2024.08.
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The transition to financial-economic self-management in technical vocational education institutions represents a significant change in the way these institutions manage their financial and accounting resources. Here are some important aspects related to this transition and the importance of expense tracking: The change to financial accounting in accordance with the National Accounting Standards (NAS): moving from budgetary accounting to financial accounting in accordance with NAS entails a major change involving the adoption of more rigorous and transparent accounting and reporting practices. Adjustment to European requirements and EU directives: the changes made to regulations, including NAS and the chart of accounts, are essential for harmonizing with European requirements and facilitating the comparability of financial information at the European level. Issues related to accounting for economic operations: the transition to financial accounting can be challenging and may initially lead to problems related to accurately accounting for various economic operations. Importance of expense tracking and reporting: expenses are a crucial element in the financial management of educational institutions and play an important role in the decision-making process of managers and founders. In conclusion, expense tracking and reporting play a crucial role in this process and must be treated with care and rigor to ensure effective and transparent financial management.
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Kovács, Zoltán, and Zsuzsanna Széles. "Hungarian secondary school students' self-care knowledge in practice." In 12th International Conference on Management 2023. The Publishing Office of Czestochowa University of Technology, 2023. http://dx.doi.org/10.17512/cut/9788371939563/28.
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Dinu, Viviana elena, Tudor ion Codarnai, Mariaiuliana Dascalu, Alin Moldoveanu, Cristian Taslitchi, and Ionut Negoi. "A PRACTICAL SURVEY ON HEALTH MONITORING DEVICES AND THEIR IMPACT ON QUALITY OF LIFE." In eLSE 2016. Carol I National Defence University Publishing House, 2016. http://dx.doi.org/10.12753/2066-026x-16-048.
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As a follow-up of the current escalated technology, especially in the fields related to advanced sensors and pervasive computing, significant changes have been brought in medical diagnostics and health surveillance equipment, including arrangements for prevention, self-care monitoring of various chronic conditions, as well as high performance hospital monitoring systems. This paper provides a detailed definition of a healthcare monitoring device and offers a multi-perspective classification of them. Some important examples (such as clothing-embedded sensors, mobile/smart devices, microprocessor-based monitoring systems, implantable sensors), and their exact fields of usage (e.g. blood pressure and heart rate monitoring, pulmonary arterial hypertension detection, diabetes management, movement impairments and so on) are also given, as well as a brief note on the exploited technologies (for instance wireless networks and sensors, microelectronics, biosensing technologies) in order to set the trends and offer a better understanding of the capabilities of health monitoring devices. We claim that learning how these health monitoring devices can improve one's lifestyle is of tremendous importance, therefore we underline the advantages of implementing and using them versus the reasons for which they are considered to be inappropriate, intrusive and controversial by some people who feel rather reluctant about the daily monitoring of their health parameters. Finally, means of educating people about how to optimally exploit the information given by health monitoring devices are presented, taking into account several factors, e.g. environment, age, people whom they interact with. In addition to this, best practices related to attracting more followers towards a healthier and more qualitative life through health monitoring devices will be enumerated. Obviously, there are also some risks in trying to raise people's awareness in this matter, that need to be assumed and are discussed within this article.
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Carik, G. N. "PROJECT SELF-MANAGEMENT OF DOCTORS IN KUZBASS." In I International Congress “The Latest Achievements of Medicine, Healthcare, and Health-Saving Technologies”. Kemerovo State University, 2023. http://dx.doi.org/10.21603/-i-ic-144.
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KOAV is a voluntary and self-governing public association of doctors. The purpose of the
 activities of organizations is to unite citizens for practical solutions to scientific problems in the field of
 medicine and health care.
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Penman, Joy, and Kerre A Willsher. "New Horizons for Immigrant Nurses Through a Mental Health Self-Management Program: A Pre- and Post-Test Mixed-Method Approach." In InSITE 2021: Informing Science + IT Education Conferences. Informing Science Institute, 2021. http://dx.doi.org/10.28945/4759.
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Aim/Purpose: This research paper reports on the evaluation of a mental health self-management program provided to immigrant nurses working at various rural South Australian aged care services. Background: The residential aged care staffing crisis is severe in rural areas. To improve immigrant nurses’ employment experiences, a mental health self-management program was developed and conducted in rural and regional health care services in South Australia. Methodology: A mixed approach of pre- and post-surveys and post workshop focus groups was utilized with the objectives of exploring the experiences of 25 immigrant nurses and the impact of the mental health program. Feminist standpoint theory was used to interpret the qualitative data. Contribution: A new learning environment was created for immigrant nurses to learn about the theory and practice of maintaining and promoting mental health. Findings: Statistical tests showed a marked difference in responses before and after the intervention, especially regarding knowledge of mental health. The results of this study indicated that a change in thinking was triggered, followed by a change in behaviour enabling participants to undertake self-management strategies. Recommendations for Practitioners: Include expanding the workshops to cover more health care practitioners. Recommendations for Researchers: Feminist researchers must actively listen and examine their own beliefs and those of others to create knowledge. Extending the program to metropolitan areas and examining differences in data. E technology such as zoom, skype or virtual classrooms could be used. Impact on Society: The new awareness and knowledge would be beneficial in the family and community because issues at work can impact on the ability to care for the family, and there are often problems around family separation. Future Research: Extending the research to include men and staff of metropolitan aged care facilities.
