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Full-Text Articles in Medicine and Health Sciences
Hypothermia In The Operating Room Promoting Normothermia In The Hysterectomy Population, Adina Indries
Hypothermia In The Operating Room Promoting Normothermia In The Hysterectomy Population, Adina Indries
Doctoral Dissertations and Projects
Certified Registered Nurse Anesthetists are Advanced Practice Providers that provide safe, evidence-based practice to their surgical patients. They not only monitor the vital signs throughout surgery but also strive to improve care and outcome by implementing different measures to keep the patient safe and promote a positive outcome during a stressful time for the surgical patient. To improve outcomes, it has been identified that hypothermia is a common occurrence in the surgical patient, especially in the GYN surgical population at this level one trauma center. Hypothermia is defined as the body’s core temperature less than 36 degrees Celsius. With hypothermia …
Early Activity And Mobility Of Intensive Care Unit Patients To Reduce Hospital Length Of Stay And Improve Patient Outcomes: An Integrative Review, Scott D. Crofts
Early Activity And Mobility Of Intensive Care Unit Patients To Reduce Hospital Length Of Stay And Improve Patient Outcomes: An Integrative Review, Scott D. Crofts
Doctoral Dissertations and Projects
Patient physical inactivity during hospital admission is a key contributor to increased length of stay and poor outcomes. Patient inactivity and immobility in the intensive care unit (ICU) setting promote the loss of physical function and increase the risk of complications such as pressure injuries, bone demineralization, lung infections, and ICU delirium. The cumulative effects of immobility are persistent through discharge, as patients are at risk for the long-term effects of posthospitalization muscle atrophy and weakness. The purpose of this integrative review was to examine current evidence to determine if early activity and mobility in the ICU setting reduce length …
Perceptions Of Health Insurers Towards Pay-For-Performance As A Cost Control Model For Hospital Services, Mandlenkosi Moyo
Perceptions Of Health Insurers Towards Pay-For-Performance As A Cost Control Model For Hospital Services, Mandlenkosi Moyo
Doctoral Dissertations and Projects
Hospital costs are the most significant portion of health-related costs incurred by non-profit health insurers registered as medical schemes in South Africa. Medical schemes continue to use retrospective reimbursement models for hospitals despite general acknowledgment that these models do not limit hospital costs and utilization. Although medical schemes are interested in implementing alternative reimbursement models, such as pay-for-performance (P4P), they are uncertain about which P4P models they can use to reduce hospital costs, resulting in their inability to make critical changes to their costs from traditional fee-for-service models. This qualitative exploratory multiple case study used 17 open-ended case interviews to …
Predictive Effects Of Physician Assistant Students' Pre-Admission Direct Patient Contact Hours On Performance In Supervised Clinical Practice Experiences, Gerald Robert Weniger
Predictive Effects Of Physician Assistant Students' Pre-Admission Direct Patient Contact Hours On Performance In Supervised Clinical Practice Experiences, Gerald Robert Weniger
Doctoral Dissertations and Projects
The demand for physician assistants (PAs) is predicted to rise because of the growing shortage of physicians. PA educational programs are tasked with producing graduates who are skilled within six domains of competency: 1) medical knowledge, 2) professionalism, 3) interpersonal and communication skills, 4) patient care, 5) practice-based learning and improvement, and 6) systems-based practice. The Physician Assistant National Certifying Exam only assesses two of the six competencies: medical knowledge and professionalism. Without much time in a curriculum to teach the ‘softer skills’ like communication and interpersonal skills, many PA programs require pre-admission patient contact experience in order to at …
An Integrative Review: Best Practices In Advanced Practice Registered Nurse (Aprn) Telehealth Services To Improve Outcomes For Children With Chronic Health Conditions, Tamara Sue Moyer
Doctoral Dissertations and Projects
Telehealth is a rapidly growing field that affords individuals the opportunity to receive access to specialty providers, reduce expenses and travel, break down geographic barriers, deliver equality of care, and improve patient outcomes. Equality of healthcare for pediatric patients with chronic health conditions in rural areas face geographic barriers to delivery of care, resulting in poor patient outcomes, and increased costs. An integrative review was completed to identify and describe research findings in an attempt to answer the clinical questions proposed and identify areas in research that can lead to improved patient outcomes. The need to receive access to specialty …
Implementation Of Post Forms Upon Hospice Admission: An Evidence-Based Practice Intervention To Reduce Hospice Revocations, Joanna Grace Asselin
Implementation Of Post Forms Upon Hospice Admission: An Evidence-Based Practice Intervention To Reduce Hospice Revocations, Joanna Grace Asselin
Doctoral Dissertations and Projects
Background and Purpose: Reduction of live hospice discharges in the form of revocations is necessitated in order to maintain regulatory compliance and meet quality measures. Upon admission to hospice services, many have not considered personal desire regarding further intervention beyond Do Not Resuscitate (DNR) status. Evidence-based practice has revealed Physician Order for Scope of Treatment (POST) forms as effective in enhancing translation of patient desires related to care and interventions at end-of-life. The clinical question of this scholarly project asked if implementation of POST forms upon admission to hospice services would result in decreased revocations with related emergency department (ED) …