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Digital Therapeutics
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Patricia M. Davidson, Caleb Ferguson, Michelle Patch
Technological advances have shaped not just modern health care but the world in which we live. We will experience an increasing interface between humans and machines. Across the globe, health care systems are struggling with escalating demands, rising costs, and increasing accountability. Health information and digital technologies can help meet these challenges, support population health goals, improve consumer experience, and drive discovery and innovation. Although the focus of these approaches has been predominantly chronic conditions, many companies are now looking at acute considerations and pharmacological indications. However, we cannot consider technology isolated from the human experience and the values we uphold as health professionals. Nurses have an important role in not only supporting individuals in the uptake of DTx and undertaking rigorous research but also promoting governance measures to support privacy and confidentiality of data.
Health Infonomics: Data Gets Its Due
Published in Tom Lawry, Hacking Healthcare, 2022
Data Unification: One of the most valuable benefits of unifying data is to create a single holistic view of a patient or consumer for care planning. Such efforts lay the foundation to perform many types of behavioral analytics. This includes creating an aggregated view to assess a population of patients within a service area.
Learning from Clients/Patients to Advance Education and Scholarship
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Deborah Trautman, Kedar Mate, Howard Catton, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 2, 2022
Jennie C. De Gagne, Katrina Green, Margaret H. Sturdivant
Refinements to the health literacy definition are ongoing as numerous studies have found that individuals with low health literacy have more emergency room visits, hospitalizations, complications from chronic health conditions due to poor self-management and higher mortality (Centers for Disease Control and Prevention [CDC], 2020). Attaining health literacy for all is one of the overarching goals of Healthy People 2030, which outlines personal health literacy as well as organizational health literacy. Three objectives of the US Department of Health and Human Services (HHS) Healthy People 2030 publication, a 10-year plan to improve the health of all Americans (HHS, 2020), include obtaining the patient's perception of whether the healthcare team (1) checked whether they understood instructions given, (2) explained materials in a way that was easy to understand, and (3) involved them in decisions about their healthcare to the extent they desired. Thus, health literacy is a responsibility shared by the healthcare team and the consumer.
Conceptions of healthcare professionals about rehabilitees’ participation in goal setting in an acute hospital: A phenomenographic study
Published in Physiotherapy Theory and Practice, 2023
Tuulikki Alanko, Maarit Karhula, Teppo Kröger, Arja Piirainen, Riku Nikander, Pirjo Vuoskoski
In this study, we assumed that when a patient has been diagnosed and achieved medical stability (Frank, 2017), and a rehabilitation plan has been established, they become a rehabilitee, an autonomous person whose recovery will be supported by rehabilitation professionals on the basis of their knowledge and skills. As recommended in the guidelines (Rudd, Bowen, Young, and James, 2017) we use the term acute hospital setting as the context of rehabilitation goal-setting in the acute phase between 24 hours and 7 days. Accordingly, when referring to the research phenomenon, aim and findings of this study, we apply the term “rehabilitee” and “rehabilitee-centered” instead of “patient” or “patient-centered.” However, when referring to previous studies, we use their original terminology. Therefore, in this article, the use of the terms “patient-centered,” “person-centered,” “client-centered” or “consumer-centered” is determined by the context.
Feasibility and acceptability of collaborative documentation tool for implementing medication-assisted treatment in substance use disorder counseling
Published in Journal of Social Work Practice in the Addictions, 2023
V. B Lushin, E Matthews, V Stanhope, R Rivera, J Rzewinski, R Stewart, J Rees, S Marcus
Emerging from the Consumer Rights Movement, shared-decision making (SDM) was explicitly developed as an alternative to top-down, paternalistic approaches to care, and compels providers to honor patients’ self-determination, demonstrate mutual respect, and recognize patients’ role as an ‘expert’ in their own health (Charles et al., 1999; Joosten et al., 2008). By embracing the principles and values of patient-centered care and actively involving patients in health and behavioral health-care choices, SDM increases the likelihood that they will initiate and engage in treatment (Davidson et al., 2012; Elwyn et al., 2010). SDM has been defined as a practice where ‘clinicians and patients make decisions together using the best available evidence’ (Elwyn et al., 2010, p. 971). Elwyn’s et al.’s (2012) framework describes SDM as a stepwise process that occurs in three distinct phases: choice talk, option talk, and decision talk. According to this model, choice talk begins by first acknowledging that a treatment decision needs to be made, and, next, ensuring that the patient is aware that different treatment options exist. Following this step, providers and patients engage in option talk to describe these choices in detail, including potential harms and benefits of each. Finally, decision talk supports the process of moving toward a decision by systematically evaluating each possible option as it relates to a patient’s unique values, personal priorities, and preferences.
Uncovering the experiences of engaging in an inpatient occupation-based group program: The LifeSkills group
Published in Scandinavian Journal of Occupational Therapy, 2023
Kaitlyn Spalding, Amelia Di Tommaso, Louise Gustafsson
A consistent message in the results of this study was the importance of participants to be engaged in their own healthcare design and delivery. In turn, participant engagement fostered a value-based healthcare experience by focussing on their needs and desires as a healthcare consumer. It has been argued that the benefits of rehabilitation are limited if a client is not completely engaged in the therapeutic process [50]. Kortte et al. [51] found high levels of consumer engagement associated with less depressive symptoms and better functional improvement among hospital patients at discharge with sustained functional improvements at three months follow up. Bright et al. [52] conceptualised consumer engagement as a connection between the client and practitioner or service, the development of a mutually trusting relationship, the ability for the client to communicate, actively participate in therapy and contribute to the decision-making process of care. In this study consumer engagement was demonstrated through participants commenting on their experiences, helping to understand and explore the active ingredients to group success or what could be changed to improve their healthcare journey.