Abstract：
BACKGROUND:Extended hospital stays and complications are common among older adults and may lead to morbidity and loss of independence. Specialized geriatric units have been shown to improve outcomes but, with the growing numbers of older adults, may be difficult to scale to meet needs. PURPOSE:The purpose was to evaluate a quality improvement initiative that redesigned unit-based workflow and trained interprofessional teams on general medical/surgical units to create care plans for vulnerable older adults using principles of comprehensive geriatric assessment and team management. METHOD:The evaluation included a cluster randomized controlled trial of 10 medical/surgical units and intention-to-treat analysis of all patients meeting risk screening criteria. RESULTS:N = 1,384, median age = 80.9 years, and 53.5% female. Mean difference in observed vs. expected length of stay was 1.03 days shorter (p = .006); incidence of complications (odds ratio [OR] = 0.45; 95% confidence interval [CI] = 0.21-0.98) and transfer to intensive care (OR = 0.45; 95% CI = 0.25-0.79) lower among patients admitted to intervention units; incidence of discharge to institutional care was higher (OR = 1.43; 95% CI = 1.06-1.93). Mortality during hospitalization (OR = 0.64; 95% CI = 0.37-1.11) did not differ between groups. CONCLUSION:Reorganizing general medical/surgical units to provide team-based interprofessional care can improve outcomes among hospitalized older adults.
journal_name
Nurs Outlookjournal_title
Nursing outlookauthors
Borenstein JE,Aronow HU,Bolton LB,Dimalanta MI,Chan E,Palmer K,Zhang X,Rosen B,Braunstein GDdoi
10.1016/j.outlook.2015.11.014subject
Has Abstractpub_date
2016-03-01 00:00:00pages
137-145issue
2eissn
0029-6554issn
1528-3968pii
S0029-6554(15)00329-2journal_volume
64pub_type
杂志文章,随机对照试验相关文献
NURSING OUTLOOK文献大全abstract：BACKGROUND:Uncertainty exists surrounding collaborative relations among Doctor of Nursing Practice (DNP)- and Doctor of Philosophy (PhD)-prepared faculty. PURPOSE:This qualitative study explored the attitudes and determinants for effective collaboration among doctoral-prepared nursing faculty. METHODS:Focus groups we...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2016.08.003
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:The discipline of nursing uses a general definition of shared governance. The discipline's lack of a specified theory with precepts and propositions contributes to persistent barriers in progress toward building evidence-based knowledge through systematic study. PURPOSE:The purposes of this article were to ...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2016.01.004
更新日期：2016-07-01 00:00:00
abstract：:Ethics consultations are utilized in health care to identify and manage conflict, difficult decision-making, and ethical issues. In bioethics mediation, a more updated approach using interpersonal, mediative, conflict management, and dispute resolution skills is merged with ethical principles to manage dilemmas arisin...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2008.10.006
更新日期：2009-07-01 00:00:00
abstract：BACKGROUND:A better understanding of the needs of adolescents and emerging adults with special health care needs (AEA-SHCNs) is essential to provide health care transition services that represent best practices. The purpose of this systematic review was to evaluate the research on health care transition for AEA-SHCNs f...
journal_title：Nursing outlook
pub_type： 杂志文章,评审
doi：10.1016/j.outlook.2013.01.008
更新日期：2013-09-01 00:00:00
abstract：:The Institute of Medicine's quality initiatives have collectively emphasized the importance of information technology to the transformation of health care. Not coincidentally, federal initiatives in 2004 have signaled the start of "the decade of health information technology." Building on those reports, this article d...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2005.02.006
更新日期：2005-07-01 00:00:00
abstract：:The Quality and Safety Education for Nurses (QSEN) initiative identified 6 competencies for the education of nurses (patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics) and the related knowledge, skills, and attitudes (KSAs) for each competency. The...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2011.01.001
更新日期：2011-05-01 00:00:00
abstract：:The Duke-Nurses Improving Care of Healthsystem Elders (NICHE) is an example of an academic-practice partnership between a university-based school of nursing and a health system that aims to improve care of older adults by simultaneously enhancing the expertise of frontline nursing staff, accelerating the implementatio...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2011.02.007
更新日期：2011-05-01 00:00:00
abstract：:Although it is hypothesized that workload is a causative factor of the nurse faculty shortage and that nurse faculty workload is not equitable with that of faculty from other academic disciplines, it is not known whether evidence supports this assertion. This paper has three objectives: (1) to identify what is known a...
