Medicine and Health Sciences Commons^™

Patient Perspectives Of Physicians' Compliance Gaining Strategies, Margaret Malinda Lambert

Theses, Dissertations and Capstones

This research examined strategies used by physicians for compliance gaining and patient responses to those strategies. Respondents were surveyed regarding their expectations about strategies physicians would use to gain compliance with requests related to changing lifestyle behaviors and how the respondents anticipated they would respond to physicians. Findings revealed that patients did anticipate specific persuasive strategies from physicians and anticipated responding in specific ways. Most respondents expect expertise strategies from physicians and plan to comply. Expertise strategies, however, were also linked with patients who planned to defy or ignore their physicians’ requests. Findings suggest that future research into why patients …

The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Aims & rationale/Objectives Population ageing poses major challenges for health systems. Additionally, training future general practitioners in the management of older and chronically ill patients is potentially hampered by the reluctance of these patients to consult trainees for chronic care. This paper reports a cross-sectional study investigating the attitudes of older patients to trainees, to inform strategies to improve older patient-trainee interaction. Methods The survey instrument was distributed to 1900 patients aged 60 and over from 38 training practices from five Australian states using a stratified, randomised cluster sampling process. Generalised estimating equation models were used for analysis. Principal findings …

Filtering Out The Noise: Evaluating The Impact Of Noise And Sound Reduction Strategies On Sleep Quality For Icu Patients, Karen J. Bosma, V. Marco Ranieri

Department of Medicine Publications

The review article by Xie and colleagues examines the impact of noise and noise reduction strategies on sleep quality for critically ill patients. Evaluating the impact of noise on sleep quality is challenging, as it must be measured relative to other factors that may be more or less disruptive to patients' sleep. Such factors may be difficult for patients, observers, and polysomnogram interpreters to identify, due to our limited understanding of the causes of sleep disruption in the critically ill, as well as the challenges in recording and quantifying sleep stages and sleep fragmentation in the intensive care unit. Furthermore, …

Patient Satisfaction And Energy Intakes Are Enhanced By Point Of Service Meal Provision, Sarah Mahoney, Amanda Zulli, Karen Walton

Faculty of Health and Behavioural Sciences - Papers (Archive)

Aim: This systemic review aimed to investigate the effects of various methods of point of service meal provision on patient satisfaction and energy intakes of hospital patients. Methods: 'Medline' and 'Wiley Interscience' online databases (1999–2008) were consulted using search terms such as 'food service' and 'food delivery in hospital'. Cross-referencing was also used to select studies that compared the provision of full diets to hospital patients using two different methods of food service delivery. Results: Searching yielded 268 studies, of which 18 met the inclusion criteria (hospitals, all ages, oral intake only). Patient satisfaction was measured in 12 studies, while …

Can Human Patient Simulators Be Used In Physiotherapy Education?, Annette Jones, Lorraine Sheppard

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to review the evidence for the use of human patient simulators in physiotherapy education. Method: A review of the physiotherapy literature was undertaken. Due to the lack of studies found the search was expanded to include health professional education. Exclusion criteria were then applied to the identified literature and critical appraisal undertaken. Results: Due to the differences in methodology employed in the studies identified a meta-analysis could not be performed. The studies identified repeat practice and the ability to control the learning environment as positive aspects for learning using human patient simulators. In …

Patient And Professional Accuracy Of Recalled Treatment Decisions In Out-Patient Consultations, Timothy C. Skinner, Katharine D. Barnard, Susan Cradock, Tracey Parkin

Faculty of Health and Behavioural Sciences - Papers (Archive)

Aims  To test the assumption that professional recall of consultation decisions is valid and more accurate than patient recall of consultation decisions.

Methods  One hundred and thirty-four consultations between diabetes specialist nurses and diabetes specialist dietitians in an adult out-patient diabetes service were audiotaped. Patients and professionals were asked to recall the treatment decisions made immediately after the consultation. Patient participants were also asked to complete the Health Care Climate Questionnaire (HCC). Recalled decisions, by patient and professional participants, were then compared with those extracted from the audio tapes, and with each other.

Results  The mean duration of consultations was …

Factors Affecting Patient Recruitment In An Acute Rehabilitation Randomized Controlled Trial, Natasha Lannin, Anne Cusick

Faculty of Health and Behavioural Sciences - Papers (Archive)

OBJECTIVE. To evaluate factors associated with randomized controlled trial patient recruitment by therapists. METHOD. Survey of 18 (of a possible 26) therapists who had agreed to recruit patients for a randomized controlled trial (78% response rate). RESULTS. Sixteen respondents had enrolled at least one patient. The site at which the therapist worked neither influenced the likelihood that a therapist would contact the researcher nor influenced the recruitment rate. Seventeen respondents reported that they contacted the researcher to discuss one or more of their patients for potential inclusion in the trial. Factors reported by therapists as reasons why they did not …

Depression In The Patient With Copd, Ian G. Wilson

Graduate School of Medicine - Papers (Archive)

This paper explores the recent literature surrounding comorbid depression and COPD. The literature reveals a high prevalence of depression in patients with COPD and some evidence that the depression is a result of the disease. The literature highlights the negative impact of depression on quality of life and a possible impact on mortality. Depression also negatively impacts on compliance and smoking cessation. Treatment of depression in COPD, particularly by cognitive behavioral therapy, has positive impact on quality of life. Tricyclic antidepressants have a positive impact on mood and COPD, but side effects limit their use. The advent of the new …

Factors Associated With Hospital Commitment To Provide Child/Adolescent Psychiatric Services, Lea Anne Gardner

Theses and Dissertations

General acute care hospitals play a particularly important role in the delivery of children's mental health given the extant lack of alternatives to long term hospitals for patients requiring a restrictive treatment environment (Glied and Cuellar, 2003). This cross-sectional study identifies environmental and organizational factors associated with general acute care and children's hospitals in the United States that provide hospital-based child/adolescent psychiatric services and the number of services. Two macro-level theories, Resource Dependence Theory and Institutional Theory were used to identify environmental and organizational factors. A nationwide sample of hospitals was drawn from the 2003 AHA annual survey. Data from …

Patients With Metabolic Syndrome: A Study Using Automated Dietary Assessment In Primary Care, Y. C. Probst

Faculty of Health and Behavioural Sciences - Papers (Archive)

An automated dietary assessment website has been developed for patients with metabolic syndrome. Computers have been set up in local GP practices to which the GP may refer their patients. These patients enter their dietary information into the website and receive an individualised dietary prescription put together by a dietitian. This study outlines the profile of patients using the website and their rates of completion of the assessment. Recruited patients were primarily female(66%). Ranging between 22 and 75 years of age patients reported to be overweight(77%), have high cholesterol (53%), elevated blood pressure (54%) and/or type 2 diabetes mellitus (35%). …

Patient And Care Giver Perceptions Of Cancer Pain Control, Patricia Rushton, Sherry Brown

Faculty Publications

PURPOSE: This study measured the perceptions of Utah cancer patients and cargivers concerning knowledge about and adequacy of pharmacologic cancer pain control. METHODS: A descriptive survey was used. Questionnaires were sent to cancer patients and caregivers surveying their knowledge about and perceptions of the adequacy of pharmacologic cancer pain control. RESULTS: The study had a 52% response rate (259 of 500). Eighty five percent (219 of 259) of the respondents stated they had no cancer pain. CLINICAL IMPLICATIONS: Cancer literature indicated that much cancer pain is not effectively controlled. The majority of the respondents of this study reported no pain. …

Factors Which Affect Post-Hospital Resource Use And Patient Health Outcomes Among Taiwanese Older Adults, Chouh-Jiaun Lin

Health Services Research Dissertations

The purpose of this study was to explore relationships among population characteristics, patient post-hospital resource use and patient health outcomes in terms of the Andersen health behavioral model. An additional purpose of this study was to examine a discharge planning screening instrument used in a large urban hospital in Taiwan to determine if it predicts resource use and patient outcomes. A longitudinal research design was adopted for this study. Data were collected from the general medicine departments of an 800-bed university teaching hospital. Out of 109 patients who were interviewed, 78 participants qualified (participation rate = 71.6%).

The majority of …

Functioning And Well-Being Of Patients In A Consultation-Liaison Psychiatry Clinic, Steven A. Epstein, Junius Gonzales, Patricia Stockton, David M. Goldstein, Bonnie L. Green

Publications from Provost Junius J. Gonzales

Outpatient consultation-liaison (C-L) psychiatry clinics are valuable settings for research and teaching endeavors. However, little is known about psychiatric symptoms and health status of persons treated in such settings. In this study, 80 persons seen in an outpatient C-L psychiatry clinic were compared with 100 persons seen in a mood disorder clinic on a variety of self-report instruments. Outpatient C-L clinic patients were found to have significantly poorer health status than mood clinic patients on the following domains as measured by the RAND instrument: general health perception, pain, physical functioning, and role functioning due to physical problems. Both groups had …

Caring Communication: Strategies And Skills For Health Professionals, Tony Hussey, Michael Finn, Yvonne Hauck

Research outputs pre 2011

Over the last 15 years, the teaching of professional interpersonal communication skills has become well established within the curriculum for most health professionals. Recognition is thereby given to the significance of interpersonal communication skills in professional practice. One of the challenges in teaching and learning in this area of skill is the recognition and analysis of examples of both good and bad practice. This package provides a number of such examples.

The package consists of 33 vignettes in health care settings. These vignettes variously depict skills or groups of skills, illustrate negative and dysfunctional communication behaviours and, through the print …

Physician-Assisted Suicide: The Legal And Practical Contours, Anthony J. Dangelantonio

RISK: Health, Safety & Environment (1990-2002)

This paper considers current medical and legal perspectives on patients' right to assistance in dying. In highlighting the competing policy objectives that must be resolved, it examines failed legislative initiatives in Washington and California. It also considers a pending New Hampshire proposal. The last shows the difficulty of simultaneously alleviating physician's objections and achieving proponents' goals.