Abstract:
AIMS:The assessment of functional status is a more appropriate measure in the older people than traditional healthcare outcomes. The present study aimed to analyse the association between functional status assessed using the Barthel Index and length of stay, in-hospital mortality, discharge destination, and Diagnosis-Related Groups-based cost. DESIGN:This study was a retrospective study that used administrative data from patients older than 65 discharged from the University Hospital of Padua (Italy) in 2016. METHODS:A logistic regression model for categorical variables (length of stay, in-hospital mortality, and discharge destination) and a generalized linear model with gamma distributions and log links for continuous variables (cost of hospitalization) were used to evaluate associations with the Barthel Index. RESULTS:A total of 13,484 admissions were included in the analysis. In-hospital mortality, safe discharge, and length of stay were higher in patients with severe dependence than in patients with mild/no dependence with a 12-fold increased risk of death (OR = 12.81; 95% CI 9.22-18.14), a 4 times greater likelihood of safe discharge (OR = 4.64; 95% CI 3.96-5.45), and a 2-fold increase in length of stay (OR = 2.56; 95% CI 2.34-2.81). On the other hand, no significant association was found between the cost of hospitalization and the Barthel Index. CONCLUSIONS:Barthel Index was strongly associated with in-hospital mortality, discharge destination, and length of stay. The costs of hospitalization, however, were not related to patients' functional impairment. IMPACT:The study considers functional status as an indicator of hospital outcomes. Better comprehension of the relationship between functional status and healthcare outcomes may help with early and adequate healthcare planning and resource management.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Ocagli H,Cella N,Stivanello L,Degan M,Canova Cdoi
10.1111/jan.14708subject
Has Abstractpub_date
2020-12-04 00:00:00eissn
0309-2402issn
1365-2648pub_type
杂志文章abstract::Resilience is the ability of people to 'spring back' in the face of adversity. It is an important concept for nurses as we endeavour to assist individuals to meet the challenges of living with illness and ageing. Researchers from many disciplines in both the social and health sciences have investigated resilience of i...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1997.1997025123.x
更新日期:1997-01-01 00:00:00
abstract:AIM:The aim of this study was to explore the experience of loneliness among frail older people living at home. BACKGROUND:Loneliness is a threat to the physical and psychological well-being with serious consequences if left unattended. There are associations between frailty and poor psychological well-being, implying ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12853
更新日期:2016-03-01 00:00:00
abstract:AIM:This paper is a report of an assessment of the construct validity of the Chinese version of the Edinburgh Feeding Evaluation in Dementia scale. BACKGROUND:The Edinburgh Feeding Evaluation in Dementia scale has previously been translated and back-translated and to determine the equality of the Chinese and English v...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04596.x
更新日期:2008-04-01 00:00:00
abstract::There has been extensive speculation about the lack of research utilization in nursing but little attempt to quantify this phenomenon outside of North America. The current demands for evidence-based practice necessitate research utilization as one element of the process. As part of a larger project, this study aimed t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01416.x
更新日期:2000-07-01 00:00:00
abstract::This paper describes the processes involved in selecting a sample, from the eight English regional health authorities, of nurse qualifiers from all four branches of the Project 2000 pre-registration diploma course, for a longitudinal study of nurses' careers. A simple random sample was not feasible since accurate info...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01355.x
更新日期:2000-04-01 00:00:00
abstract::Successful adjustment to a chronic illness such as diabetes mellitus is influenced by a variety of psychosocial factors. The purpose of this study was to examine the extent to which social support, personal resources, coping styles, and psychosocial adjustment to illness differ among women with diabetes living in diff...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01620.x
更新日期:2000-12-01 00:00:00
abstract::Longitudinal panel studies have several distinct methodological and analytical advantages over cross-sectional studies for gaining an understanding of nurses' careers and developing strategies to facilitate retention. Panel studies do, however, present the researcher with a number of substantial challenges if maximum ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1994.20040729.x
更新日期:1994-10-01 00:00:00
abstract:AIM:The purpose of this article is to present the research protocol of a systematic review about fall risk assessment tools in acute hospitalized patients. BACKGROUND:Various risk assessment tools for falls have been developed, but with uncertainties derived from validation in heterogeneous environments and variations...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.06104.x
更新日期:2013-01-01 00:00:00
abstract::A sample of ward-based assessors from the Gwynedd School of Nursing demonstrated unfavourable attitudes to the current system of practical examinations as measured by a scale produced by the author. He suggests that this information could be a desirable adjunct to the unhindered introduction of continuing clinical ass...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1986.tb03389.x
更新日期:1986-11-01 00:00:00
abstract:AIMS:To evaluate the effectiveness of an Avatar application for educating people with acute coronary syndrome (heart attack). BACKGROUND:A lack of understanding of Acute Coronary Syndrome symptoms and appropriate responses often contribute to delay in seeking medical treatment. DESIGN:A single-centre, non-blinded, pr...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jan.14210
更新日期:2020-01-01 00:00:00
abstract:AIM:To conduct an integrative review to examine evidence of pain and associated symptoms in adult (≥21 years of age), postcraniotomy, brain tumour patients hospitalized on intensive care units. BACKGROUND:Healthcare providers believe craniotomies are less painful than other surgical procedures. Understanding how postc...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12890
更新日期:2016-06-01 00:00:00
abstract:AIMS:To describe the characteristics of medication administration (MA) incidents reported to have occurred in patients' own homes (reporters' profession, incident types, contributing factors, patient consequence, and most common medications involved) and to identify the connection terms related to the most common contr...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14532
更新日期:2020-12-01 00:00:00
abstract::This study examines the gender-role orientation, gender-role conflict, job commitment and work motivation of female student nurses in the Republic of Ireland. Career aspirations, year of nurse training and geographical area of upbringing were examined as potential concomitants of these dependent measures. Subjects com...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1995.tb02739.x
