Готові списки джерел за темами / Geriatric research

Добірка наукової літератури з теми "Geriatric research"

Автор: Grafiati

Опубліковано: 6 вересня 2023

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Статті в журналах з теми "Geriatric research"

Hamaker, Marije E., Meike Prins, and Lieke H. van Huis. "Update in geriatrics: What geriatric oncology can learn from general geriatric research." Journal of Geriatric Oncology 9, no. 4 (July 2018): 393–97. http://dx.doi.org/10.1016/j.jgo.2018.01.005.

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Murphy, S. L. "Geriatric Research." American Journal of Occupational Therapy 64, no. 1 (January 1, 2010): 172–81. http://dx.doi.org/10.5014/ajot.64.1.172.

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Nishijima, Tomohiro F., Kazuo Tamura, Fumio Nagashima, Keisuke Aiba, Mitsue Saito, Toshiaki Saeki, Kumiko Karasawa, et al. "Landscape of education and clinical practice in geriatric oncology: a Japanese nationwide survey." Japanese Journal of Clinical Oncology 49, no. 12 (September 5, 2019): 1114–19. http://dx.doi.org/10.1093/jjco/hyz123.

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Abstract Objective The aim of this survey was to describe how geriatric oncology is integrated in undergraduate teaching and graduate training as well as in daily clinical oncology practice in Japan. Methods All schools of medicine in Japan are allied with graduate schools of medicine. We conducted a survey of all Japanese medical and graduate schools (n = 81), and designated cancer hospitals (n = 437) from July 2018 to August 2018. The survey of the schools asked about existence of geriatrics division and geriatric oncology service and if an education curriculum in geriatrics and geriatric oncology was used. The survey of designated cancer hospitals requested general hospital information and the current practice patterns of general geriatric and cancer patients. Results Forty-eight medical schools (59%) participated in this survey, and teaching in geriatrics and geriatric oncology was implemented in 23 schools and 1 school, respectively. Forty-two graduate schools of medicine (52%) responded; five had an education curriculum in geriatrics, but none provided geriatric oncology training. Among 151 participating hospitals (35%), 5 had a geriatrics division and 20 hospitals employed geriatricians. There was no geriatric oncology service or geriatric oncology specialists in any of the 151 hospitals. Seventy percent of the hospitals reported performing a geriatric assessment for at least some older adults with cancer. Conclusions This survey provides information on the current state of Japanese education and clinical practice in geriatric oncology. In Japan, a nation with among the largest population of older citizens in the world, education and training greatly need to be promoted to disseminate a core set of geriatrics knowledge and skills to students, trainees and healthcare professionals.

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Frolova, Elena V. "Geriatric medicine: achievements and prospects." Russian Family Doctor 25, no. 3 (November 18, 2021): 7–16. http://dx.doi.org/10.17816/rfd71284.

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The article is a lecture on the history of development and the current state of geriatric medicine. The purpose of the lecture is to consider the stages of the formation of geriatrics as a scientific and clinical discipline and to substantiate its significance. The lecture defines concepts such as holistic approach, complex geriatric assessment, geriatric syndrome. The role of the founders of international and domestic geriatrics, such as M. Warren, B. Isaac, D. Sheldon, I.I. Mechnikov, V.N. Anisimov, E.S. Pushkova, is described. Various directions of geriatric medicine are considered and the necessity of their study is justified. The results of scientific research in geriatrics are analyzed. The basic principles of the ortho-geriatric approach, which becomes crucial for the successful treatment of elderly patients with fractures, as well as the features of geriatric rehabilitation, geriatric cardiology, are described. In conclusion, the author offers several models for the development of geriatric medicine.

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Mizutani, Tomonori, Kenichi Nakamura, Haruhiko Fukuda, Shimon Tashiro, Asao Ogawa, Tesuya Hamaguchi, and Fumio Nagashima. "Geriatric Oncology Research." Annals of Oncology 28 (October 2017): ix24. http://dx.doi.org/10.1093/annonc/mdx559.001.

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Mewshaw, Jennifer, Donald E. Bailey Jr., Amber L. Anderson, Ruth A. Anderson, Andrew L. Burd, Cathleen Colón-Emeric, and Kirsten N. Corazzini. "A novel program for ABSN students to generate interest in geriatrics and geriatric nursing research." Journal of Nursing Education and Practice 7, no. 6 (February 4, 2017): 95. http://dx.doi.org/10.5430/jnep.v7n6p95.

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The current shortage of nurse researchers in geriatrics adversely affects the capacity of nurses to conduct research to advance the evidence-based care of older adults. In an effort to generate interest in geriatrics and geriatric nursing research, the Duke University School of Nursing designed a summer internship for four students enrolled in the accelerated baccalaureate nursing (ABSN) program. This paper describes the experience of these ABSN students and the staff and faculty who worked with them. The program design, staff and faculty experiences, benefits and challenges, as well as recommendations for future programs are discussed. The purpose of this article is to highlight the benefits and challenges of offering research experiences to nursing students in an ABSN program to stimulate interest in geriatrics and geriatric nursing research.

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Korc-Grodzicki, Beatriz, Sung W. Sun, Armin Shahrokni, Koshy Alexander, Soo Jung Kim, Sincere McMillan, and George J. Bosl. "The role of a geriatrician in a cancer center." Journal of Clinical Oncology 34, no. 3_suppl (January 20, 2016): 39. http://dx.doi.org/10.1200/jco.2016.34.3_suppl.39.

