A5108278964- Family and Patient Care in Intensive Care Units
- Palliative Care and End-of-Life Issues
- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Telemedicine and Telehealth Implementation
- Respiratory Support and Mechanisms
- Clinical Reasoning and Diagnostic Skills
- Disaster Response and Management
- Intensive Care Unit Cognitive Disorders
- Demographic Trends and Gender Preferences
- Health Policy Implementation Science
- Patient Safety and Medication Errors
- Childhood Cancer Survivors' Quality of Life
- Simulation-Based Education in Healthcare
- Ethics in medical practice
- Rangeland Management and Livestock Ecology
- Participatory Visual Research Methods
- Mobile Health and mHealth Applications
- Children's Rights and Participation
- Primary Care and Health Outcomes
- Geriatric Care and Nursing Homes
- Cancer survivorship and care
- Patient Satisfaction in Healthcare
- Female Genital Mutilation/Cutting Issues
- Nursing Diagnosis and Documentation
University of Pittsburgh
2015-2025
Public Health Department
2009
Purpose: To better understand patient perceptions on utilizing telemedicine for the management of urologic malignancies. Materials and Methods: Semistructured interviews were conducted with patients bladder, prostate, or kidney cancer. Interviews by phone, audio-recorded, transcribed, deidentified. A thematic analysis was performed to examine patients' its role in their care. We compared experiences rural urban impact that could have urban-rural disparities oncology. Results: 40 interviews....
Rationale: Telemedicine is an increasingly common care delivery strategy in the ICU. However, ICU telemedicine programs vary widely their clinical effectiveness, with some studies showing a large mortality benefit and others no or even harm.Objectives: To identify organizational factors associated effectiveness.Methods: We performed focused ethnographic evaluation of 10 using site visits, interviews, focus groups both facilities providing remote target ICUs. Programs were selected based on...
Rationale: Patients receiving prolonged mechanical ventilation experience low survival rates and incur high healthcare costs. However, little is known about how to optimally organize manage their care.Objectives: To identify a set of effective care practices for patients ventilation.Methods: We performed focused ethnographic evaluation at eight long-term acute hospitals in the United States ranking either lowest or highest quartile risk-adjusted mortality least four five years between 2007...
Abstract Driven in part by a resurgent interest social inequality and health, increasing scrutiny of the health consequences neoliberal economic reform, principles equity justice, centerpieces Health for All strategy drafted at Alma Ata 1978, are once again center stage global public debates. Whether how access to care can be maintained context market-based sector reform has not been systematically addressed, particularly from perspective local communities. This paper will explore affects...
Background Rounding checklists are an increasingly common quality improvement tool in the intensive care unit (ICU). However, effectiveness studies have shown conflicting results. We sought to understand ICU providers’ perceptions of checklists, as well barriers and facilitators effective utilisation during daily rounds. Objectives To how providers perceive rounding develop a framework for more checklist implementation. Methods performed qualitative study 32 ICUs within 14 hospitals large...
Background: Engaging youth and incorporating their unique expertise into the research process is important when addressing issues related to health. Visual Voices an arts-based participatory data collection method designed work together with young people communities collaboratively elicit, examine, celebrate perspectives of youth. Objectives: To present a for using creative arts as give examples on safety violence. Methods: Using arts, this study examined illustrates how community factors...
In October 2015, the Centers for Medicare and Medicaid Services (CMS) implemented Sepsis CMS Core Measure (SEP-1) program, requiring hospitals to report data on quality of care their patients with sepsis.We sought understand hospital perceptions responses SEP-1 program.A thematic content analysis semistructured interviews officials.A stratified random sample short-stay, nonfederal, general acute in United States.Hospital officers, including nurses physicians.We completed 29 before reaching...
Background: Many critical care interventions that require teamwork are adopted slowly and variably despite strong evidence supporting their use. We hypothesize educational target the entire interprofessional team (rather than professions in isolation) one effective way to enhance implementation of complex intensive unit (ICU). Objective: As a first step toward testing this hypothesis, we sought qualitatively solicit opinions about dynamics, translation, education as well current knowledge,...
The 2017-2018 influenza season in the US was marked by a high severity of illness, wide geographic spread, and prolonged duration compared with recent previous seasons, resulting increased strain throughout acute care hospital systems.To characterize self-reported experiences views capacity managers regarding US.In this qualitative study, semistructured telephone interviews were conducted between April 2018 January 2019 random sample management administrators responsible for throughput at...
Telemedicine, the use of audiovisual technology to provide health care from a remote location, is increasingly used in intensive units (ICUs). However, studies evaluating impact ICU telemedicine show mixed results, with some demonstrating improved patient outcomes, while others limited benefit or even harm. Little known about mechanisms that influence variation effectiveness, leaving providers without guidance on how best this potentially transformative technology. The Contributors Effective...
Rationale: Psychological safety is the condition by which members of an organization feel safe to voice concerns and take risks. Although psychological important determinant team performance, little known about its role in intensive care unit (ICU). Objectives: To identify factors associated with potential influence on performance critical care. Methods: We performed daily surveys healthcare providers 12 ICUs within integrated health system over a 2-week period. Survey domains included...
Deliberate practice, goal-oriented training with feedback from a coach, is common tool for improving physicians' performance. However, little known about how coaches foster performance improvement.
OBJECTIVES: New York state implemented the first state-level sepsis regulations in 2013. These were associated with improved mortality, leading other states to consider similar steps. Our objective was provide insight into state’s policy making process, creating a roadmap for policymakers considering regulations. DESIGN: Qualitative study using semistructured interviews. SETTING: We recruited key stakeholders who had knowledge of SUBJECTS: Thirteen from three groups included four and seven...
Abstract Global reproductive health policy is based on assumptions, couched in scientific language, that technological methods of birth control are superior to traditional methods, use these more modern and "rational" than alternatives, abortion should not be considered a form control. The authority assumptions have achieved global circles prevents alternative options from being considered. Our research women's experiences Mongolia suggests programs such fail consider the local cultural...
Rationale: Mechanically ventilated patients in the intensive care unit (ICU) are often managed to maximize oxygenation, yet hyperoxemia may be deleterious some. Little is known about how ICU providers weigh tradeoffs between hypoxemia and when managing acute respiratory failure. Objectives: To define providers' mental models for oxygenation with failure identify barriers facilitators conservative oxygen therapy. Methods: In two large U.S. tertiary hospitals, we performed semistructured...
Views Icon Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Facebook Twitter LinkedIn Email Tools Get Permissions Cite Search Site Citation Penelope K. Morrison, Laura Macia, Megan E. Hamm, Rory McCarthy, Kimberly Rak; Bridging the Gap Between Anthropology and Health Services Research. Practicing 1 April 2016; 38 (2): 18–21. doi: https://doi.org/10.17730/0888-4552-38.2.18 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers...