Nursing
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/24
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Item The life of people with dementia who have multiple children in rural China: A phenomenological case study(SAGE, 2022-05-10) Yang, Juan; Zhang, Xiubin; McCormack, Brendan; Andrew, JaneObjectives The aim of this study was to explore the lived experiences of a rural dwelling person living with dementia and his children. Using a phenomenological case study methodology, it aims to explore the health-related and personal dilemmas faced by multiple family members who provide care to a person living with dementia in a rural area in Henan, China. The study also investigates the barriers to quality dementia care in this kind of setting in order to inform the relevant stakeholders. Method A phenomenological case study was designed for this study. The case that formed the focus of the research included a person living with dementia and multiple family members. Semi-structured in-depth interviews were undertaken with the five family members of the person living with dementia. Smith’s interpretative phenomenological analysis was used for data analysis. Findings Three major themes were identified: (1) Dementia as a normal ageing process or a bad disease; (2) Commitment to and challenges of family caring and (3) Life in rural areas. Conclusion With the development of China’s economy and its social-cultural changes, traditional home-based care provision in rural areas of China is being challenged for people with dementia who have multiple children. It suggests that there needs to be an exploration into providing more appropriate care for people with dementia living in rural settings. It also suggests that more support is required to increase dementia awareness and to improve the quality of life of people with dementia and their families in rural China.Item Designing clinical indicators for common residential aged care conditions and processes of care: The CareTrack Aged development and validation study(2022-04-21) Hibbert, Peter D.; Molloy, Charlotte J.; Wiles, Louise K.; Cameron, Ian D.; Gray, Leonard C.; Reed, Richard L..; Kitson, Alison; Georgiou, Andrew; Gordon, Susan J.; Westbrook, Johanna; Arnolda, Gaston; Mitchell, Rebecca J.; Rapport, Frances; Estabrooks, Carole; Alexander, Gregory L.; Vincent, Charles; Edwards, Adrian; Carson-Stevens, Andrew; Wagner, Cordula; McCormack, Brendan; Braithwaite, JeffreyPeople who live in aged care homes have high rates of illness and frailty. Providing evidence-based care to this population is vital to ensure the highest possible quality of life. This study (CareTrack Aged, CT Aged) aimed to develop a comprehensive set of clinical indicators for guideline-adherent, appropriate care of commonly managed conditions and processes of care in aged care. Indicators were formulated from recommendations found through systematic searches of Australian and international clinical practice guidelines (CPGs). Experts reviewed the indicators using a multi-round modified Delphi process to develop consensus on what constitutes appropriate care. From 139 CPGs, 5,609 recommendations were used to draft 630 indicators. Clinical experts (n=41) reviewed the indicators over two rounds. A final set of 236 indicators resulted, mapped to 16 conditions and processes of care. The conditions and processes were admission assessment; bladder and bowel problems; cognitive impairment; depression; dysphagia and aspiration; end of life/palliative care; hearing and vision; infection; medication; mobility and falls; nutrition and hydration; oral and dental care; pain; restraint use; skin integrity; and sleep. The suite of CT Aged clinical indicators can be used for research, assessment of quality of care in individual facilities and across organisations to guide improvement, and to supplement regulation or accreditation of the aged care sector. They are a step forward for Australian and international aged care sectors, helping to improve transparency, so that the level of care delivered to aged care consumers can be rigorously monitored and continuously improved.Item Person-centred care and measurement: The more one sees, the better one knows where to look [Editorial](SAGE, 2022-01-27) McCormack, BrendanItem Components for providing person-centred palliative healthcare: An umbrella review(Elsevier, 2021-10-17) Kmetec, Sergej; Fekonja, Zvonka; Kolarič, Jožica Černe; Reljić, Nataša Mlinar; McCormack, Brendan; Sigurðardóttir, Árún Kristín; Lorber, MatejaPerson-centred palliative healthcare is an important approach to maintaining and improving patients' quality of life living with a chronic non-communicable