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39 Background: Older adults are likely to have coexisting health conditions, polypharmacy and functional limitations. The geriatrician may have a pivotal role in risk assessment, prevention and treatment of comorbidities and addressing geriatric syndromes. The purpose of this study is to describe the growth and development of, and the role of a Geriatrics Service (GS) in a cancer center. Methods: A GS was founded in MSKCC in 2009. Since then it has grown to provide inpatient (IP) and outpatient (OP) care for older adults undergoing cancer diagnosis, surveillance or active treatment. It offers preoperative evaluations, geriatric assessment (GA) and follow-up shared- care. Recently, a Transitional Care Management (TCM) program was established for patients at increased risk of rehospitalization. The GS strives to develop an interprofessional educational geriatrics curriculum and to participate in quality and research projects focused on cancer and aging. Results: Between 2009 and 2014 a total of 6679 new patients were evaluated by the GS. 16% of the patients were 65-75, 70% were 76-85 and 14% were older than 85. 46% were male and 84% were white. 15% were IP and 85% were OP consultations. 13% of the OP consults were for GA, the rest were preoperative evaluations. All patients seen preoperatively who are admitted after surgery, are followed postoperatively by the IP geriatrics team. In total, 4 Geriatricians, 2 Geriatric Nurse Practitioners (GNP) and 3 RNs were recruited. The number of follow-up visits increased from 143 in 2009 to 733 in 2014. The new TCM program based on close communication between the IP and OP GNP has been successful in keeping frail patients from frequent rehospitalizations. Noon conferences on geriatrics for the house staff, a biannual course on “Advancing Nursing Expertise in the Care of Older Adults with Cancer” and a monthly interprofessional meeting for the discussion of Geriatric Clinical Complex Cases (GCCC) are ongoing. Research has focused on risk assessment and the use of telemedicine in geriatric patient care. Conclusions: The establishment of a GS in a cancer center was very well received and embraced by the oncologists showing an unmet need in the care of the older cancer patient. The potential reproducibility beyond the cancer center will be discussed.

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Levy, Barnet M. "Research in Geriatric Dentistry." Gerodontology 4, no. 2 (December 1985): 49–51. http://dx.doi.org/10.1111/j.1741-2358.1985.tb00368.x.

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Schechter, Bruce M. "Ethics in Geriatric Research." Journal of Pharmacy Practice 1, no. 3 (December 1988): 235–42. http://dx.doi.org/10.1177/089719008800100313.

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As the need for more information on age-related clinical pharmacology grows, there will be an increased emphasis on research involving elderly individuals. Ethical concerns surrounding the protection of elderly research subjects is increasingly a topic of debate. The increased vulnerability of institutionalized elderly, recruitment and retention of elderly subjects, and informed consent are important issues that affect the conduct of research in this population. Investigators should be aware of the special problems associated with research in the older population and be prepared to deal with these before embarking on a research project. This article provides the pharmacy practitioner with an introduction to the basic ethical principles relating to the conduct of research involving the elderly and gives an overview of some of the important problems that may be encountered. Issues such as autonomy, competence, informed consent, proxy, and rights of privacy are outlined. Circumstances in which elderly patients are deserving of special protections when participating in a research project are discussed and potential guidelines for addressing the unique problems surrounding research in the elderly are offered.

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Rastall, Maggie. "Teaching Students Geriatric Research." Physiotherapy 87, no. 4 (April 2001): 220. http://dx.doi.org/10.1016/s0031-9406(05)60618-9.

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Дисертації з теми "Geriatric research"

Hast, Angelica, and Ann Björkas. "Äldre patienters upplevelser av vården på en geriatrisk vårdavdelning : En intervjustudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-304329.

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Bakgrund: Svensk statistik tyder på att antalet multisjuka äldre kommer att öka. Hälso- och sjukvårdslagen stadgar att vården skall vara av god kvalitet och tillgodose patienternas behov av trygghet. I dagens samhälle föreligger en risk att äldre människor utsätts för ålderism, vilken kan påverka vårdens kvalitet och orsaka ett lidande för de äldre patienterna. Syfte: Att beskriva äldre patienters upplevelser av vården på en geriatrisk vårdavdelning i Mellansverige. Metod: Latent kvalitativ innehållsanalys av tolv semistrukturerade intervjuer. Resultat: Resultatet utgörs av två teman och sju subteman. Temat Upplevelser av att få en god vård beskriver att de äldre patienterna upplevde sig få en vårdande miljö samt att vårdpersonalen fungerade som en hälsoresurs vilket kunde gynna patienternas välbefinnande. Temat belyser att ett gott bemötande och att få bli sedd som en person resulterade i positiva känslor samt att delaktighet och självbestämmande var viktiga faktorer. Temat Upplevelser av att få en bristande vård beskriver att upplevelser av en otrygg omgivning och avsaknad av sjukdomshänsyntagande, bristande bemötande och kunskap samt att inte få en personcentrerad vård resulterade i negativa känslor. Slutsatser: Resultatet visar att det förekommer både positiva och negativa upplevelser av vården på avdelningen. Att de äldre patienterna upplever brister i vården uppmärksammar att det finns en risk för att ålderism existerar och påverkar vårdens kvalitet. Examensarbetet kan tillföra kunskap om och förståelse för hur äldre patienter upplever vården, vilket kan bidra till bättre förutsättningar för en god vårdupplevelse.
Background: Swedish statistics indicate that there will be an increase in the number of elderly with multiple illnesses. The Health Care Act stipulates that the care provided must be of good quality and meet the patients’ needs for security. In today's society there is a risk that older people are subjected to ageism, which can affect the quality of healthcare and expose the older patients to conditions of suffering. Aim: To describe older patients’ experiences of healthcare at a geriatric ward in central Sweden. Methods: A latent qualitative content analysis of twelve semi-structured interviews. Results: The results consist of two themes and seven subthemes. The theme Experiences of getting good health care describes that when older patients experienced a nurturing environment and the caregivers worked as a health resource, it could benefit the patients’ wellbeing. The theme emphasizes that encountering a good reception and being aknowledged as a person resulted in positive emotions, and that participation in the care process and self-determination were key factors. The theme Experiences of receiving a lack of care describes that the experience of an unsafe environment, actual diseases not being taken into account, lack of treatment and knowledge, as well as being denied person-centered care, resulted in negative emotions. Conclusions: The results indicate that both positive and negative resposnses concerning the care at the ward are experienced. The older patients who experience deficiencies in healthcare, recognize that there is a risk that ageism exists, which may affect the quality of care. The thesis provides knowledge and understanding of how older patients experience healthcare which can contribute to better conditions for the patients, in order for them to experience good healthcare.

