The aims of this manuscript are to examine the validity and reliability of the Turkish version of the Omaha System, and to demonstrate its effectiveness as a tool for nursing education. In this methodological and descriptive study, seventy students attending a training program used the Omaha System in clinical practice settings for assessing health problems of 157 clients and for nursing interventions during 378 home visits. After the system's adaptation to the Turkish language, its content validity was reconfirmed through feedback from the students and interrater reliability was tested on six independent students with kappa statistics. The reliability scores were at a statistically significant level when coding the records using the Omaha System. Clinical practice was explained with 332 problems and 1783 nursing intervention terms. Study findings indicate several strengths, including high reliability - except in target terms, coding of problems and interventions, improved understanding of the course, as well as some limitations: the need for new terms and more time required for manual documentation. The findings of the study supported the usefulness of the Omaha System in describing the practice of community health nursing.
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http://dx.doi.org/10.1016/j.nedt.2005.11.009 | DOI Listing |
Arch Phys Med Rehabil
January 2025
Geriatric, Research, Education, and Clinical Center, VA Eastern Colorado Healthcare System, Aurora, CO, USA; Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO, USA. Electronic address:
Objective: To determine the association between performance-based and patient-reported functional capacity at the conclusion of 12-week rehabilitation with average daily step counts and peak walking cadence 38 weeks following total knee arthroplasty (TKA).
Design: Secondary analysis of an RCT.
Setting: Veterans Affairs Medical Center.
Epilepsia
January 2025
Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
We propose and prioritize important outcome domains that should be considered for future research investigating long-term outcomes (LTO) after new onset refractory status epilepticus (NORSE). The study was led by the international NORSE Institute LTO Working Group. First, literature describing the LTO of NORSE survivors was identified using a PubMed search and summarized to identify knowledge gaps.
View Article and Find Full Text PDFJ Gen Intern Med
January 2025
General Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.
Purpose: Physicians are estimated to be responsible for more than 50% of national healthcare costs and hold the greatest potential to improve value by orchestrating quality-driven programs to reduce unnecessary practices and variability. A physician's ability to practice cost-conscious care has been linked to their training, underscoring the importance of integrating cost-conscious practice into training.
Methods: The High Value Practice Academic Alliance was formed to help advance the value-improvement work of individual institutions through a national organization.
J Pharmacokinet Pharmacodyn
January 2025
Merck & Co., Inc., Rahway, NJ, USA.
Phys Ther
January 2025
School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, United States.
Objective: This study aimed to describe the monitoring of treatment fidelity in a pragmatic pediatric rehabilitation trial using the National Institutes of Health Behavior Change Consortium framework, and to identify child and therapist factors that influence treatment fidelity.
Methods: Therapists (n = 28) were trained in the key ingredients (1-on-1, functional, goal-directed, motor learning intervention) and study protocol for a comparative effectiveness trial titled: A Comparison: High Intensity periodic vs. Every week therapy in children with cerebral palsy (ACHIEVE) for children ages 2 to 8 years with cerebral palsy.
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