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Evaluation of Patient-Centered Integ...

Maguire, Jeanine.

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Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes./
Author:	Maguire, Jeanine.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	129 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-05, Section: B.
Contained By:	Dissertations Abstracts International85-05B.
Subject:	Health education. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30570273
ISBN:	9798380844147

Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes.
Maguire, Jeanine.

Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 129 p.

Source: Dissertations Abstracts International, Volume: 85-05, Section: B.

Thesis (Ph.D.)--Walden University, 2023.

This item must not be sold to any third party vendors.

Older adults (over 65) with chronic disease and mobility impairments have the highest risk of developing chronic wounds, and therefore the 1.5 million people who reside in nursing homes are disproportionately affected. These wounds can cause pain, infections, poor quality of life, and death. Chronic wounds also challenge viability of nursing homes and lead to lowered Medicare quality measures, which result in lower admission rates due to perceptions of poor care. Further, failure to properly manage chronic wounds results in expensive regulatory fines and litigation. This quantitative study involved measuring effects of a novel person-centered integrated wound team on nursing homes. A pre/posttest quasi-experimental design was used to measure both avoidable PI incidence rates and wound team behavior and clinical significance in terms of prevention of PIs and team behavior change. Nineteen homes adopted and sustained this program and were used as the sample in the study. Analysis consisted of paired t-tests for both PIs and TPOT behavior scores before and after the program. All nursing homes in the sample did have a reduction of PI rates. Teaming behavior scores did improve significantly. There was no statistically significant relationship between teamwork and lower PI rates. Findings may be used by nursing administrators to raise awareness of PIs and lower rates in the nursing home population.

ISBN: 9798380844147Subjects--Topical Terms:

559086
Health education.
Subjects--Index Terms:

Nursing homes

Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes.
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245 1 0 $a Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes.
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300 $a 129 p.
500 $a Source: Dissertations Abstracts International, Volume: 85-05, Section: B.
500 $a Advisor: Fowler, Erica.
502 $a Thesis (Ph.D.)--Walden University, 2023.
506 $a This item must not be sold to any third party vendors.
520 $a Older adults (over 65) with chronic disease and mobility impairments have the highest risk of developing chronic wounds, and therefore the 1.5 million people who reside in nursing homes are disproportionately affected. These wounds can cause pain, infections, poor quality of life, and death. Chronic wounds also challenge viability of nursing homes and lead to lowered Medicare quality measures, which result in lower admission rates due to perceptions of poor care. Further, failure to properly manage chronic wounds results in expensive regulatory fines and litigation. This quantitative study involved measuring effects of a novel person-centered integrated wound team on nursing homes. A pre/posttest quasi-experimental design was used to measure both avoidable PI incidence rates and wound team behavior and clinical significance in terms of prevention of PIs and team behavior change. Nineteen homes adopted and sustained this program and were used as the sample in the study. Analysis consisted of paired t-tests for both PIs and TPOT behavior scores before and after the program. All nursing homes in the sample did have a reduction of PI rates. Teaming behavior scores did improve significantly. There was no statistically significant relationship between teamwork and lower PI rates. Findings may be used by nursing administrators to raise awareness of PIs and lower rates in the nursing home population.
590 $a School code: 0543.
650 4 $a Health education. $3 559086
650 4 $a Aging. $3 543123
653 $a Nursing homes
653 $a Pressure injury
653 $a Chronic wounds
653 $a Older adults
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690 $a 0680
690 $a 0493
710 2 $a Walden University. $b Health Education and Promotion. $3 3546733
773 0 $t Dissertations Abstracts International $g 85-05B.
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