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Azmi, Sabiha. "Research into the attitudes, perceptions and circumstances of Asian elders with respect to health and old age : a stress and coping perspective." Thesis, Bangor University, 1999. https://research.bangor.ac.uk/portal/en/theses/research-in-to-the-attitudes-perceptions-and-circumstances-of-asian-elders-with-respect-to-health-and-old-age--a-stress-and-coping-perspective(3d80fb88-9f16-44e7-a2b9-9a92da015ed4).html.

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Research into the health needs of Asian elders has been scarce, that which does exist has lacked a theoretical framework. A first attempt is made in the present research study to relate the literature on race and ethnicity to theory and practice in gerontology. A stress and coping model from the gerontological literature was adapted to account for outcomes of physical/psychological health and well-being amongst south Asian elders. In order to test the applicability of this model the first aim of the study was to gain an insight into the circumstances and situations of Asian elders on a range of demographic, support, health and well-being factors. And then-secondly, to see how these factors may interrelate according to the stress and coping model. A range of specific hypotheses were formulated on the basis of this model. Data were collected using semi-structured interviews conducted with a community sample of 70 South Asian elders who were 55 years and over. The interview schedule consisted of both standardised measures of health, stress and coping as well as structured questions on the use of formal/informal support, satisfaction with life and attitudes towards old age. Data were analysed in two phases. The results from the first phase which were largely descriptive, suggest that a significant number of Asian elders were living either alone or with their spouse. In general Asian elders were living in circumstances of material disadvantage, suffering from poor health and chronic illnesses, reporting high levels of psychological distress with little formal and informal support. Awareness and receipt of specialist support services for older adults was low. The results from the second phase involving analyses of correlations and regressions, indicate significant correlations between outcome measures of health/mental health and satisfaction with life with measures of coping, appraisals and to some extent resource variables. There were also significant correlations between positive/negative outcomes of health and well-being with positive/negative ways of coping, appraisal and some resource variables. The factor associated most strongly with outcome variables was social support (resource) rather than coping. Overall, the stress and coping model appears to account well for most of the research findings. The results were discussed in relation to previous research literature and implications for future research and clinical practice were discussed.

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Glasson, Janet Barbara. "Improving aspects of quality of nursing care for older acutely ill hospitalised medical patients through an action research process /." View Thesis, 2004. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20050706.140432/index.html.

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Larsson, Mauleon Annika. "Care for the elderly : a challenge in the anaesthesia context /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-209-8/.

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Glasson, Janet, University of Western Sydney, College of Social and Health Sciences, and of Nursing Family and Community Health School. "Improving aspects of quality of nursing care for older acutely ill hospitalised medical patients through an action research process." THESIS_CSHS_NFC_Glasson_J.xml, 2004. http://handle.uws.edu.au:8081/1959.7/481.

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The current literature suggests one of the challenges of nursing today is to meet the health care needs of the growing older population, people over the age of 65. Quality of nursing is important for acutely ill older people who are the largest group of patients in terms of hospital admissions. The ageing population is a major focus for social and economic planners and policy makers. There is an increasing need for health systems to change their focus to more closely assess strategies used to manage the acutely ill older hospital population. The main aim of this study was to improve the quality of nursing care for older, acutely ill, hospitalised medical patients. The study used a mixed method triangulated approach that utilised quantitative and qualitative methods to survey perceived needs of older patients, their family members/carers and the nursing staff, in the process of developing, implementing and evaluating a new model of care using a participatory action research (PAR) process. There were three specific objectives. The first was to evaluate which aspects of nursing care were considered most important for older patients during acute hospitalisation from the perspective of older patients, their family members/carers and their nurses. The second was to develop and implement a model of care that addressed the identified nursing care needs and priorities of older patients through the PAR process. The third was to determine whether employing a PAR process, the chosen model of care addressed the identified nursing care needs and priorities and resulted in increased patient satisfaction and improved health care for older patients. This study demonstrated the implementation of a PAR process to motivate nursing staff, utilising an evidence-based model of care approach, resulted in changes to clinical nursing practice that impacted positively on older patients’ and nursing staff’s satisfaction with care provided, patient knowledge and final health outcomes. It is recommended that the findings of this study be applied to develop guidelines for acutely hospitalised medical patients, particularly for issues relating to educational sessions to increase the patient’s functional activities and knowledge levels of their medication regimes prior to discharge.
Master of Health Science (Hons)

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Paasivaara, L. (Leena). "Tavoitteet ja tosiasiallinen toiminta:suomalaisen vanhusten hoitotyön muotoutuminen monitasotarkastelussa 1930-luvulta 2000-luvulle." Doctoral thesis, University of Oulu, 2003. http://urn.fi/urn:isbn:9514269012.

