A5016437208- Palliative Care and End-of-Life Issues
- Emergency and Acute Care Studies
- Family and Patient Care in Intensive Care Units
- Trauma and Emergency Care Studies
- Ethics in medical practice
- Homelessness and Social Issues
- Migration, Health and Trauma
- Patient-Provider Communication in Healthcare
- Patient Dignity and Privacy
- Intensive Care Unit Cognitive Disorders
- Childhood Cancer Survivors' Quality of Life
- Healthcare Policy and Management
- Geriatric Care and Nursing Homes
- Grief, Bereavement, and Mental Health
- LGBTQ Health, Identity, and Policy
- Economic and Financial Impacts of Cancer
- Interpreting and Communication in Healthcare
- Injury Epidemiology and Prevention
- Cultural Competency in Health Care
- Mobile Health and mHealth Applications
- Traffic and Road Safety
- Adolescent and Pediatric Healthcare
- Healthcare Systems and Technology
- Bipolar Disorder and Treatment
- Health Systems, Economic Evaluations, Quality of Life
University of Washington
2014-2025
Harborview Medical Center
2010-2025
Seattle University
2024
Harborview Injury Prevention and Research Center
2016-2023
Because of high mortality, end-of-life care is an important component intensive care.We evaluated the effectiveness a quality-improvement intervention to improve unit (ICU) conducted cluster-randomized trial randomizing 12 hospitals. The targeted clinicians with five components: clinician education, local champions, academic detailing, feedback quality data, and system supports. Outcomes were assessed for patients dying in ICU or within 30 hours discharge using surveys medical record review....
Background Critically ill patients and their families commonly experience financial hardship, yet this is inadequately addressed by clinicians providing care in the intensive unit. Understanding clinicians’ perspectives on barriers to addressing hardship provides an opportunity identify mitigate those improve patient outcomes. Objective To characterize unit experiences with perceived patients. Methods The study entailed a thematic analysis of semistructured interviews 17 physicians, nurses,...
Rationale: This study was designed to identify nurses' perspectives on nursing skills that are important yet under-utilized in end-of-life care. Methods: A 45-item survey administered nurses (n = 717) four U.S. states with a response rate of 79%. We identified were endorsed by more than 60% as extremely and also not currently practiced 25% nurses. used Chi square statistics examine professional characteristics associated ratings care including practice settings, years experience, education....
This study examined the family experience of critical care after pediatric traumatic brain injury in order to develop a model specific factors associated with family-centered care.
This study examined the role of emergency department (ED) social workers and identified predictors receipt work services length ED stay.Comprehensive reviews were conducted medical records all patients (N=49,354) treated in a level 1 trauma center from January 1, 2012, to March 31, 2013. Content analysis chart notes was used categorize types provided. Poisson regression assess associations between demographic clinical characteristics, services, stay.Social provided 18,532 (38%) patients....
Minority race and lower socioeconomic status are associated with poorer patient ratings of health care quality provider communication.To examine the association race/ethnicity or patients' families' end-of-life communication about provided by physicians-in-training.As a component randomized trial evaluating program designed to improve clinician care, patients families completed preintervention survey data regarding internal medicine residents medical subspecialty fellows. We examined...
Goals-of-care discussions (GOCD) are uncommon in persons living with dementia (PLWD) despite the likelihood of eventual loss decisional capacity population. The Jumpstart Guide, an existing serious illness communication priming tool, can improve GOCD certain populations, but has not previously been adapted for use among PLWD and their caregivers.
Social work and bioethics are fields deeply committed to cross-disciplinary collaboration do their respective work. While scholars practitioners from both share a commitment social justice respecting the dignity, integrity worth of all persons, overlap between fields, including shared values, has received little attention. The purpose this article is describe ways in which greater two can broaden scope, enrich scholarship, better ground practice. We potential for realizing such benefits...
Family members of critically ill patients who participate in research focused on palliative care issues have been found to be systematically different from those do not. These differences threaten the validity and raise ethical questions about worsening disparities by failing represent diverse perspectives.This study's aims were explore: 1) barriers facilitators influencing family members' decisions research; 2) potential methods enhance participation.Family asked a randomized trial testing...
Conceptualizing social justice and the practices profession should adopt to address inequalities has been an ongoing challenge for work theorists. This is in part because applied discipline whose practice commitments span continuum from individual-level interventions policy advocacy. To bridge this theory practice, article argues greater incorporation of recognition conceptualizations justice. When held together, theorists Nancy Fraser Axel Honneth suggests that relational moments...
Late last year news broke that the U.S. Food and Drug Administration (FDA) approved inaugural digital medication, Abilify MyCite (AMC) (FDA, 2017). AMC uses technology embedded in medication to track ingestion with purported goal of increasing adherence. As members field diverse research clinical interests, we were compelled explicate ethical concerns regarding medication. Our areas scholarship—collectively, social work practice, bioethics, gerontology, disability studies, health care...
<title>Abstract</title> Background Incorporating post-discharge data into trauma registries would allow for better research on patient outcomes, including disparities in outcomes. This pilot study tested a follow-up collection process to be incorporated existing care systems, prioritizing low-cost automated response modalities. Methods investigation was part of larger that consisted two protocols with distinct cohorts participants who experienced traumatic injury. Participants both were...
Abstract Importance Persons living with dementia (PLWD) who prefer a language other than English (PLOE) are at high risk for sub-optimal palliative care. Although data suggest that multi-level (individual, clinical, healthcare system, community/policy-level) interventions may help address inequities, few studies have identified specific targets. Objective: To identify targets to improve care PLWD and PLOE. Methods We conducted qualitative interviews social workers medical interpreters work...
Abstract Importance Persons living with dementia (PLWD) who prefer a language other than English (PLOE) are at high risk for sub-optimal palliative care. Although data suggest that multi-level (individual, clinical, healthcare system, community/policy-level) interventions may help address inequities, few studies have identified specific targets. Objective: To identify targets to improve care PLWD and PLOE. Methods We conducted qualitative interviews social workers medical interpreters work...
Abstract Rationale Prior work has shown a preference among most people with dementia and their families for comfort‐focused care near the end‐of‐life. Nonetheless, intubation mechanical ventilation are increasing over time without concurrent trends in improved survival, including those advanced dementia. A better understanding of prehospital decision‐making about will guide efforts to increase goal‐concordant at onset critical illness. Methods We identified eligible patients using UW...