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Perspectives on Efforts to Address HIV/AIDS of Religious Clergy Serving African American and Hispanic Communities in Utah
Stephen C. Alder, Sara Ellis Simonsen, Megan Duncan, John Shaver, Jan DeWittBenjamin CrookstonIntroduction:Methods:Results:Conclusion:
The Open AIDS Journal , 2007, DOI: 10.2174/1874613600701010001]
Abstract: Stephen C. Alder, Sara Ellis Simonsen, Megan Duncan, John Shaver, Jan DeWitt and Benjamin Crookston Published Date: (27 September, 2007) Introduction: The HIV/AIDS epidemic in America is rapidly progressing in certain subpopulations, including African-American and Hispanic communities. Churches may provide a means for reaching high-risk minority populations with effective HIV/AIDS prevention. We report on a series of focus group interviews conducted with Utah clergy who primarily serve African American and Hispanic congregations. Methods: A total of three focus groups (two with Catholic clergy serving Hispanic congregations and one with protestant clergy serving African American congregations) were conducted with eleven participants, lasting approximately two hours each. Each focus group was audio-recorded and transcribed for analysis. Analysis of the data was conducted using a modified grounded theory approach. Results: There were remarkable similarities in the attitudes and beliefs among all clergy participating in this study regarding HIV/AIDS and church-based prevention programs. All groups expressed concern about the diseases as a global epidemic and reported that the disease is highly preventable. Also, participants indicated a sense of responsibility to address the issues surrounding HIV/AIDS-related prevention, testing and care within their theological framework. Conclusion: HIV/AIDS prevention and care for the infected are seen as falling within the scope of religious organizations. Openness to expanding efforts in this regard was shared by clergy participating in this study. Approaching religious leaders with tailored approaches that respect the values and practices of their particular religions will be more effective than attempting to impose approaches that do not achieve this standard.
Time in Care for Older People Living in Nursing Homes  [PDF]
K. B. E. Thorsell,B. M. Nordstr?m,L. Fagerstr?m,B. V. Sivberg
Nursing Research and Practice , 2010, DOI: 10.1155/2010/148435
Abstract: In order to measure actual care needs in relation to resources required to fulfill these needs, an instrument (Time in Care) with which to evaluate care needs and determine the time needed for various care activities has been developed with the aim of assessing nursing intensity in municipal care for older people. Interreliability ( ) of time measurements ( ) of 32 nursing activities in relation to evaluated care levels in two nursing homes (staff ) has been determined. Nursing intensity for both periods at the two nursing homes comprised on average a direct care time of 75 (45%) and 101 (42%) minutes, respectively. Work time was measured according to actual schedule (462 hours per nursing home during two weeks). Given that the need for care was high, one must further investigate if the quality of care the recipients received was sufficiently addressed. 1. Introduction Aging not only entails a decrease in an individual’s ability to engage in activities but also entails change in the form of increased dependence on others in relation to basic life functions. It is important to investigate care needs in order to ensure that, despite decreased functional ability and activity, it is possible for an older individual living in institutions to continue living a quality life. In societies faced with a continually growing older population, in order to guarantee high quality and certainty in the content of care in an effective manner, the allocation of available resources becomes ever more important. An important condition for providing quality care is the ability to clarify and, above all else, expose the content of care work so that each individual care recipient’s care needs are placed in relation to the personnel resources required. Research in Europe, Asia, and the USA has shown that the time and resources needed to fulfill individual care recipients’ care needs are important factors to take into consideration [1–6]. Several researchers have studied the construction of various measurement systems designed to measure care needs [7–13]. In many ways, care work is a complex issue to describe. One possible way to describe and define care work is to measure its intensity [14, 15]. Nursing intensity can be classified as both direct and indirect care. In order to assess time allocation related to nursing intensity, some type of measurement is needed. Time studies are the most common method used [15]. By measuring the time needed for various activities, the evaluation of direct, indirect, and workplace-related time can reveal how time is allocated in relation to the
Personal- and environmental hygiene in Norwegian nursing homes  [cached]
Ingrid Sie
Journal of Nursing Education and Practice , 2012, DOI: 10.5430/jnep.v2n1p71
Abstract: The prevalence of nosocomial infection in Norwegian nursing homes is still high (ca 7%) and MRSA-problems are increasing in nursing homes. Environmental hygiene and hygienic use of uniforms may play an important role concerning transmission of nosocomial infections. Most nursing homes in Oslo have written routines for floor cleaning and for the use of uniforms. However, while the procedures of uniform use and washing was followed by all staff, only 50% of the institutions seemed to implement in practice the written routines for environmental cleaning. The lack of dayly cleaning in nursing homes may be associated with an increased risk of nosocomial infections.