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Tran, Daniel, Krunalkumar Patel, Shivani Dalal, Umang Patel, and Troy Randle. "Focused POCUS: Cardiopulmonary Curriculum for Internal Medicine Residents." In 27th Annual Rowan-Virtua Research Day. Rowan University Libraries, 2023. https://doi.org/10.31986/issn.2689-0690_rdw.stratford_research_day.11_2023.
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Problem Statement: Point-of-care ultrasound (POCUS) is currently not a required core competency in internal medicine (IM) residency despite its inherent benefits, and many hospitalists are not equipped to confidently acquire nor interpret basic ultrasound images. Background: POCUS is used at the bedside by physicians to answer directed clinical questions to help guide patient management. During the COVID-19 pandemic, the use of ultrasound for quick, accurate diagnosis of life-threatening pathology has been instrumental in early detection of acute cardiopulmonary failure, monitoring treatment response, and minimizing nosocomial spread. We aimed to determine interest in learning POCUS, confidence level, self-rated proficiency, and perceived barriers to mastering imaging techniques and interpretation before and after implementing a dedicated curriculum. Methodology: Anonymous pre- and post-curriculum surveys were obtained from 30 IM residents at a community hospital program from 2020-2021. A curriculum consisting of one monthly didactic course with an associated hands-on simulation lab was implemented in small groups of six residents over one year. Topics included basic echocardiography, identifying right heart strain, inferior vena cava variability, techniques for ultrasound-guided vascular access, locating compartmental free fluid, and identifying various pulmonary disorders. The training was facilitated using a low-cost handheld portable ultrasound machine. Results: A total of 30 IM residents completed both the pre- and post-survey. While 100% of residents believed learning POCUS will be beneficial in the inpatient IM setting, only 20% of residents had any prior formal training on ultrasound. More specifically, 20% had no experience at all, 63.3% had some experience, and only 16.7% had a good amount of experience. However, no residents considered themselves to have enough experience or being experts. On a scale of 1-10, rating their confidence level of using ultrasound in clinical practice to guide management, the average mean score was 4.3/10 (SD 1.84) before implementation of the curriculum and 6.1/10 (SD 1.59) after implementation of the curriculum. Self-rated proficiency in obtaining and interpreting key images was poor across the board pre-curriculum, but consistently rose to average or above-average after completing the curriculum. Interestingly, the most common perceived barrier to learning ultrasound and proficiently using these skills in clinical practice was insufficient supervised practice (24/30, 80%), insufficient training (23/30, 76.7%), and insufficient knowledge/experts available (19/30, 63.3%). Conclusions: A structured POCUS curriculum focused on cardiovascular and pulmonary pathology was successfully incorporated into an IM residency program with minimal expenses and resource utilization. POCUS is becoming an integral part of the hospitalists’ arsenal in improving efficiency and directing medical care in the inpatient setting. Our study demonstrated retention of knowledge, increased interest, and improved confidence in POCUS utilization among IM residents while also suggesting a need for more skilled attending IM providers who can deliver their expertise to medical trainees with a unified goal of improving patient care. Future directions to solidify this curriculum would be to implement an oral and written practical assessment post-curriculum to further solidify comprehension, skills, and evaluate knowledge gaps.
Reports on the topic "Self-care management Practices"
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Fletcher, Justine, Sanne Oostermeijer, Bridget Hamilton, et al. Models of care and practice for the inpatient management of highly acute mental illness and acute severe behavioural disturbance: an Evidence Check rapid review. The Sax Institute, 2020. http://dx.doi.org/10.57022/lppe2712.