journal_title：Nursing outlook
pub_type： 杂志文章,评审
doi：10.1016/j.outlook.2011.01.002
更新日期：2011-09-01 00:00:00
abstract：:Precision health can provide an avenue to bridge and integrate ways of knowing for research and practice. Nurse scientists have a long-standing interest in using multiple sources of information to address research questions of significance to the profession and discipline of nursing, which can lead to much needed cont...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2019.05.011
更新日期：2019-01-01 00:00:00
abstract：:It is difficult to clarify the characteristics of the nursing profession and the problems that exist within this field. Gaining an understanding of nurses' perceptions regarding their profession can improve knowledge on this subject. The aim of this qualitative study was to describe the perceptions of Iranian Register...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2006.06.001
更新日期：2006-11-01 00:00:00
abstract：BACKGROUND:Precision health considers individual lifestyle, genetics, behaviors, and environment context and facilitates interventions aimed at helping individuals achieve well-being and optimal health. PURPOSE:To present the Nursing Science Precision Health (NSPH) Model and describe the integration of precision healt...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2019.01.003
更新日期：2019-01-01 00:00:00
abstract：:The University of Minnesota has developed a limited-cohort distance education graduate program to overcome geographic barriers and address the shortage of master's-prepared specialty nurses in rural areas of the upper Midwest. Such a program offers graduate nursing education in various specialty areas to distance site...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/s0029-6554(99)90038-6
更新日期：1999-01-01 00:00:00
abstract：:This article explores how the role of the hospital nurse has been transformed by managed care, with a concentration on changes relevant to communicative relationships and processes. Two brief case analyses are considered to examine how hospital nurses have felt the impact of being on the "front lines" of managed care....
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1067/mno.2002.126111
更新日期：2002-07-01 00:00:00
abstract：:Although interdisciplinarity has become a favored model of scholarly inquiry, the assumption that interdisciplinary work is intuitive and can be performed without training is short-sighted. This article describes the implementation of an interdisciplinary research training program within a school of nursing. We descri...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2010.11.002
更新日期：2011-01-01 00:00:00
abstract：:Despite all of the protections promised through grandfathering and pathways to educational mobility, the entry movement tends to be perceived by many to be "demoting" the lives and livelihoods of hundreds of thousands of RNs who do not possess the education to meet the proposed standard. Here is a proposal for a way o...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
abstract：BACKGROUND:Posttraumatic stress disorder (PTSD) is prevalent in both homeless and nonhomeless veterans. PURPOSE:To examine unique characteristics of being homeless that may influence PTSD treatment completion and clinical success. METHODS:Twenty-three veterans who were homeless and residing in a homeless shelter, alo...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2016.04.006
更新日期：2016-09-01 00:00:00
abstract：:The United Nations 2030 Agenda for Sustainable Development was implemented on January 1, 2016 and is composed of 17 Sustainable Development Goals (SDGs) and further delineated by 169 targets. This article offers background information on the 2030 Agenda as it relates to nursing and midwifery, professional organization...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2019.06.013
更新日期：2019-01-01 00:00:00
abstract：:There are limited studies on nursing diagnoses of the elderly living in nursing homes worldwide. This study aimed to define the most frequent nursing diagnoses in the elderly residents of a nursing home elder care and rehabilitation center. Seventy-four elderly individuals were included in the study. Data were collect...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2011.03.007
更新日期：2012-01-01 00:00:00
abstract：:The judicial system regards nursing as an occupation that, for the most part, possesses a body of knowledge that is not known to lay persons. However, according to the courts, nursing does not possess a monopoly on that knowledge, since physicians also possess nursing knowledge. Until recently the courts implied that ...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：
更新日期：1987-01-01 00:00:00
abstract：:In summary, the number of schools using CAI is increasing, and available CAI programs are multiplying rapidly. We believe that a critical factor in classroom use of CAI is the selection of appropriate topics for presentation by this method of media instruction. Faculty must know students' reactions and level of satisf...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/0029-6554(94)90008-6
更新日期：1994-07-01 00:00:00
abstract：OBJECTIVES:Although considerable progress has been made in understanding networks, their structure, and their development, little has been known about their effectiveness in the health care setting and their contributions to quality of care and patient safety.The purpose of this study was to examine studies using socia...
