Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
This article describes a process developed by Eastern Mercy Health System (EMHS), headquartered in Radnor, PA, to identify opportunities for quality improvement using defined outcome-based indicators in skilled nursing and long-term care (SN/LTC). The model is built on collaboration among the system's freestanding and hospital-based facilities; it includes a cyclical approach to the exchange of information.
Joint Commission Journal on Quality and Patient Safety
BACKGROUND: Eliminating nosocomial infections was identified as one of eight priorities for action for Ascension Health. St. John Hospital and Medical Center (SJHMC), and St. Vincent's Hospital (STV), designated alpha sites, developed best practices for the prevention of catheter-related blood stream infections (CR-BSIs) and ventilator-associated pneumonia (VAP), respectively.
This historical article considers nursing's work for social justice in the 1960s civil rights movement through the lens of religious sisters and brothers who advocated for racial equality. The article examines Catholic nurses' work with African Americans in the mid-20th century that took place amid the prevailing social conditions of poverty and racial disempowerment, conditions that were linked to serious health consequences.
OBJECTIVE: The objective of this study was to examine the relationship between private dentists' attitudes toward Medicaid and Medicaid patients and their extent of Medicaid participation. METHODS: A survey was mailed to all Medicaid dentists in Alabama in 2003 (N = 518). Descriptive statistics were calculated, and multiple regression models were tested. The "dentists' extent of participation" was a measure of the percentage of Medicaid patients seen in one month.
Influences upon the development and evolution of nursing groups and the profession have been multifactorial: cultural, economic, political, and social. Although monastic and chivalric orders throughout antiquity provided the beginnings with hierarchical organizations and a sense of voluntarism and vocation, it was not until the mid-19th century that the concept of a nursing service became codified and more hospital-oriented. The inception of a matronized nursing service in the Mobile City Hospital under the tutelage of the Superintendent, Dr.
OBJECTIVES: To describe feminine hygiene practices and douching behavior in adolescent women. DESIGN: A cross-sectional anonymous survey. SUBJECTS: Adolescents (majority rural) admitted to a correctional institution for girls. MAIN OUTCOME MEASURES: Description of feminine hygiene practices, prevalence of vaginal douching, types of substances used, reported reasons for, and timing of douching. RESULTS: In a period of 16 weeks, 104 girls were surveyed within a week of admission. The mean age was 15.4 (SD 1.5; range 12-18) yr, and age at sexual debut 13.1 (SD 1.4) yr.
Journal of obstetric, gynecologic, and neonatal nursing: JOGNN / NAACOG
OBJECTIVE: To determine the prevalence of physical abuse and to identify predictors of abuse in a sample of pregnant women in Alabama. DESIGN: A prospective, correlational design was used. SETTING: Participants were drawn from four unrelated public and private prenatal clinics in Tuscaloosa, Alabama. PARTICIPANTS: The sample consisted of pregnant women between 20 and 34 years of age who had no high-risk health conditions and who initiated prenatal care during the 1st trimester.
BACKGROUND: This study examined the effects of religiosity on the trajectories of depressive symptoms in a sample of community-dwelling older adults over a four-year period in a Southern state in the U.S. METHODS: Data from the University of Alabama at Birmingham (UAB) Study of Aging were analyzed using a hierarchical linear modeling (HLM) method. This study involved 1000 participants aged 65 and above (M age = 75 at baseline, SD = 5.97) and data were collected annually from 1999 to 2003.
OBJECTIVE: While depressive symptoms and knee pain are independently known to impede daily walking in older adults, it is unknown whether positive affect promotes daily walking. This study investigated this association among adults with knee osteoarthritis (OA) and examined whether knee pain modified this association. METHODS: This study is a cross-sectional analysis of the Multicenter Osteoarthritis Study. We included 1,018 participants (mean ± SD age 63.1 ± 7.8 years, 60% women) who had radiographic knee OA and had worn a StepWatch monitor to record their number of steps per day.