更新日期:1995-03-01 00:00:00
abstract:AIM:To evaluate the effects of a self-care promoting problem-based learning programme for people with rheumatic diseases in terms of health-related quality of life, empowerment, and self-care ability. BACKGROUND:Individuals with rheumatoid arthritis express a great need for education and support in adapting to the dis...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jan.12008
更新日期:2013-07-01 00:00:00
abstract:AIMS:To investigate the moderating effects of work overload and supervisor support on the emotional exhaustion-depressive state relationship. BACKGROUND:Burnout and depression are prevalent in human service professionals and have a detrimental impact on clients. Work overload and supervisor support are two key job dem...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12948
更新日期:2016-08-01 00:00:00
abstract:AIMS:This study compared the work-related experiences and personal health status of double-duty caregivers with those of caregivers who do not provide informal care to a family member or close friend in need. BACKGROUND:The interest in providing informal care alongside employment is growing. However, little attention ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12320
更新日期:2014-07-01 00:00:00
abstract::The value of coronary care units in reducing mortality has been questioned in recent years. However, nurses working in such units have acquired considerable specialist knowledge about coronary artery disease and the psychological problems of patients requiring intensive care. During the 1970s several formal studies of...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1983.tb00333.x
更新日期:1983-07-01 00:00:00
abstract:AIMS:This paper is a report of a descriptive study of Chinese abdominal surgical patients' and nurses' perceptions of discharge information needs. BACKGROUND:Discharge from hospital poses a potential threat to surgical patients' lives because they have to cope in daily life with the consequences of the illness and sur...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05528.x
更新日期:2011-05-01 00:00:00
abstract:AIM:The aim of this study was to investigate the relative importance of key factors affecting the likelihood of hospital acquired pressure ulcers, thus offering the groundwork for the development of an empirically-based risk assessment scale. It also evaluated the predictive performance of the underlying empirical mode...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02778.x
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Eastern sociocultural systems differ in many ways from Western ones, and these differences influence many aspects of the postpartum period. AIM:The purpose of this study was to determine postpartum women's health status in the wider social context of the Taiwanese family after women return home from the hos...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.02032.x
更新日期:2001-12-01 00:00:00
abstract::The introduction of 'open' visiting and family involvement in the care of hospitalized children created a revolution in the care of children in hospitals. This historical study utilized the situation at the Hospital for Sick Children, Toronto (HSC), as a case study illustrating change. Although psychological research ...
journal_title:Journal of advanced nursing
pub_type: 历史文章,杂志文章
doi:10.1111/j.1365-2648.1992.tb02813.x
更新日期:1992-12-01 00:00:00
abstract:AIM:The aim of this paper was to report the process evaluation of facilitators' delivery of a psychosocial intervention (called CONNECT), in a randomized controlled trial, to men with prostate cancer and their partners. BACKGROUND:There is a lack of information on the process of implementing psychosocial interventions...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jan.13248
更新日期:2017-07-01 00:00:00
abstract:AIMS:This paper is a report of a study of association between workplace injuries experienced by nursing assistants in nursing homes in the United States and four factors that may affect injury rates: initial nursing assistant training, training at the current facility, lifting devices, and time to execute daily duties....
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05785.x
更新日期:2012-04-01 00:00:00
abstract::Continuing education is now recognized as essential if nursing is to develop as a profession. United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) consultations are currently seeking to establish appropriate preparation for a 'higher level of practice' in the United Kingdom. The relevance o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01388.x
更新日期:2000-05-01 00:00:00
abstract::The aim of the study reported in this paper was to describe and analyse care-givers' caring relationships with patients suffering from dementia. The theoretical perspective was caring science. Data were collected through interviews with six care-givers in a ward for patients with severe dementia. From the qualitative ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.00955.x
更新日期:1999-04-01 00:00:00
abstract:AIMS:To evaluate the effectiveness of a tailored blood glucose control protocol for postoperative cardiac surgery patients treated in intensive care. DESIGN:Retrospective study. METHODS:Data for the control group (non-tailored protocol) were collected from medical records at a tertiary hospital in Seoul, Korea betwee...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14592
更新日期:2020-10-05 00:00:00
abstract:AIMS:To provide: (a) an overview of interventions aimed at improving mental health of student or novice nurses; and (b) an evaluation of their effectiveness on dropout-related outcomes. DESIGN:Systematic review. DATA SOURCES:Research papers published between January 1971-February 2019 were identified from the followi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14453
更新日期:2020-10-01 00:00:00
abstract:AIMS:The aims of this study were to develop an understanding of the lived experience of the Post Anaesthetic Unit Recovery Nurse facilitating Advanced Directives and implications for patient-centred care. DESIGN:Interpretive phenomenological analysis. METHODS:Homogenized purposive sampling of six Registered Nurses us...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14357
更新日期:2020-07-01 00:00:00
abstract::The aim of the study reported in this paper was to identify stress factors in the early stage of acute traumatic hand injury. Stress factors were defined as circumstances which the hand-injured patients experienced as problems in the actual situation. A total of 20 patients, treated as inpatients at the Department of ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01630.x
更新日期:2000-12-01 00:00:00
abstract::This paper describes a research study designed to evaluate a community health service development in one health authority in rural England. The study compared two types of primary care teams working towards the same objectives. Surveys of patients and staff in the health authority were conducted about a range of issue...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01051.x
更新日期:1994-01-01 00:00:00