2.50
Hdl Handle:
http://hdl.handle.net/10755/621641
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
The Value of Fracture Liaison Services: A Focus Group Study
Other Titles:
Clinical Care Practices
Author(s):
Chow, Sharon Kan-Ha
Lead Author STTI Affiliation:
Phi Alpha
Author Details:
Sharon Kan-Ha Chow, DNP(c), RN, ANP-BC, PPCNP-BC, CCD, Professional Experience: Being dedicated to nursing profession for 35 years, the author is honored to be an internationally Certified Clinical Densitometrist (CCD), and a nationally certified Adult Nurse Practitioner and Pediatric Nurse Practitioner along with well-rounded “A to Z” nursing specialty experiences and professional achievement. Functioning as a Healthy Bones Nurse Practitioner Care Manager at Kaiser Permanente Medical Center for four years, the author proactively helps identify, screen, and treat adults who may have or are at risk for osteoporosis, and collaboratively coordinates cost-effective post-fracture care to promote positive health outcomes and better quality of life. As a lifelong learner, completing the Doctor of Nursing Practice (DNP) program enriches the author advanced nursing knowledge and evidence-based practices for patients, families and the community. Having DNP training and preparation grants the author opportunities to serve the underserved and vulnerable populations locally and globally. Author Summary: As an internationally Certified Clinical Densitometrist (CCD) and a Healthy Bones Nurse Practitioner Care Manager, the author proactively helps identify, screen, and treat adults who may have or are at risk for osteoporosis, as well as collaboratively coordinates cost-effective post-fracture care to promote positive health outcomes. Functioning as a patient advocate, the author incorporates interprofessional collaboration to effectively close osteoporosis care gaps, assure quality coordinated osteoporosis care, and reduce hip fractures and healthcare costs.
Abstract:

Purpose:

Economic analysts have predicted that worldwide aged 65 years and older will increase to more than 1.3 billion by 2040. The growing aging population carries a high prevalence of osteoporosis and a high incidence of morbidity and mortality. In the United States, only 5% of patients with osteoporosis are properly diagnosed. The International Osteoporosis Foundation advocates Fracture Liaison Services (FLS) as best practice that ensures appropriate osteoporosis testing, diagnosis, treatment and ongoing support for fracture patients. Highly collaborative Kaiser Permanente Southern California Healthy Bones Program is recognized as best FLS practice to proactively identify, screen, and treat adults who may have or be at risk for osteoporosis. The purpose of this qualitative study is to explore the value of the Healthy Bones Program as perceived by Kaiser Permanente members aged 65 years and older, specifically relating to patient care experiences and health outcomes. A secondary purpose is to elicit information about members’ knowledge and value for the collaborative efforts that are implemented to improve patient care experiences and health outcomes.

Methods:

Two focus group interviews were conducted with 6 participants per group, for a total of 12 participants at Fontana Kaiser Permanente Medical Center. The interviews were conducted by the primary investigator and co-investigator using semi-structured, open-ended and prompting questions to gain participants’ detailed insights. All recorded interviews were professionally transcribed verbatim. Qualitative content analysis and interpretive processes were utilized to facilitate better understanding of participants’ experiences and perceptions. The use of Nvivo software assisted in coding, as well as generating reports of coded text for analysis. A word cloud was developed to enhance a visual representation of overlapping themes within the study.

Results:

This focus group study successfully explored participants’ understanding and experience of the value of Healthy Bones Program, and investigated participants’ views on how they would like to be involved in care experiences and health improvement. Five cluster themes and their subthemes were identified, such as Healthy Bones Program knowledge, perceived collaborative care, osteoporosis self-care management, Healthy Bones Program care experiences, and healthy lifestyle and living longer. Participants’ positive and negative comments of their care experiences were carefully summarized. Health education of bone health and osteoporosis management were highly appreciated as beneficial and informative intervention, to enrich and empower osteoporosis self-care management. Participants felt well informed and motivated, to get more involved in their osteoporosis care. Participants experienced that electronic health records facilitated collaborative care in osteoporosis screening, treatment and follow up. Preventive care was valued as the key measure for general health and bone health promotion. Participants commented that bone health promotion and osteoporosis prevention should be started at an earlier age, around 30-40 years of age. In order to live longer, participants all seek for health education, and maintain healthy eating and healthy lifestyle.

Conclusion:

In today’s ever-changing, complex healthcare systems, patient care experience is purposefully built on an organization’s collaborative efforts to shape a positive care experience. When patients can have a voice, quality patient-centered care will be expected throughout health continuum. In order to meet the preventive care commitment, FLS strategies will interprofessionally help decrease the burden of osteoporosis. The focus group study findings can influentially impact in measuring program success, and triggering necessary program improvement. The results will be disseminated at the local, national and international levels to transform collaborative, evidence-based osteoporosis care management, to improve patient care experiences and health outcomes.