disease and their partners. Such an approach can reduce unnecessary hospitalisation, holistically address the patient and their partners' needs, and help develop an advance care plan. Assess, analyse, and synthesise the currently existing international guidelines for providing person-centred palliative care and identify the key components for providing a high-quality approach. An umbrella review methodology of systematic reviews with the method of examination, analysis and synthesis of literature and the compilation method. Relevant systematic reviews of guidelines for providing person-centred palliative care in English, German and/or Slovenian language in PubMed, CINAHL, Web of Science and Cochrane Library databases, until November 2020. Out of 3,910 records, we included seven reviews for thematic synthesis. We identified four key elements of flourishing in person-centred palliative healthcare: (i) Healthcare staff prerequisites and traits; (ii) Palliative healthcare environment; (iii) Palliative healthcare processes; and (iv) Palliative healthcare outcomes. We concluded that person-centred palliative healthcare plays an important role in the comprehensive treatment of patients living with a non-communicable disease accompanied by disturbing symptoms. Therefore, it is necessary to raise awareness amongst healthcare professionals and especially general practitioners about the possibilities of including patients with a non-communicable disease in early person-centred palliative healthcare. Tweetable Abstract #UmbrellaReview of components for providing #personcentredpalliative #healthcare. Components provide healthcare professionals and interdisciplinary #palliative teams with the steps on how to give #personcentredpalliative #healthcare to #patient and #support to #carepartners.Item The development and validation of the Person-centred Practice Inventory-Student instrument: A modified Delphi study(Elsevier, 2021-02-25) O'Donnell, Deirdre; Slater, Paul; McCance, Tanya; McCormack, Brendan; McIlfatrick, SonjaBackground Global health care policy and regulatory requirements indicate that nursing students must be prepared for person-centred practice. Despite this, there is no evidence of a theoretically derived instrument to measure students' perceptions of person-centred practice.Item Person-centeredness enhances public health approaches to combat COVID-19 [Editorial](American Society of Civil Engineers (ASCE), 2021-02-04) Oerther, Daniel B.; McCormack, BrendanItem From Nightingale to now: Time to rethink clinical education in nursing(Wiley, 2020-09-29) Weller‐Newton, Jennifer M.; McCormack, BrendanItem Effects of strength‐based intervention on health outcomes of family caregivers of persons with dementia: A study protocol(Wiley, 2020-08-03) Yu, Doris S. F.; Cheng, Sheung‐Tak; Chow, Esther Oi‐Wah; Kwok, Timothy; McCormack, Brendan; This work was supported by General Research Fund of Research Grants Council, Hong Kong (Project Number: 14639016).Aims This study aims at identifying the health effects of a strength‐based intervention on family caregivers of persons with dementia and to explore the underlying mechanism. The perception of family caregivers on the strength‐based intervention will also be explored.Item What is the value of nursing knowledge in a time of crisis? [Editorial](Wiley, 2020-05-29) McCormack, BrendanItem Impact of person-centered interventions on patient outcomes in acute care settings: A systematic review(Wolters Kluwer, 2020-02-05) Klancnik Gruden, Maja; Turk, Eva; McCormack, Brendan; Stiglic, GregorPreventing adverse events is one of the most important issues in health care. The purpose of this systematic review was to determine the impact of person-centered interventions on patient outcomes in an acute care setting. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eligible interventions included person-centered interventions that address at least one of these outcomes: pressure ulcer, accidental falls, medication errors, and/or cross infection. The review showed that there is a paucity of evidence supporting the use of person-centered interventions in reducing patient falls. For the other outcomes, existing research provides an insufficient evidence base on which to draw conclusions. Theory of person-centeredness is still in its ascendency. Poor evidence may also be the result of quantitative research designs that are insufficient in studying the impact of a person-centered approach. We postulate that use of mixed-methods designs is beneficial and would give a clearer picture of the impact of person-centered interventions.
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