2.50
Hdl Handle:
http://hdl.handle.net/10755/621930
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Chronic Disease Burden and the Impact on Nursing Practice in South Texas
Author(s):
Dols, Jean Dowling; Hoke, Mary M.; Weis, Karen L.; Gunter, M. Danielle
Lead Author STTI Affiliation:
Beta Beta (Houston)
Author Details:
Jean Dowling Dols, PhD, RN, NEA-BC, FACHE, Professional Experience: Dr Dols has more than 25 years experience as a healthcare executive and transformational leader in nursing, quality, community health, research, and informatics. Currently an Associate Professor at the University of the Incarnate Word, Dr. Dols works with a transplant & specialty hospital in an academic-practice partnership that has driven the implementation of evidence-based practice, practice redesign, and research. Dr. Dols has presented extensively nationally and internationally and has published more than 15 professional publications. Author Summary: Dr Dols has more than 25 years experience as a healthcare executive and transformational leader in nursing, quality, community health, research, and informatics. Currently an Associate Professor at the University of the Incarnate Word, Dr. Dols has presented extensively nationally and internationally and has published more than 15 professional publications. A partner in an academic-practice partnership Dr Dols is leading the implementation of research in the transplant population.
Abstract:

Purpose:

Chronic diseases are the leading causes of death in the United States, with 45% of the population having at least one chronic disease.1 Americans aged 65+ with one or more chronic disease has risen from 86.9% in 1998 to 92.2% ten years later in 2008.2 The healthcare costs associated with treatment of chronic diseases accounts for almost 99% of the total Medicare spending and 83% of Medicaid spending.3 It is anticipated that by 2025, chronic diseases will affect about half of the population.3

Understanding the patterns of health and chronic disease burden by region is important in order to provide nurses appropriately prepared to address the regional issues of health and chronic illness. Today’s graduates are expected to understand broad concepts and assess evidence-based information rather than just memorize facts. Applying information and knowledge to specific nursing situations requires well-developed curriculum that aligns with local and regional individual and population health needs. Understanding the disease burden by region is essential to develop appropriate nursing curricula with pertinent exemplars for this unique patient and nursing population.4

The 43 South Texas counties included in the study’s region are predominately rural (n =28, 65%), with a substantial number considered border counties (n=17, 39.5%) on the U.S. border of Mexico.5 While the global burden of disease has been reported, the results primarily reflect 2010 data and do not provide a perspective of regional disease burden.6

The purpose of this study is to describe the scope and change in chronic disease burden across 43 counties in South Texas for a 10-year period in order to systematically assess health and chronic disease shifts to identify appropriate exemplars and continually assess and update nursing curriculum for a concept-based nursing curriculum.

Methods:

De-identified data from the Texas Healthcare Information Collection (THCIC) will be used to determine the scope and the change in chronic disease burden across 43 counties in South Texas from 1st Quarter 2005 to 1st Quarter 2015.7 The THCIC database, built with healthcare data collected by the THCIC, a department within the Department of Health & Human Services (DSHS), was created in 1995 by the Texas Legislature.7 The data reports healthcare activity in Texas hospitals and health maintenance organizations. THCIC data contains the billing information for all inpatient admissions, excluding exempt facilities, including demographic data, hospital, admission/discharge information, payment information, principal and secondary diagnoses, E-codes, MS DRGs, charges, physician data, and a unique patient identifier. THCIC data also contains the emergency room utilization and charge procedure codes.

Hospitalizations for the disease codes of Diabetes, Coronary Artery Disease, COPD, arthritis, depression, cirrhosis, chronic kidney disease, respiratory tract infections, asthma, and stroke will be reviewed. Data will be exported from the THCIC database to SPSS version 21.

Descriptive statistics will be used to describe the disease categories. Differences between 2005 and 2015 disease burden by category will be analyzed with paired t-tests. Comparisons of disease burden with the presence of greater numbers of licensed nurses will be compared using parametric testing including Pearson's r.

Results:

Results are pending the completion of the data analysis in January 2017.

Conclusions:

As schools of nursing struggle with increasing educational content requirements while also being urged to create seamless transitions to the workforce, there is a need for innovative approaches focused on the healthcare needs of the populations in which the students will most likely be immersed. This requires detailed knowledge and understanding of the chronic disease burden affecting the region in which the nursing schools reside. The results from this study will inform the faculty and administration of healthcare needs and priorities for the region. Exemplars for the 22 nursing programs in South Texas counties may then be focused on the change in disease burden.

