2.50
Hdl Handle:
http://hdl.handle.net/10755/148533
Type:
Presentation
Title:
Transitional Care for Seriously Mentally Ill Persons
Abstract:
Transitional Care for Seriously Mentally Ill Persons
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Rose, Linda, PhD, RN
P.I. Institution Name:Johns Hopkins University
Title:Associate Professor
Co-Authors:Linda D. Gerson, PhD, RN; Cynthia Carbo, MSN, APRN-BC
[Scientific session research presentation] Purpose: The purpose of this pilot study was to determine the feasibility of implementing a nurse led transitional model of care to recently discharged patients with serious mental illness. The intervention was intended to target the needs for support and education in a group of patients at high risk for non-adherence and re-admission. Method: The study was a one group quasi-experimental design. Patients were recruited prior to the discharge from hospital. Patients received a two month intervention consisting of six home visits from an advanced practice nurse focusing on: 1) comprehensive discharge planning, 2) health assessment and intervention, and 3) skills enhancement related to illness management and treatment adherence. Measures of functional status, treatment adherence and satisfaction with quality of life were administered. The nurse kept narrative logs of each visit, documenting patients? problems, and barriers to care. These notes were analyzed using content analysis. This presentation focuses on the analysis of the nurse?s logs and other documentation of the home visits and the recruitment and retention issues encountered. Findings: Ten African American patients living in an impoverished inner city neighborhood were enrolled. Three major categories for intervention were identified: 1) caregiver health status; 2) daily structure/involvement in meaningful activities; and 3) structural and functional factors related to non-adherence. Summary data of the three outcome measures will also be presented. Discussion: Several major conclusions will be discussed: 1) adherence was related to numerous system as well as personal factors; 2) inclusion of the family and addressing family health needs are critical to an effective intervention; and 3) many patients are still symptomatic at discharge and needs for illness teaching are ongoing. Successful interventions for these patients in the immediate post-discharge period need to consider these complex interactions of patient, family, and environmental factors.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTransitional Care for Seriously Mentally Ill Personsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148533-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Transitional Care for Seriously Mentally Ill Persons</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rose, Linda, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Johns Hopkins University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lrose2@son.jhmi.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Linda D. Gerson, PhD, RN; Cynthia Carbo, MSN, APRN-BC</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Purpose: The purpose of this pilot study was to determine the feasibility of implementing a nurse led transitional model of care to recently discharged patients with serious mental illness. The intervention was intended to target the needs for support and education in a group of patients at high risk for non-adherence and re-admission. Method: The study was a one group quasi-experimental design. Patients were recruited prior to the discharge from hospital. Patients received a two month intervention consisting of six home visits from an advanced practice nurse focusing on: 1) comprehensive discharge planning, 2) health assessment and intervention, and 3) skills enhancement related to illness management and treatment adherence. Measures of functional status, treatment adherence and satisfaction with quality of life were administered. The nurse kept narrative logs of each visit, documenting patients? problems, and barriers to care. These notes were analyzed using content analysis. This presentation focuses on the analysis of the nurse?s logs and other documentation of the home visits and the recruitment and retention issues encountered. Findings: Ten African American patients living in an impoverished inner city neighborhood were enrolled. Three major categories for intervention were identified: 1) caregiver health status; 2) daily structure/involvement in meaningful activities; and 3) structural and functional factors related to non-adherence. Summary data of the three outcome measures will also be presented. Discussion: Several major conclusions will be discussed: 1) adherence was related to numerous system as well as personal factors; 2) inclusion of the family and addressing family health needs are critical to an effective intervention; and 3) many patients are still symptomatic at discharge and needs for illness teaching are ongoing. Successful interventions for these patients in the immediate post-discharge period need to consider these complex interactions of patient, family, and environmental factors.</td></tr></table>en_GB
dc.date.available2011-10-26T09:46:35Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:46:35Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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