The Experts below are selected from a list of 1701 Experts worldwide ranked by ideXlab platform
Penny Rapaport - One of the best experts on this subject based on the ideXlab platform.
-
A systematic review evaluating the impact of paid home carer training, supervision, and other interventions on the Health and well-being of older home care Clients
International psychogeriatrics, 2017Co-Authors: Claudia Cooper, Blerta Cenko, Briony Dow, Penny RapaportAbstract:BACKGROUND: Interventions to support and skill paid home carers and managers could potentially improve Health and well-being of older home care Clients. This is the first systematic review of interventions to improve how home carers and home care agencies deliver care to older people, with regard to Clients’ Health and wellbeing and paid carers’ well-being, job satisfaction, and retention. METHODS: We reviewed 10/731 papers found in the electronic search (to January 2016) fitting predetermined criteria, assessed quality using a checklist, and synthesized data using quantitative and qualitative techniques. RESULTS: Ten papers described eight interventions. The six quantitative evaluations used diverse outcomes that precluded meta-analysis. In the only quantitative study (a cluster Randomized Controlled Trial), rated higher quality, setting meaningful goals, carer training, and supervision improved Client Health-related quality of life. The interventions that improved Client outcomes comprised training with additional implementation, such as regular supervision and promoted care focused around Clients’ needs and goals. In our qualitative synthesis of four studies, intervention elements carers valued were greater flexibility to work to a needs-based rather than a task-based model, learning more about Clients, and improved communication with management and other workers. CONCLUSION: There is a dearth of evidence regarding effective strategies to improve how home care is delivered to older Clients, particularly those with dementia. More research in this sector including feasibility testing of the first home care intervention trials to include Health and life quality outcomes for Clients with more severe dementia is now needed.
Leonard Bickman - One of the best experts on this subject based on the ideXlab platform.
-
Feedback to clinicians: Theory, research, and practice
Journal of clinical psychology, 2005Co-Authors: Jeffrey Sapyta, Manuel Riemer, Leonard BickmanAbstract:Despite the dearth of consistent evidence for conventional feedback mechanisms in clinical practice, the primary methods of feedback for clinicians remain supervision and clinical experience. A new research approach, known as patient-focused research, provides clinicians with direct feedback regarding a Client's Health status and relative progress in therapy. This article briefly reviews the relation of different types of feedback (i.e., supervision, clinical experience, feedback on Client Health status) to clinical outcome. In contrast to the mixed results for clinical experience and supervision, providing Client Health status feedback to clinicians significantly improves outcome, especially for Clients who are not doing well in therapy. We conclude with a description of a model that provides insight into ways that feedback interventions can work best for professionals. Characteristics of the clinician, the feedback format, and the dissonance between feedback and clinician goals all relate to the ways that feedback is interpreted and utilized. © 2004 Wiley Periodicals, Inc. J Clin Psychol/In Session.
Claudia Cooper - One of the best experts on this subject based on the ideXlab platform.
-
A systematic review evaluating the impact of paid home carer training, supervision, and other interventions on the Health and well-being of older home care Clients
International psychogeriatrics, 2017Co-Authors: Claudia Cooper, Blerta Cenko, Briony Dow, Penny RapaportAbstract:BACKGROUND: Interventions to support and skill paid home carers and managers could potentially improve Health and well-being of older home care Clients. This is the first systematic review of interventions to improve how home carers and home care agencies deliver care to older people, with regard to Clients’ Health and wellbeing and paid carers’ well-being, job satisfaction, and retention. METHODS: We reviewed 10/731 papers found in the electronic search (to January 2016) fitting predetermined criteria, assessed quality using a checklist, and synthesized data using quantitative and qualitative techniques. RESULTS: Ten papers described eight interventions. The six quantitative evaluations used diverse outcomes that precluded meta-analysis. In the only quantitative study (a cluster Randomized Controlled Trial), rated higher quality, setting meaningful goals, carer training, and supervision improved Client Health-related quality of life. The interventions that improved Client outcomes comprised training with additional implementation, such as regular supervision and promoted care focused around Clients’ needs and goals. In our qualitative synthesis of four studies, intervention elements carers valued were greater flexibility to work to a needs-based rather than a task-based model, learning more about Clients, and improved communication with management and other workers. CONCLUSION: There is a dearth of evidence regarding effective strategies to improve how home care is delivered to older Clients, particularly those with dementia. More research in this sector including feasibility testing of the first home care intervention trials to include Health and life quality outcomes for Clients with more severe dementia is now needed.