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Abstract The purpose of this study was to describe and understand the evolution of the content and characteristics of Finnish geriatric nursing from the 1930s till the 2000s. The research approach was based on three underlying assumptions: historicity, multi-level analysis and the dimensions of goals and actual practice. Historicity implied both a long-term analysis of the phenomenon and the use of historical methodology. Multi-level analysis implied that the phenomenon was analyzed at both a macro-level and a micro-level. The macrolevel consisted of the societal geriatric policies (level I). The micro-level was divided into functional environments comprising the municipal context (level II) and nursing organizations (level III) as well as the nursing practice (level IV). The focal aim in the multi-level analysis was to compare the goals (at levels I-III) to the actual practice (level IV). The underlying theoretical premises of the multi-level analysis consisted of system-oriented thinking, and the data were organized in terms of the guidance model. The evolution of geriatric nursing was analyzed on the basis of official documents at the level I, the municipal documents of three municipalities in northern Finland at the level II, the documents of geriatric nursing organizations in selected municipalities at the level III, and retrospective knowledge of nursing aids and assistants and practical nurses at the level IV. In addition to this, contemporary material as well as relevant literature, magazines and research findings were used to shed light on the historico-sociocultural context. The manner of reading applied was systematic interpretation, which allowed the macro- and micro-level information of geriatric nursing in different historical periods to be integrated into a comprehensible whole. The study highlighted the basic dimensions of both goals and actual practice. Using a theoretical societal frame of analysis, they were combined into the general guidelines of geriatric nursing: the retaining nursing of the activation stage (1930-1950), the collective nursing of the preliminary stage (1950-1970), the individual nursing of the revitalizing stage (1970-1990) and the balancing nursing of the renovative stage (1990-). The findings indicated that the evolution of geriatric nursing was shaped by the goal-oriented dimensions of the geriatric policies, the municipal organizations and the functional contexts of the nursing organizations as well as the nurses' role in the actual practice. The findings also indicated that the goals defined in geriatric policies were implemented in the actual nursing practice with some delay. The purpose of the study was to produce synthesizing basic nursing research. It thus opened up a new perspective into the research questions motivated by nursing science. The findings can also be utilized in efforts to understand the value and knowledge base of geriatric nursing and in nurse education. In order to be able to develop nursing further, it is important not to approach nursing as a separate phenomenon, but to integrate it into a wider historico-sociocultural analysis. The methodological solutions made here can also be applied to other nursing research
Tiivistelmä Tutkimuksen tarkoituksena oli kuvailla ja ymmärtää suomalaisen vanhusten hoitotyön sisällön ja luonteen muotoutumista 1930-luvulta 2000-luvulle. Tutkimuksen tarkastelunäkökulmana oli kolme perusolettamusta: historiallisuus, monitasoisuus sekä tavoitteiden ja tosiasiallisen toiminnan ulottuvuudet. Historiallisuus viittasi sekä ilmiön tarkasteluun pitkällä aikavälillä että historialliseen tutkimusmenetelmään. Monitasoisuus liitti ilmiön tarkastelun makro- ja mikrotasoille. Makrotason muodosti yhteiskunnallinen vanhuspolitiikka (I-taso). Mikrotaso jakaantui kunnalliseen (II-taso) ja hoito-organisaatioiden (III-taso) muodostamiin toimintaympäristöihin sekä käytännön hoitotyöhön (IV-taso). Monitasotarkastelun lävistävänä näkökulmana oli heijastaa tavoitteellisia ulottuvuuksia (I-III-taso) käytännön tosiasialliseen toimintaan (IV-taso). Tutkimuksen väljänä monitasotarkastelua ohjaavana teoreettisena lähtökohtana oli systeemiajattelu ja jäsennyksenä toimi ohjausmalli. Vanhusten hoitotyön muotoutumista haettiin I-tasolla virallisten dokumenttien, II-tasolla kolmen pohjoissuomalaisen kunnan kunnallisten asiakirjojen, III-tasolla valittujen kuntien vanhusten hoito-organisaatioiden dokumenttien sekä IV-tasolla apu-, perus- ja lähihoitajien muistitiedon avulla. Tämän lisäksi ajan historiallis-sosiokulttuurisen kontekstin ymmärtämiseksi hyödynnettiin aikalaisaineiston ohella myös ilmiötä koskevaa kirjallisuutta, aikakauslehdistöä ja tutkimustietoa. Tutkimuksen luentatapana oli systematisoiva tulkinta, jonka avulla integroitiin makro- ja mikrotason tiedot vanhusten hoidosta eri aikakausilta yhteen ymmärrettäväksi kokonaisuudeksi. Tutkimus tuotti sekä tavoitteellisten että tosiasiallisen toiminnan ulottuvuuksien peruslinjat. Näistä muodostettiin teoreettista yhteiskunnallista jäsennyskehystä hyödyntäen hoitotyön yleiset kehityslinjat: aktivointivaiheen säilyttävä hoitotyö (1930-1950), luonnosteluvaiheen kollektisoiva hoitotyö (1950-1970), elävöittämisvaiheen yksilöllinen hoitotyö (1970-1990) sekä uudentamisvaiheen tasapainoileva hoitotyö (1990-). Tutkimus osoitti, että hoitotyön muotoutumiseen vaikuttivat vanhuspolitiikan, kunnallisen ja hoito-organisaatioiden toimintaympäristöjen tavoitteelliset ulottuvuudet sekä hoitajan rooli tosiasiallisessa toiminnassa. Tuloksista kävi ilmi, että vanhuspolitiikan tavoitteet heijastuivat hoitotyön tosiasialliseen toimintaan viiveellä. Tutkimuksen ideana oli tuottaa kokoavaa hoitotieteellistä perustutkimusta. Tutkimus avasi siten uutta näkökulmaa hoitotieteen tieteenalasta nouseviin tutkimuskysymyksiin. Tuloksia voidaan hyödyntää myös vanhusten hoitotyön arvo- ja tietoperustan ymmärtämiseen sekä hoitotyön opetukseen. Hoitotyön edelleen kehittämisen kannalta on tärkeää, että hoitotyötä ei tarkastella vain yksittäisenä ilmiönä, vaan se liitetään laajempaan ajan historiallis-sosiokulttuuriseen tarkasteluun. Tutkimuksen menetelmällisiä ratkaisuja voidaan soveltaa myös muissa hoitotieteellisissä tutkimuksissa

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Boström, Anne-Marie. "Evidence-based care of older people - utopia or reality? : healthcare personnel's perceptions of using research in their daily practice /." Stockholm : Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-385-6/.

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Hickman, Louise D. "Patients, carers and nurses collaborators in development of a new model of nursing care for older persons in the acute care setting /." View thesis, 2007. http://handle.uws.edu.au:8081/1959.7/37238.

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Thesis (Ph.D.)--University of Western Sydney, 2007.
A thesis presented to the University of Western Sydney, College of Health and Science, School of Nursing, in fulfilment of the requirements for the degree of Doctor of Philosophy. Includes bibliographies.

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Hickman, Louise D. "Patients, carers and nurses : collaborators in development of a new model of nursing care for older persons in the acute care setting." Thesis, View thesis, 2007. http://hdl.handle.net/1959.7/uws:48031.

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Globally the population is ageing and as a consequence people are living longer with multiple chronic conditions. A range of factors, including decreased lengths of hospital stay and a greater focus on community based care, has led to an increasing acuity of patients admitted to acute care settings, many with complex care needs. To date, models of nursing care in acute settings have been configured to focus on acute, procedural care and do not meet the unique needs of the older person. In order to ensure optimal health outcomes of older hospitalised people, nursing care needs to be responsive to the priorities and needs of patients and their families. This study sought to collaboratively develop a model of nursing care with nurse clinicians to improve the care of older people in the acute care setting. Model development was driven by an action research framework, using evidence-based principles and a comprehensive needs assessment. A three phased, mixed method design was embedded within the overarching conceptual and philosophical framework of action research. The first phase of the study comprised a needs assessment and allowed appraisal of the needs of patients as perceived by patients, carer’s and nurses, this was performed using the Caring Activity Scale [CAS]. Qualitative data and semi-structured interviews added depth to the survey data and qualified responses by confirming that patients thought that nurses did the best they could within a culture of busyness, while patients strived to maintain and sustain their own independence. Managing the discharge process and carer burden arose mainly from the carer semi-structured interviews only. Data revealed significant differences between patients, carer’s and nurses in relation to priority and satisfaction with care. Patients did not place a large importance on discharge care which contrasted with the focus of nursing initiatives. During the subsequent phases of the study a collaborative approach, using action research principles, was used to develop and implement a model of nursing care. A key feature of this model was the introduction of a team structure with a focus on patient centred care. Significant differences were identified in the pre model and post model patient groups in relation to satisfaction with care, with the post model group more satisfied than the pre group model group. Further, improvements in functional status and medication knowledge were demonstrated among patients cared for under the new model. This study has demonstrated that developing a model of care appropriate to the needs of patients, carer’s and nurses can be achieved through the use of action research principles. Study data illustrates the importance of collaboration, empowerment and change management principles in driving clinical improvement and patient satisfaction with care. The findings also underscore the importance of promoting and educating patients and carers as well as nurses about the importance of discharge planning to optimise post-discharge health outcomes.

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Monteiro, Edilene Araújo. "Validação do Questionário de Avaliação da Sobrecarga do Cuidador Informal em um amostra de cuidadores brasileiros." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-21052014-154833/.

