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Social and Behavioral Sciences Commons

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Full-Text Articles in Social and Behavioral Sciences

Goals Of Care Documentation: Insights From A Pilot Implementation Study, Marie C. Haverfield, Ariadna Garcia, Karleen F. Giannitrapani, Anne Walling, Joseph Rigdon, David B. Bekelman, Natalie Lo, Lisa S. Lehmann, Josephine Jacobs, Natalia Festa, Karl A. Lorenz Dec 2021

Goals Of Care Documentation: Insights From A Pilot Implementation Study, Marie C. Haverfield, Ariadna Garcia, Karleen F. Giannitrapani, Anne Walling, Joseph Rigdon, David B. Bekelman, Natalie Lo, Lisa S. Lehmann, Josephine Jacobs, Natalia Festa, Karl A. Lorenz

Faculty Research, Scholarly, and Creative Activity

Context
The Life Sustaining Treatment Decision Initiative is a national effort by the Veterans Health Administration to ensure goals of care documentation occurs among all patients at high risk of life-threatening events.
Objectives
Examine likelihood to receive goals of care documentation and explore associations between documentation and perceived patient care experience at the individual and site level.
Methods
Retrospective, quality improvement analysis of initiative pilot data from four geographically diverse Veterans Affairs (VA) sites (Fall 2014-Winter 2016) before national roll-out. Goals of care documentation according to gender, marital status, urban/rural status, race/ethnicity, age, serious health condition, and Care Assessment Needs …


Voice-Related Experiences Of Nonbinary Individuals (Veni) Development And Content Validity, Grace Shefcik, Pei-Tzu Tsai Jan 2021

Voice-Related Experiences Of Nonbinary Individuals (Veni) Development And Content Validity, Grace Shefcik, Pei-Tzu Tsai

Faculty Research, Scholarly, and Creative Activity

Transgender individuals may seek a variety of gender-affirming health and educational services, including voice modification from speech-language pathologists. Measuring the client's self-perception of their communication experiences is crucial for providing client-centered services and measuring outcomes. However, there is currently no validated assessment tool for the nonbinary population, a part of the transgender population. This study explores the voice-related concerns and experiences among the nonbinary population to create a valid measure of their self-perception of voice. Ten nonbinary individuals were surveyed about their voice-related concerns and experiences. A thematic analysis of the responses led to the development of the questionnaire, titled …