Jeffrey Sapyta - One of the best experts on this subject based on the ideXlab platform.
-
Feedback to clinicians: Theory, research, and practice
Journal of clinical psychology, 2005Co-Authors: Jeffrey Sapyta, Manuel Riemer, Leonard BickmanAbstract:Despite the dearth of consistent evidence for conventional feedback mechanisms in clinical practice, the primary methods of feedback for clinicians remain supervision and clinical experience. A new research approach, known as patient-focused research, provides clinicians with direct feedback regarding a Client's Health status and relative progress in therapy. This article briefly reviews the relation of different types of feedback (i.e., supervision, clinical experience, feedback on Client Health status) to clinical outcome. In contrast to the mixed results for clinical experience and supervision, providing Client Health status feedback to clinicians significantly improves outcome, especially for Clients who are not doing well in therapy. We conclude with a description of a model that provides insight into ways that feedback interventions can work best for professionals. Characteristics of the clinician, the feedback format, and the dissonance between feedback and clinician goals all relate to the ways that feedback is interpreted and utilized. © 2004 Wiley Periodicals, Inc. J Clin Psychol/In Session.
Mary Bear - One of the best experts on this subject based on the ideXlab platform.
-
Measuring Patient Satisfaction With Postpartum Teaching Methods Used by Nurses Within the Interaction Model of Client Health Behavior
Research and theory for nursing practice, 2011Co-Authors: Debra L. Wagner, Mary Bear, Nangela S DavidsonAbstract:The purpose of this study was to determine the relationship between new mothers' interaction with nurses using different teaching methods to provide postpartum discharge teaching and their satisfaction with nursing care. Cox's Interaction Model of Client Health Behavior (IMCHB) provided the framework for this study. This study used a quasi-experimental posttest design with two groups to examine patient satisfaction with different teaching methods used by nurses to provide postpartum education. The Modified Client Satisfaction Tool measured satisfaction with discharge teaching. Data were analyzed with descriptive statistics, chi-square, Kendall's tau, and Mann-Whitney U tests. The data showed high satisfaction scores for new mothers receiving both methods of discharge teaching, indicating that new mothers who received the traditional method of discharge instruction provided by nurses were just as satisfied as those who received the demonstration/return demonstration method of discharge instructions provided by nurses. Providing individualized care, based on the expressed needs of the patient, was demonstrated in this study to result in high satisfaction with nursing care using both methods of providing postpartum discharge teaching.
-
patient satisfaction with nursing care a concept analysis within a nursing framework
Journal of Advanced Nursing, 2009Co-Authors: Debra Wagner, Mary BearAbstract:Title. Patient satisfaction with nursing care: a concept analysis within a nursing framework. Background. Patient satisfaction is an important indicator of quality of care, and Healthcare facilities are interested in maintaining high levels of satisfaction in order to stay competitive in the Healthcare market. Nursing care has a prominent role in patient satisfaction. Using a nursing model to measure patient satisfaction with nursing care helps define and clarify this concept. Data sources. Rodgers’ evolutionary method of concept analysis provided the framework for this analysis. Data were retrieved from the Cumulative Index of Nursing and Allied Health Literature and MEDLINE databases and the ABI/INFORM global business database. The literature search used the keywords patient satisfaction, nursing care and hospital. The sample included 44 papers published in English, between 1998 and 2007. Results. Cox’s Interaction Model of Client Health Behavior was used to analyse the concept of patient satisfaction with nursing care. The attributes leading to the Health outcome of patient satisfaction with nursing care were categorized as affective support, Health information, decisional control and professional/technical competencies. Antecedents embodied the uniqueness of the patient in terms of demographic data, social influence, previous Healthcare experiences, environmental resources, intrinsic motivation, cognitive appraisal and affective response. Consequences of achieving patient satisfaction with nursing care included greater market share of Healthcare finances, compliance with Healthcare regimens and better Health outcomes. Conclusion. The meaning of patient satisfaction continues to evolve. Using a nursing model to measure patient satisfaction with nursing care delineates the concept from other measures of patient satisfaction.