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O envelhecimento populacional no Brasil tem sido influenciado pela transição demográfica e epidemiológica. Em consequência, prevalecem as doenças crônicas e ocorre um decréscimo na capacidade funcional do idoso. É quando surge a necessidade do cuidador no contexto das famílias. Os objetivos deste estudo metodológico foram adaptar para uso no Brasil o Questionário de Avaliação da Sobrecarga do Cuidador Informal (QASCI) e analisar as propriedades psicométricas em uma amostra de cuidadores informais de idosos. O QASCI é composto por 32 itens cujas respostas são obtidas em valores que variam de um a cinco e integra sete domínios: Implicações na vida pessoal; Satisfação com o papel e com o familiar; Reações a exigências; Sobrecarga emocional; Apoio familiar; Sobrecarga financeira e Percepção dos mecanismos de eficácia e de controle. O escore total varia de 32 a 160, e quanto maior o valor, maior a sobrecarga. O processo de adaptação seguiu os passos metodológicos, conforme preconizado pela literatura: adaptação semântica, avaliação pelo comitê de juízes, análise semântica dos itens, obtenção da versão final e análise das propriedades psicométricas. Os dados foram coletados mediante entrevistas domiciliares, no período de setembro de 2012 a fevereiro de 2013, nas áreas cadastradas das Equipes de Saúde da Família do município de João Pessoa-PB. Participaram do estudo 132 cuidadores de idosos que apresentavam alguma dependência funcional. A validade de constructo convergente do QASCI foi avaliada com testes de correlação de Pearson entre as medidas de sobrecarga e de constructos correlatos (ansiedade e depressão); análise fatorial confirmatória (dimensionalidade) e teste para comparação de grupos conhecidos (idade, tempo de cuidado, nível de dependência); e a confiabilidade foi avaliada pela consistência interna de seus itens (alfa de Cronbach). O nível de significância adotado foi de 0,05. A maioria dos participantes era do sexo feminino (87,1%), casados (47,7%), com idade média de 50 anos e oito anos de escolaridade. Quanto ao grau de parentesco com o idoso, 63% eram filhos, e 14%, cônjuges. Cerca de 89% dos cuidadores residiam com o idoso, apresentavam média de sete anos de tempo de cuidado, e 39% não contavam com ajuda no cuidado ao idoso. Quanto às propriedades avaliadas, em relação à validade de constructo convergente da versão adaptada do QASCI, obtivemos correlação forte entre as medidas de sobrecarga e de depressão (r=0,61; p=0,001) e correlação moderada entre as medidas de sobrecarga e de ansiedade (r=0,50, p=0,001) (validade convergente). Na comparação das medidas de sobrecarga segundo a idade do cuidador (adultos e idosos) (p=0,046) e classificação da dependência do idoso (p=0,001), confirmamos nossas hipóteses iniciais. A análise fatorial confirmatória evidenciou bom ajuste do modelo de medida advindo da versão adaptada do QASCI e manteve a estrutura fatorial inicialmente assumida no modelo proposto pelos autores da versão original. Quanto à confiabilidade, obtivemos valor adequado para a consistência interna da versão adaptada do QASCI considerando o total dos itens (?= 0,92) e as dimensões (alfas variando de 0,51 a 0,88). Diante dos resultados, concluímos que a versão adaptada do QASCI atendeu aos critérios de validade e confiabilidade na amostra estudada. Sugerem-se novos estudos a fim de testar essas propriedades em outros grupos de cuidadores brasileiros
Demographic aging in Brazil has been influenced by the epidemiological and demographic transition. As a consequence, chronic diseases prevail and the functional capability of the elderly decreases. That is when the presence of a caregiver in the family context becomes necessary. The objectives of this methodological study were to adapt the Questionnaire for Assessment of Informal Caregiver Burden (QAICB) for its use in Brazil and to analyze psychometric properties in a sample of informal caregivers of elderly individuals. The QAICB is comprised of 32 items whose answers are obtained in values ranging from one to five, integrating seven domains: Implications in personal life; Satisfaction with the role and the family member; Reactions to demands; Emotional burden; Family support; Financial burden and Perception of the mechanisms of efficacy and control. The total score varies between 32 and 160, and the higher the score, the greater the burden. The adaptation process followed the methodological steps recommended in literature: semantic adaptation, evaluation by a committee of judges, semantic analyses of the items, obtainment of the final version and analysis of psychometric properties. Data were collected by means of home interviews, between September of 2012 and February of 2013, in the registered areas of the Family Health Teams of João Pessoa, state of Paraíba. Study participants were 132 caregivers of elderly individuals with some functional dependence. The validity of convergent construct of the QAICB was assessed by means of Pearson\'s correlation tests between the measures of burden and correlated constructs (anxiety and depression); confirmatory factor analysis (dimensionality) and test for comparison of known groups (age, time of care, level of dependence); and the reliability was assessed by the internal consistency of the items (Cronbach\'s alpha). The level of significance adopted was 0.05. Most of the participants were women (87.1%), married (47.7%), with a mean age of 50 years and eight years of education. Regarding the relationship of the caregiver to the elderly, 63% were children, and 14% were spouses. Approximately 89% of the caregivers lived with the elderly, presented a mean time of care of seven years, and 39% did not have any help in the care of the elderly. Regarding the properties evaluated, in relation to the validity of the convergent construct of the adapted version of the QAICB, a strong correlation was found between the measures of burden and depression (r=0.61; p=0.001) and a moderate correlation was observed between the measures of burden and anxiety (r=0.50, p=0.001) (convergent validity). In the comparison of the measures of burden as for the age of the caregiver (adults and elderly) (p=0.046) and the classification of the dependence of the elderly (p=0.001), the initial hypotheses of the authors were confirmed. The confirmatory factor analysis evidenced a good adjustment of the measure model originating from the adapted version of the QAICB and the factor structure initially assumed in the model proposed by the authors of the original version was maintained. As for reliability, an adequate value was obtained for the internal consistency of the adapted version of the QAICB, considering the total of the items (?= 0.92) and the dimensions (alpha varying between 0.51 and 0.88). In light of the results, the adapted version of the QAICB showed compliance with the criteria of validity and reliability in the studied sample. New studies are suggested so as to test these properties in other groups of Brazilian caregivers

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Книги з теми "Geriatric research"

J, Aizenstein Howard, Reynolds Charles F, and Fernandes Myra, eds. Neuroimaging research in geriatric mental health. New York: Springer Pub., 2009.