journal_title：Nursing outlook
pub_type： 杂志文章,评审
doi：10.1016/j.outlook.2015.05.006
更新日期：2015-09-01 00:00:00
abstract：:This article traces the funding priorities of the John A. Hartford Foundation--the largest private philanthropy in the United States dedicated to aging and health--to increase the competence of the health care workforce (physicians, nurses, and social workers) to care for our aging society. A review of the Foundation'...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2011.05.002
更新日期：2011-07-01 00:00:00
abstract：:On May 1-2, 2000, the National Institute of Nursing Research (NINR) hosted a Spring Science Work Group on Increasing Nursing Postdoctoral Opportunities. The work group met at the National Institutes of Health (NIH) in Bethesda and was chaired by Dr Patricia A. Grady, director, and Dr Hilary D. Sigmon, program director...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1067/mno.2001.112790
更新日期：2001-07-01 00:00:00
abstract：:In this article, a study of the life histories of 5 self-identified lesbian women in nursing is reported. A metastory of "In/Visibility" captured the essence of lesbians being the focus of intense scrutiny while at the same time feeling the pressure to keep their lifestyle and identity hidden from others. Seven story ...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1067/mno.2001.106906
更新日期：2001-01-01 00:00:00
abstract：BACKGROUND:The VA Quality Scholars (VAQS) program is an interprofessional fellowship that provides a unique opportunity for predoctoral nurse scientists to embed their work in quality improvement learning "laboratories" to inform their scholarship, science, and research. PURPOSE:To describe the VAQS program in relatio...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2020.08.003
更新日期：2020-09-24 00:00:00
abstract：BACKGROUND:Pending revisions to the Common Rule include topics consistent with respect for persons, justice, and beneficence for research subjects in studies using omics technologies and are relevant to omics research. PURPOSE:Synthesize trends in bioethics, precision health, and omics nursing science for novice and e...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2018.05.003
更新日期：2018-01-01 00:00:00
abstract：:As the aging baby boom generation begins to place additional pressures on the health care system and the nursing workforce of the same generation begins to retire, the worsening nursing shortage has the potential to seriously impact the delivery of health care in the United States and is receiving considerable attenti...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2008.01.002
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:More than 40% of children in military families are <6 years old, a period when children are most dependent on their parents' physical and emotional availability. PURPOSE:This systematic review describes the impact of deployment since 9/11 on the mental health of military families with young children, evalua...
journal_title：Nursing outlook
pub_type： 杂志文章,评审
doi：10.1016/j.outlook.2015.06.002
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:Further efforts are warranted to identify innovative approaches to best implement competencies in nursing education. To bridge the gap between competency-based education, practice, and implementation of knowledge, skills, and attitudes, one emerging approach is entrustable professional activities (EPAs). PU...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：10.1016/j.outlook.2017.11.001
更新日期：2018-01-01 00:00:00
abstract：:Systematic evaluations of nursing educational programs can be difficult, time-consuming, contentious, and unrewarding processes. Yet there is little doubt of the value of a well-designed, systematic evaluation. Nurse educators and administrators currently face challenges to maximize the value of educational resources ...
journal_title：Nursing outlook
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
