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Full-Text Articles in Medicine and Health Sciences
Evidence And Impact Of Expectancies Associated With Psychotropic Medication Reductions In Persons With Mental Retardation, Christopher S. Baglio
Evidence And Impact Of Expectancies Associated With Psychotropic Medication Reductions In Persons With Mental Retardation, Christopher S. Baglio
Ed.D. Dissertations
This study was an attempt to understand the presence and impact of staff expectancies related to psychotropic medication reductions conducted with persons diagnosed with mental retardation. Within a state operated developmental center in the Midwest, results indicated that direct support staff overwhelmingly expected individuals to get worse following such a reduction. These expectancies significantly impacted data recording practice leading to discrepant elevations reported by staff expecting deterioration. Finally, while written communication about planned psychotropic medication reductions did not appear to elevate data recording as was hypothesized, reductions were associated with increases in both behaviors and psychiatric symptoms. This study has …
The Systems In Critical Access Hospitals Which Support Individual Patient Care Decisions, Darlene Alanna Christiansen
The Systems In Critical Access Hospitals Which Support Individual Patient Care Decisions, Darlene Alanna Christiansen
Ed.D. Dissertations
Health care in rural America has presented many challenges for health care organizations in ensuring patient autonomy in decision-making. Current literature has not reflected a distinction between the systems utilized in the general acute care hospital and the rural American critical access hospital to support the patient in the decision-making process. The purpose of this qualitative study was to identify the systems in place at a sample of critical access hospitals which support patient autonomy. Using a Grounded Theory method, data were collected and aggregated through an electronic survey tool and follow-up validation interviews. Recommendations include the development of staff …