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Pauline, Fielding, ed. Research in the nursing care of elderly people. Chichester: Wiley, 1987.

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M, Montez Daniella, ed. Psychiatric research trends: Dreams and geriatric psychiatry. Hauppauge, N.Y: Nova Science, 2010.

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MD, Murphy Elaine, ed. Geriatric psychiatry: Key research topics for clinicians. Chichester: J. Wiley, 1995.

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Administration, United States Veterans Health. Geriatric research, education, and clinical centers.: Program guide. Washington, DC: Dept. of Veterans Affairs, Veterans Health Administration, 1991.

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R, Leventhal Steven, Froelich Molly, Pearlman Julia F, and American Medical Student Association. Task Force on Aging., eds. Geriatric education and research opportunities: Training in geriatrics/research on aging for graduate and undergraduate students of medicine. Reston, Va. (1910 Association Dr., Reston 22091): American Medical Student Association, 1985.

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Connelly, Peter J. Are antipsychotic drugs usedappropriately in geriatric psychiatry? (Edinburgh): Scottish Office, 1992.

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Virginia, Burggraf, and Barry Richard 1949-, eds. Gerontological nursing: Current practice and research. Thorofare, NJ: SLACK, Inc., 1996.

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Mary, Corcoran, and American Occupational Therapy Association, eds. Geriatric issues in occupational therapy: A compendium of leading research. Bethesda, MD: AOTA Press, 2003.

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Manfred, Bergener, Belmaker Robert H, and Tropper Meinhardt S, eds. Psychopharmacotherapy for the elderly: Research and clinical implications. New York: Springer Pub. Co., 1993.

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Частини книг з теми "Geriatric research"

Williams, Grant R., Hyman B. Muss, and Shlomit Strulov Shachar. "Research Methods: Translational Research in Geriatric Oncology." In Geriatric Oncology, 1–20. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44870-1_3-1.

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Bastiaannet, Esther. "Research Methods: Epidemiologic Research in Geriatric Oncology." In Geriatric Oncology, 1–12. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44870-1_8-1.

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Williams, Grant R., Hyman B. Muss, and Shlomit Strulov Shachar. "Research Methods: Translational Research in Geriatric Oncology." In Geriatric Oncology, 1043–62. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-57415-8_3.

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Bastiaannet, Esther. "Research Methods: Epidemiologic Research in Geriatric Oncology." In Geriatric Oncology, 1031–42. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-57415-8_8.

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Shahrokni, Armin, Sincere McMillan, and Koshy Alexander. "Research Methods: Outcomes and Survivorship Research in Geriatric Oncology." In Geriatric Oncology, 1–14. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44870-1_1-1.

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Shahrokni, Armin, Sincere McMillan, and Koshy Alexander. "Research Methods: Outcomes and Survivorship Research in Geriatric Oncology." In Geriatric Oncology, 1115–28. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-57415-8_1.

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Sachs, Greg A., and Harvey Jay Cohen. "Ethical Challenges to Research." In Geriatric Medicine, 1025–33. New York, NY: Springer New York, 1997. http://dx.doi.org/10.1007/978-1-4757-2705-0_68.

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Loewenstein, David A., and Carl Eisdorfer. "Issues in Geriatric Research." In Research in Psychiatry, 427–43. Boston, MA: Springer US, 1992. http://dx.doi.org/10.1007/978-1-4899-0688-5_17.

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Wedding, Ulrich. "Research Methods: Quality of Life and Patient-Reported Outcome Research in Geriatric Oncology." In Geriatric Oncology, 1–10. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44870-1_4-1.

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Wedding, Ulrich. "Research Methods: Quality of Life and Patient-Reported Outcome Research in Geriatric Oncology." In Geriatric Oncology, 1105–13. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-57415-8_4.

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Тези доповідей конференцій з теми "Geriatric research"

Yu, Kaijun, Ruiyi Gong, Minyan He, Shanshan Hu, and Rui Wang. "Literature Clustering Analysis of Geriatric Nursing Research." In Proceedings of the 2019 International Conference on Organizational Innovation (ICOI 2019). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/icoi-19.2019.136.

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Ruijuan, Zhang, Zhang Bin, He Jundong, Wei Zhixian, Hou Jinjie, and Gao Dongmei. "Research Hotspots Analysis of Geriatric Nurse by PubMed." In 2015 7th International Conference on Information Technology in Medicine and Education (ITME). IEEE, 2015. http://dx.doi.org/10.1109/itme.2015.149.

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Huei Chou, Wen, Chung-wen Hung, and Ya-ling Ko. "Transdisciplinary design research of Homebound Seniors." In 5th International Conference on Human Systems Engineering and Design: Future Trends and Applications (IHSED 2023). AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1004160.