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Highly acute mental illness and acute severe behavioural disturbance (ASBD) are two of the most challenging problems faced by Mental Health Intensive Care Units (MHICU). ASBD is defined as behaviour that places the patient or others at imminent risk of injury or death. It includes extreme distress, aggression, and serious self-harm, in the context of mental illness. This Evidence Check assessed the literature on models of care and treatment strategies for these conditions, aiming to refine the model used in MHICU in NSW. It attempted to find the most effective models of care for high acuity and ASBD—and the barriers and enablers to implementing them. A total of 58 relevant papers were found, spanning 2015 to 2020. They were rated on a hierarchy of evidence designed for models of care and interventions in complex settings. Two models of care, ‘Safewards’ and ‘Improving the therapeutic milieu of the wards’, were rated as best practice. These were followed by five models of care, themes and groups of treatments at middle levels of the hierarchy, and nine themes and treatment practices at the lowest level. There were several features common to numerous papers in the review: therapeutic engagement, meaningful activities, safe spaces, and welcoming spaces. Barriers and enablers to implementation were generally not addressed specifically. However, themes emerging from the papers showed several enabling factors: training, buy-in from stakeholders at all levels of the organisation, and assessment of progress. Barriers to implementation included lack of support from management and lack of engagement from frontline staff. Complex, multilevel practice change interventions appear necessary for effective implementation.
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Totten, Annette, Dana M. Womack, Marian S. McDonagh, et al. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, 2022. http://dx.doi.org/10.23970/ahrqepccer254.
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Objectives. To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12–14, 2021. Data sources. We conducted a comprehensive literature search of Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. Review methods. Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. Results. We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. Conclusions. While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.
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Goller, Jane, Stephanie Munari, Cassandra Caddy, et al. General Practice engagement: STI, HIV and viral hepatitis care. The Sax Institute, 2023. http://dx.doi.org/10.57022/lnur4773.
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Early detection and treatment of sexually transmitted infections, HIV, and hepatitis B and C are vital to minimise the harm they cause. This Evidence Check aimed to identify effective initiatives that engage and support GPs and the GP clinic workforce in NSW to increase testing for these conditions. It also aimed to identify effective modifications to practice management software to increase GP engagement in screening and care for these conditions. Sixty-two articles were found in total. The most effective initiatives used multiple interventions, particularly provider education and quality improvement. They involved both GPs and other health workers, and offered clinic-level initiatives to help identify patients at higher risk (e.g. software-generated alerts) and engage them in testing (e.g. through self-collected specimens). Models of care that used nurse-led testing or links to specialist services offered a way to increase capacity to carry out testing. The quality of evidence was mixed—there were few randomised controlled trials, and little evidence about the sustainability of the initiatives over time, highlighting the need for further high-quality research.
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Lamina, Toyin, Hamdi I. Abdi, Kathryn Behrens, et al. Strategies To Address Racial and Ethnic Disparities in Health and Healthcare: An Evidence Map. Agency for Healthcare Research and Quality (AHRQ), 2024. http://dx.doi.org/10.23970/ahrqepctb46.
Full textAbstract:
Background. Racial and ethnic disparities in health and healthcare continue to endure in the United States despite efforts in research, practice, and policy. Interventions targeted at patients, clinicians, and/or health systems may offer ways to address disparities and improve health outcomes in prevention/treatment of chronic conditions in adults. Purpose. This evidence map identifies existing interventions to be considered for implementation by healthcare system leaders and policymakers, and to inform researchers and funding agencies on gaps in knowledge and research needs. Methods. We searched MEDLINE, CINAHL, and Scopus from January 2017 through April 2023 for U.S.-based studies from the peer-reviewed published literature. We incorporated supplementary information from systematic reviews. We supplemented this with the gray literature, when available, from pertinent organizations, foundations, and institutes. We held discussions with Key Informants who represented stakeholders in healthcare disparities. Findings. A vast and varied literature addresses healthcare system interventions to reduce racial and ethnic health and healthcare disparities. We identified 163 unique studies from 174 reports, and 12 intervention types not mutually exclusive in their descriptions. The most studied intervention type was self-management support, followed by prevention/lifestyle support, then patient navigation, care coordination, and system level quality improvement (QI). Most of the interventions specifically targeted patient behaviors. Few studies (5) used a comparator, which made it difficult to determine whether disparities between groups were reduced or eliminated. Most of the studies (45%) included multiple race/ethnic groups (i.e., enrolled participants from more than one racially/ethnically minoritized group or enrolled racially minoritized people and non-minoritized groups). We found few studies that exclusively enrolled Asians (6%) and American Indians/Alaska Natives (1%). Cancer was the most studied chronic condition. Randomized controlled trials were common; but less rigorous study designs were often used for system level quality improvement (QI) and collaborative care model interventions. Few studies reported patient experience as primary outcomes. Studies did not report on harms or adverse events and nor did they report on factors necessary for determining applicability or sustainability of the interventions. A number of studies reported on cultural adaptation or community involvement (either partnership or collaboration). Future studies should seek to standardize the terms in which they describe interventions and aim to specifically address whether disparities between groups are reduced or eliminated. Nonetheless, this evidence map provides a resource for health systems to identify intervention approaches that have been examined elsewhere and that might be imported or adapted to new situations and environments.