Omega Circles  [PDF]
Christopher J Bradley
Mathematics , 2010,
Abstract: Circles through the Brocard points (Omega circles) share nearly all the properties of circles through the orthocentre including the fact that key triangles inscribed in them are indirectly similar to triangles inscribed in the circumcircle. Properties of Omega circles are described in this article, thereby concluding our work on indirectly similar triangles. It is also shown that the three points where the medians intersect the orthocentroidal circle are such that circles through these points carry triangles directly similar to triangles inscribed in the circumcircle.
Prevalence of and risk factors for different measures of low back pain among female nursing aides in Taiwanese nursing homes
Chao-Kang Feng, Mei-Lien Chen, I-Fang Mao
BMC Musculoskeletal Disorders , 2007, DOI: 10.1186/1471-2474-8-52
Abstract: A cross-sectional study was conducted among 244 female NAs from 31 nursing homes in central Taiwan. A self-administered questionnaire, including the Nordic questionnaire and the Karasek's job content questionnaire, was used to collect data regarding five different measures of LBP and about demographic, physical and psychosocial factors. Also, on-site observation at the workplace was conducted to measure the frequency of five high risk patient-handling tasks.Based on the subjects' reports on the previous twelve months, the prevalence rates for pain lasting for at least one day, seeking of medical care, intense pain, sick leave, and chronic pain were 66.0%, 43.9%, 38.1%, 10.7%, and 8.6%, respectively. While multiple logistic regression analyses indicated that the risk factors varied with different measures of LBP, at least one high risk patient-handling task and one psychosocial factor were observed to be associated each LBP related measure. Three risk factors, including manual transfer of patients between bed/wheelchair and bath cart, perceived physical exertion, and psychological demands, were consistently associated with different measures of LBP. Besides, age was found to be associated with an increased risk of only chronic pain.The prevalence of LBP among NAs in Taiwan is high and should be actively addressed. Certain manual patient-transfer tasks and psychological demands seemed to play more important roles in severe LBP (such as care seeking, intense pain, and sick leave) than in minor LBP (pain lasting for at least one day). Because different LBP related measures might be involved with different etiological risk factors, any LBP reduction interventions that aim to improve ergonomic and psychosocial work environments for NAs should take this information into consideration.Because many nursing home residents depend heavily on nursing aides (NAs) in most of their daily activities which are usually physically demanding, numerous studies have reported that NAs work
Hospital Admissions from Nursing Homes: Rates and Reasons  [PDF]
Kjell Krüger,Kristian Jansen,Anders Grimsmo,Geir Egil Eide,Jonn Terje Geitung
Nursing Research and Practice , 2011, DOI: 10.1155/2011/247623
Abstract: Hospital admissions from nursing homes have not previously been investigated in Norway. During 12 months all hospital admissions (acute and elective) from 32 nursing homes in Bergen were recorded via the Norwegian ambulance register. The principal diagnosis made during the stay, length of stay, and the ward were sourced from the hospital's data register and data were merged. Altogether 1,311 hospital admissions were recorded during the 12 months. Admissions from nursing homes made up 6.1% of the total number of admissions to medical wards, while for surgical wards they made up 3.8%. Infections, fractures, cardiovascular and gastri-related diagnoses represented the most frequent admission diagnoses. Infections accounted for 25.0% of admissions, including 51.0% pneumonias. Of all the admissions, fractures were the cause in 10.2%. Of all fractures, hip fractures represented 71.7. The admission rate increased as the proportion of short-term beds increased, and at nursing homes with short-term beds, admissions increased with increasing physician coverage. Potential reductions in hospitalizations for infections from nursing homes may play a role to reduce pressure on medical departments as may fracture prevention. Solely increasing physician coverage in nursing homes will probably not reduce the number of hospitalizations. 1. Background It is expected that nursing homes will play an important role in health care delivery in the years ahead. The population is growing older, and the patients admitted to hospitals are being discharged earlier. A Norwegian white paper states that reform is needed to the collaboration between primary care and hospitals [1]. The growth in costs and utilization of hospitals is not sustainable. Among several proposals, the white paper points to accomplishments involving early discharges from hospitals to nursing homes, which offer structured rehabilitation programmes. Evaluations have shown a reduction in mortality, readmission, and later need for home care for elderly patients [2]. Palliative units in nursing homes have also been a success [3]. On the other hand, little research has been done on admissions from nursing home to hospital. There are no studies in this field from Norway [4]. Internationally, a correlation has been found between the lack of documented decisions on the level of treatment and the increase in admission rate [5]. Clear documentation in logs and records concerning hospital admissions and heart-lung do-not-resuscitate decisions can prevent unnecessary admissions. Acknowledged routines currently in place to