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According to the World Population Prospects report released by the United Nations, the proportion of individuals aged 65 and above is expected to increase from 9% in 2019 to 16% between 2019 and 2050. This trend indicates a rapid increase in the elderly population, which poses significant social development challenges. Maintaining the health of the elderly is essential for their continued ability to contribute to their families and communities. The complex effects of aging, such as physiological degradation, memory loss, and diminished physical coordination, can significantly impact daily life, making it crucial to find ways to delay aging and enhance the quality of life of the elderly. Achieving this goal requires transdisciplinary collaboration among professionals.This design research project involved a transdisciplinary team comprising geriatric occupational therapy, electrical engineering, and digital design professionals who proposed a design solution for solitary older adults. The proposed solution is a multi-player drumming interactive device designed for home use, integrating virtual and physical elements with low technological burden on users. This interactive device combines various elements, including music therapy, interactive games, upper limb exercises, cognitive training, and social connection, among others.Transdisciplinary collaboration among professionals is crucial in addressing complex issues that require diverse perspectives and expertise. The collaboration between professionals in geriatric occupational therapy, electrical engineering, and digital design can lead to more comprehensive and effective solutions. However, challenges associated with such collaborations include integrating diverse knowledge systems, aligning different work logics, and incorporating different problem-solving approaches. The potential benefits of transdisciplinary collaboration include more innovative problem-solving and consideration of the needs and preferences of aging populations.In this study, digital designers studied game-based learning theories for older adults, interface design requirements, and their habits of using online courses. They collaborated with geriatric occupational therapists to investigate the interactive user needs and drumming course planning for older adults, while electrical engineers integrated the virtual and real operating interface to reduce the elderly's learning burden. The system enabled older adults to play online games with other players at home through a simple drumming game using Unity and Bluetooth connection technology. This not only helped to prevent muscle atrophy but also facilitated remote communication with other players.Experimental testing of the proposed design showed its suitability for future applications in the field of elderly entertainment. The study examined the effects of drumming on the upper limb muscles, cognition, and emotions of older adults, as well as the ease of use of the overall system structure for the elderly. Despite communication barriers due to the use of technical language and jargon specific to each profession and the need for team members to develop a mutual understanding of each other's work logic and problem-solving approaches, transdisciplinary collaboration offers a promising approach to addressing complex issues in geriatric occupational therapy, electrical engineering, and digital design.

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P, Srividya. "Camera based real time distress monitoring system for geriatric people." In 2021 International Conference on Disruptive Technologies for Multi-Disciplinary Research and Applications (CENTCON). IEEE, 2021. http://dx.doi.org/10.1109/centcon52345.2021.9688005.

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Li, WeiNa. "Research on A Multimodal Fusion Intention Understanding Algorithm for Geriatric Carer Robots." In 2022 2nd International Conference on Computer Graphics, Image and Virtualization (ICCGIV). IEEE, 2022. http://dx.doi.org/10.1109/iccgiv57403.2022.00046.

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Lach, Ewa, Iwona Benek, and Adam Bednorz. "THE APPLICATION OF VIRTUAL REALITY FOR COGNITIVE FUNCTIONS' DIAGNOSIS OF THE GERIATRIC HOSPITAL'S PATIENTS." In 13th annual International Conference of Education, Research and Innovation. IATED, 2020. http://dx.doi.org/10.21125/iceri.2020.0849.

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Urosevic, Vladimir, Paolo Paolini, and Christos Tatsiopoulos. "An interactive environment for managing detected data towards geriatric prevention." In 2017 IEEE 3rd International Forum on Research and Technologies for Society and Industry - Innovation to Shape the Future for Society and Industry (RTSI). IEEE, 2017. http://dx.doi.org/10.1109/rtsi.2017.8065968.

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Wang, Jianmin, Michelle Greiver, Patricia O’Brien, and christina southey. "Applying QI-focused SPIDER approach to safer deprescribing for geriatric patients: Results of the toronto feasibility study." In NAPCRG 49th Annual Meeting — Abstracts of Completed Research 2021. American Academy of Family Physicians, 2022. http://dx.doi.org/10.1370/afm.20.s1.2643.

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Ricevuti, Giovanni, Letizia Venturini, Sergio Copelli, Franco Mercalli, and Giuseppe Nicolardi. "Data driven MCI and frailty prevention: Geriatric modelling in the City4Age project." In 2017 IEEE 3rd International Forum on Research and Technologies for Society and Industry - Innovation to Shape the Future for Society and Industry (RTSI). IEEE, 2017. http://dx.doi.org/10.1109/rtsi.2017.8065932.

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Noonan, Anne M., Janine A. Overcash, Anupama Suresh, Laura K. Flora, Julie Stephens, Geetika Bhatt, Raquel Reinbolt, et al. "Abstract A55: A prospective geriatric breast cancer cohort study to define unique features and outcomes in older breast cancer patients." In Abstracts: AACR Special Conference: Advances in Breast Cancer Research; October 7-10, 2017; Hollywood, CA. American Association for Cancer Research, 2018. http://dx.doi.org/10.1158/1557-3125.advbc17-a55.

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Звіти організацій з теми "Geriatric research"

Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, Shazia M. Siddique, S. Ryan Greysen, Meghan B. Lane-Fall, and Amy Y. Tsou. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), September 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.

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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.

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