Keywords:
Focus Group; Fracture; Osteoperosis
Repository Posting Date:
3-Jul-2017
Date of Publication:
3-Jul-2017
Other Identifiers:
INRC17D13
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleThe Value of Fracture Liaison Services: A Focus Group Studyen_US
dc.title.alternativeClinical Care Practicesen
dc.contributor.authorChow, Sharon Kan-Haen
dc.contributor.departmentPhi Alphaen
dc.author.detailsSharon Kan-Ha Chow, DNP(c), RN, ANP-BC, PPCNP-BC, CCD, Professional Experience: Being dedicated to nursing profession for 35 years, the author is honored to be an internationally Certified Clinical Densitometrist (CCD), and a nationally certified Adult Nurse Practitioner and Pediatric Nurse Practitioner along with well-rounded “A to Z” nursing specialty experiences and professional achievement. Functioning as a Healthy Bones Nurse Practitioner Care Manager at Kaiser Permanente Medical Center for four years, the author proactively helps identify, screen, and treat adults who may have or are at risk for osteoporosis, and collaboratively coordinates cost-effective post-fracture care to promote positive health outcomes and better quality of life. As a lifelong learner, completing the Doctor of Nursing Practice (DNP) program enriches the author advanced nursing knowledge and evidence-based practices for patients, families and the community. Having DNP training and preparation grants the author opportunities to serve the underserved and vulnerable populations locally and globally. Author Summary: As an internationally Certified Clinical Densitometrist (CCD) and a Healthy Bones Nurse Practitioner Care Manager, the author proactively helps identify, screen, and treat adults who may have or are at risk for osteoporosis, as well as collaboratively coordinates cost-effective post-fracture care to promote positive health outcomes. Functioning as a patient advocate, the author incorporates interprofessional collaboration to effectively close osteoporosis care gaps, assure quality coordinated osteoporosis care, and reduce hip fractures and healthcare costs.en
dc.identifier.urihttp://hdl.handle.net/10755/621641-
dc.description.abstract<p><span>Purpose:</span></p> <p>Economic analysts have predicted that worldwide aged 65 years and older will increase to more than 1.3 billion by 2040. The growing aging population carries a high prevalence of osteoporosis and a high incidence of morbidity and mortality. In the United States, only 5% of patients with osteoporosis are properly diagnosed. The International Osteoporosis Foundation advocates Fracture Liaison Services (FLS) as best practice that ensures appropriate osteoporosis testing, diagnosis, treatment and ongoing support for fracture patients. Highly collaborative Kaiser Permanente Southern California Healthy Bones Program is recognized as best FLS practice to proactively identify, screen, and treat adults who may have or be at risk for osteoporosis. The purpose of this qualitative study is to explore the value of the Healthy Bones Program as perceived by Kaiser Permanente members aged 65 years and older, specifically relating to patient care experiences and health outcomes. A secondary purpose is to elicit information about members’ knowledge and value for the collaborative efforts that are implemented to improve patient care experiences and health outcomes.</p> <p>Methods:</p> <p>Two focus group interviews were conducted with 6 participants per group, for a total of 12 participants at Fontana Kaiser Permanente Medical Center. The interviews were conducted by the primary investigator and co-investigator using semi-structured, open-ended and prompting questions to gain participants’ detailed insights. All recorded interviews were professionally transcribed verbatim. Qualitative content analysis and interpretive processes were utilized to facilitate better understanding of participants’ experiences and perceptions. The use of Nvivo software assisted in coding, as well as generating reports of coded text for analysis. A word cloud was developed to enhance a visual representation of overlapping themes within the study.</p> <p>Results:</p> <p>This focus group study successfully explored participants’ understanding and experience of the value of Healthy Bones Program, and investigated participants’ views on how they would like to be involved in care experiences and health improvement. Five cluster themes and their subthemes were identified, such as Healthy Bones Program knowledge, perceived collaborative care, osteoporosis self-care management, Healthy Bones Program care experiences, and healthy lifestyle and living longer. Participants’ positive and negative comments of their care experiences were carefully summarized. Health education of bone health and osteoporosis management were highly appreciated as beneficial and informative intervention, to enrich and empower osteoporosis self-care management. Participants felt well informed and motivated, to get more involved in their osteoporosis care. Participants experienced that electronic health records facilitated collaborative care in osteoporosis screening, treatment and follow up. Preventive care was valued as the key measure for general health and bone health promotion. Participants commented that bone health promotion and osteoporosis prevention should be started at an earlier age, around 30-40 years of age. In order to live longer, participants all seek for health education, and maintain healthy eating and healthy lifestyle.</p> <p>Conclusion:</p> <p>In today’s ever-changing, complex healthcare systems, patient care experience is purposefully built on an organization’s collaborative efforts to shape a positive care experience. When patients can have a voice, quality patient-centered care will be expected throughout health continuum. In order to meet the preventive care commitment, FLS strategies will interprofessionally help decrease the burden of osteoporosis. The focus group study findings can influentially impact in measuring program success, and triggering necessary program improvement. The results will be disseminated at the local, national and international levels to transform collaborative, evidence-based osteoporosis care management, to improve patient care experiences and health outcomes.</p>en
dc.subjectFocus Groupen
dc.subjectFractureen
dc.subjectOsteoperosisen
dc.date.available2017-07-03T17:51:50Z-
dc.date.issued2017-07-03-
dc.date.accessioned2017-07-03T17:51:50Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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