The patient-centered medical home model: healthcare services utilization and cost for non-elderly adults with mental illness.

Background: The patient-centered medical home (PCMH) model is designed to improve health outcomes while containing the cost of care. However, the evidence is inconclusive.

Aims: The aim of this study was to examine the associations between receipt of care consistent with the PCMH and healthcare services utilization and expenditures for non-elderly adults with mental illness in the USA.

Associations between the patient-centered medical home and preventive care and healthcare quality for non-elderly adults with mental illness: A surveillance study analysis.

Background: Patient-centered medical homes (PCMHs) may improve outcomes for non-elderly adults with mental illness, but the extent to which PCMHs are associated with preventive care and healthcare quality for this population is largely unknown. Our study addresses this gap by assessing the associations between receipt of care consistent with the PCMH and preventive care and healthcare quality for non-elderly adults with mental illness.

Methods: This surveillance study used self-reported data for 6,908 non-elderly adults with mental illness participating in the 2007-2012 Medical Expenditure Panel Survey.

Eye tracking as a debriefing mechanism in the simulated setting improves patient safety practices.

Introduction: Human patient simulation has been widely adopted in healthcare education despite little research supporting its efficacy. The debriefing process is central to simulation education, yet alternative evaluation methods to support providing optimal feedback to students have not been well explored. Eye tracking technology is an innovative method for providing objective evaluative feedback to students after a simulation experience.

Use of a homecare electronic health record to find associations between patient characteristics and re-hospitalizations in patients with heart failure using telehealth.

Data from homecare electronic health records were used to explore the association of patient characteristics with re-hospitalizations of patients with heart failure (HF) during a 60-day period of telemonitoring following hospital discharge. Data from 403 Medicare patients with HF who had used telehealth from 2008 to 2010 were analysed. There were 112 all-cause (29%) and 73 cardiac-related (19%) re-hospitalizations within 60 days of the start of telemonitoring.

Association of comorbidities with home care service utilization of patients with heart failure while receiving telehealth.

Background: Comorbidities adversely impact heart failure (HF) outcomes. Telehealth can assist healthcare providers, especially nurses, in guiding their patients to follow the HF regimen. However, factors, including comorbidity patterns, that act in combination with telehealth to reduce home care nursing utilization are still unclear.

Intentionality and hatha yoga: an exploration of the theory of intentionality, the matrix of healing--a growth model.

Hatha yoga increases self-awareness and well-being. Intentionality is creating motivation and then action. This qualitative study explored intentionality during hatha yoga sessions using narrative analysis.

Research regarding methods of assessing learning outcomes.

As the use of simulation-based assessment expands for healthcare workers, there is a growing need for research to quantify the psychometric properties of the associated process and outcome measures.

Using simulated clinical scenarios to evaluate student performance.

Given the high financial investment that nursing education programs make to incorporate high-fidelity simulation training, it is important to evaluate its usefulness in student learning and evaluation. Faculty developed an evaluation tool for simulated clinical scenarios, using both high- and low-fidelity modalities that delineated components and their relative weights, adapted to match the changing expectations for evolving novices. The authors discuss scoring, debriefing, and remediation.

Error identification and recovery by student nurses using human patient simulation: opportunity to improve patient safety.

This study examined types of errors that occurred or were recovered in a simulated environment by student nurses. Errors occurred in all four rule-based error categories, and all students committed at least one error. The most frequent errors occurred in the verification category.

Testing a work empowerment-work relationship model to explain expertise in experienced acute care nurses.

Objective: This study tested the ability of work relationships and work empowerment to predict nursing expertise in experienced acute care nurses.

Background: With high patient acuity, constant system changes, and multiple changing members of the healthcare team, expert nurses are increasingly important to ensure positive patient outcomes in acute care settings.

Method: This study was an exploratory, predictive correlational design with a stratified random sample of 115 staff nurses from a large tertiary care center.

Patient and family education for fall prevention: involving patients and families in a fall prevention program on a neuroscience unit.

A neuroscience unit in an acute care hospital reported the highest number of falls among the inpatient units. Patient and family education for fall prevention on this unit was added to an existing multifactorial fall prevention program. Through this project, a new fall prevention poster was developed with patient, family, and staff involvement and disseminated throughout the hospital.

Providers do not verify patient identity during computer order entry.

Introduction: Improving patient identification (ID), by using two identifiers, is a Joint Commission safety goal. Appropriate identifiers include name, date of birth (DOB), or medical record number (MRN).

Objectives: The objectives were to determine the frequency of verifying patient ID during computerized provider order entry (CPOE).

Human patient simulation: teaching students to provide safe care.

The use of human patient simulation as a teaching methodology for nursing students has become popular. Using human patient simulation effectively demands paying careful attention to the details of the simulation, debriefing, and evaluation processes. Our experience in designing simulation experiences and evaluating student behaviors confirms the resource-intensive nature of human patient simulation and the need for clear, measurable objectives.

Measuring clinical practice parameters with human patient simulation: a pilot study.

Human Patient Simulators (HPS), electronically controlled mannequins as patient models, are increasingly being used in nursing education. However, no studies have validated the influence of systematic practice with HPS on clinical performance of nursing students. This pilot study attempted to identify the nursing clinical practice parameters influenced by HPS by evaluating the clinical performance of 12 senior second degree BSN students in five categories: safety, basic assessment skills, prioritization, problem-focused assessment, ensuing interventions, delegation and communication in a complex two-patient, simulated assignment.

A partnership between nursing education and practice: using an empowerment model to retain new nurses.

A school of nursing and a health system in Massachusetts developed a unique partnership to create a system to attract and retain new nurses in acute care. The structure of this partnership was designed to increase the faculty of the school of nursing and add to the educational expertise in the department of staff development in the health system's major acute care hospital. The process was developed using an empowerment model.