An Integrated Approach for Prioritizing Key Factors in Improving the Service Quality of Nursing Homes  [PDF]
Vincent F. Yu,Kuo-Jen Hu
Mathematical Problems in Engineering , 2013, DOI: 10.1155/2013/563723
Abstract: This study looks at improving the service quality in nursing homes as well as the intricate relationships between various factors. We use two research models herein. First, Interpretive Structural Modeling (ISM) establishes the criteria for the interrelationship structure, categorized according to their driving power and dependence. This methodology provides a means by which order can be imposed on the complexity of such criteria. Insights from this model can help top managers in strategic planning to improve the service quality in nursing home care. Second, because ISM does not provide any weighting associated with the criteria, we employ the Analytic Network Process (ANP) approach to calculate the weighted importance of the key factors and to identify those factors impacting the service quality of nursing home care. 1. Introduction Nursing homes are defined as long-term, aged, or skilled-care facilities. For an aging population, nursing homes play an important role in the provision of care for elderly people. In Taiwan, people pay great respect to elderly family members, and so the majority of elderly people are traditionally cared for at home. The percentage of Taiwanese people over 65 years old rose from approximately 7% in 1993 to 10% by 2007 and is expected to increase to about 20% by 2025. In the year 2000, the life expectancy for men and women had increased, respectively, to 73.7 and 79.3 years [1]. This rapid rate of increase has drastically raised healthcare needs and demand for long-term care. Since industrialization and urbanization have changed the structure of many Taiwanese families, placing older family members with impairments in nursing homes has become a new alternative, albeit not a desirable or acceptable one by many [2]. However, there are no active regulations to govern nursing homes and monitor their service quality. As such, the service quality of nursing homes has become a major concern both to customers and the government, with nursing homes devoting more and more effort to improving it. In view of this, we identify and prioritize the key factors in improving the service quality of nursing homes. The results of this study can serve as a good reference for nursing homes striving to improve their service. Nursing homes are defined as facilities that provide skilled nursing services to patients with chronic conditions. Home care refers to providing needed services and equipment to patients and families at home. The importance of good service quality offered by nursing homes is widely recognized, such as good skilled nursing and
Factors Influencing Nursing-Sensitive Outcomes in Taiwanese Nursing Homes.
Yang, Ke-Ping A., Simms, Lillian M., Yin, Jeo-Chen T
Online Journal of Issues in Nursing , 1999,
Abstract: Outcomes research needs to be conducted in countries beyond the USA if nursing classification is to move into visibility and acceptance in health care delivery around the world. Clinical outcomes that reflect nursing interventions have not been well documented. Recent socioeconomic changes in Taiwan have provided a unique opportunity to measure nursing-sensitive outcomes in nurse-managed nursing homes. The purpose of recently completed research conducted in eight selected nursing homes in Taiwan was to explore factors influencing two nursing-sensitive outcomes, namely, biopsychosocial functioning and patient satisfaction. Nursing-sensitive outcomes are defined as changes in health status upon which nursing care has had a direct influence. The researchers considered the impact of both individual patient factors and organizational factors on the care outcomes. Individual patient factors were found to be significantly more important than organizational factors in determining biopsychosocial function.
Testing analyticity on circles  [PDF]
A. Tumanov
Mathematics , 2005,
Abstract: Consider a continuous one parameter family of circles in complex plane that contains two circles lying in the exterior of one another. Under mild assumptions on the family, we prove that if a continuous function on the union of the above circles extends holomorphically into each circle, then the function is holomorphic in the interior of the union of the circles.
Eight circles through the Orthocentre  [PDF]
Christopher Bradley
Mathematics , 2010,
Abstract: A construction is given of five Hagge circles complete with supporting calculations.
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