How Fast Is My Patient Deteriorating? A Qualitative Description Study of A Concern Factor Tool to Support Nurses' Communication and Prioritization Decision Making: An Exemplar on A COVID-19 Unit.

This study used qualitative description to describe factors influencing nurses' use of the Concern Factor tool to support decision making in acute care settings. Twenty-two nurses participated in interviews. Three main themes included: (1) The Concern Factor tool supported consistent and effective communication toward team understanding of patient status, (2) The Concern Factor tool supported nurses' identification of patterns and prioritization of patient care needs rooted in previous clinical experience, and (3) The flexible and intuitive design of the Concern Factor tool supported usability for nursing practice.

Food Insecurity Status and Health Care Utilization Among COPD Patients: A Retrospective Study.

Background: Government programs-targeting chronic disease patients with high health care costs-focus on clinical conditions, factors internal to the health care system, and individual patient education, not on addressing modifiable social determinants of health to reduce health care utilization.

Objective: To evaluate differences in sociodemographic variables and health care utilization between patients with chronic obstructive pulmonary disease (COPD) who reported food insecurity and those who did not.

Methods: This descriptive retrospective cross-sectional study used data from the electronic health records of a convenience sample of 854 participants with a discharge diagnosis of COPD or COPD with acute exacerbation, admitted via the emergency department of participating hospitals in Southern California.

The Impact of the Filipino Plate Method versus Standard Nutrition Education on Food Group Proportions and 2-hour Postprandial Blood Glucose for Type 2 Diabetes.

Objectives: To compare the efficacy of the Filipino plate method against standard nutrition education in the selection of food group proportions and in reducing 2-hour postprandial blood glucose levels (2h-PPG) among patients with type 2 diabetes.

Methodology: This randomized, open-label trial assigned 148 subjects with type 2 diabetes to receive nutrition education using either the Filipino plate method or standard nutrition education, as recommended by the American Diabetes Association (ADA). The subjects were given meals before and three days after the intervention, at which time the contents of their plate were scored based on food group proportions.