Keywords:
chronic disease; disease burden; nursing practice
Repository Posting Date:
19-Jul-2017
Date of Publication:
19-Jul-2017
Other Identifiers:
INRC17PST590
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.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleChronic Disease Burden and the Impact on Nursing Practice in South Texasen_US
dc.contributor.authorDols, Jean Dowlingen
dc.contributor.authorHoke, Mary M.en
dc.contributor.authorWeis, Karen L.en
dc.contributor.authorGunter, M. Danielleen
dc.contributor.departmentBeta Beta (Houston)en
dc.author.detailsJean Dowling Dols, PhD, RN, NEA-BC, FACHE, Professional Experience: Dr Dols has more than 25 years experience as a healthcare executive and transformational leader in nursing, quality, community health, research, and informatics. Currently an Associate Professor at the University of the Incarnate Word, Dr. Dols works with a transplant & specialty hospital in an academic-practice partnership that has driven the implementation of evidence-based practice, practice redesign, and research. Dr. Dols has presented extensively nationally and internationally and has published more than 15 professional publications. Author Summary: Dr Dols has more than 25 years experience as a healthcare executive and transformational leader in nursing, quality, community health, research, and informatics. Currently an Associate Professor at the University of the Incarnate Word, Dr. Dols has presented extensively nationally and internationally and has published more than 15 professional publications. A partner in an academic-practice partnership Dr Dols is leading the implementation of research in the transplant population.en
dc.identifier.urihttp://hdl.handle.net/10755/621930-
dc.description.abstract<p><strong>Purpose:</strong></p> <p>Chronic diseases are the leading causes of death in the United States, with 45% of the population having at least one chronic disease.<sup>1</sup> Americans aged 65+ with one or more chronic disease has risen from 86.9% in 1998 to 92.2% ten years later in 2008.<sup>2</sup> The healthcare costs associated with treatment of chronic diseases accounts for almost 99% of the total Medicare spending and 83% of Medicaid spending.<sup>3</sup> It is anticipated that by 2025, chronic diseases will affect about half of the population.<sup>3</sup></p> <p>Understanding the patterns of health and chronic disease burden by region is important in order to provide nurses appropriately prepared to address the regional issues of health and chronic illness. Today’s graduates are expected to understand broad concepts and assess evidence-based information rather than just memorize facts. Applying information and knowledge to specific nursing situations requires well-developed curriculum that aligns with local and regional individual and population health needs. Understanding the disease burden by region is essential to develop appropriate nursing curricula with pertinent exemplars for this unique patient and nursing population.<sup>4</sup></p> <p>The 43 South Texas counties included in the study’s region are predominately rural (n =28, 65%), with a substantial number considered border counties (n=17, 39.5%) on the U.S. border of Mexico.<sup>5</sup> While the global burden of disease has been reported, the results primarily reflect 2010 data and do not provide a perspective of regional disease burden.<sup>6</sup></p> <p>The purpose of this study is to describe the scope and change in chronic disease burden across 43 counties in South Texas for a 10-year period in order to systematically assess health and chronic disease shifts to identify appropriate exemplars and continually assess and update nursing curriculum for a concept-based nursing curriculum.</p> <p><strong>Methods:</strong></p> <p>De-identified data from the Texas Healthcare Information Collection (THCIC) will be used to determine the scope and the change in chronic disease burden across 43 counties in South Texas from 1<sup>st</sup> Quarter 2005 to 1<sup>st</sup> Quarter 2015.<sup>7</sup> The THCIC database, built with healthcare data collected by the THCIC, a department within the Department of Health & Human Services (DSHS), was created in 1995 by the Texas Legislature.<sup>7</sup> The data reports healthcare activity in Texas hospitals and health maintenance organizations. THCIC data contains the billing information for all inpatient admissions, excluding exempt facilities, including demographic data, hospital, admission/discharge information, payment information, principal and secondary diagnoses, E-codes, MS DRGs, charges, physician data, and a unique patient identifier. THCIC data also contains the emergency room utilization and charge procedure codes.</p> <p>Hospitalizations for the disease codes of Diabetes, Coronary Artery Disease, COPD, arthritis, depression, cirrhosis, chronic kidney disease, respiratory tract infections, asthma, and stroke will be reviewed. Data will be exported from the THCIC database to SPSS version 21.</p> <p>Descriptive statistics will be used to describe the disease categories. Differences between 2005 and 2015 disease burden by category will be analyzed with paired <em>t-</em>tests. Comparisons of disease burden with the presence of greater numbers of licensed nurses will be compared using parametric testing including Pearson's r.</p> <p><strong>Results:</strong></p> <p>Results are pending the completion of the data analysis in January 2017.</p> <p><strong>Conclusions:</strong></p> <p>As schools of nursing struggle with increasing educational content requirements while also being urged to create seamless transitions to the workforce, there is a need for innovative approaches focused on the healthcare needs of the populations in which the students will most likely be immersed. This requires detailed knowledge and understanding of the chronic disease burden affecting the region in which the nursing schools reside. The results from this study will inform the faculty and administration of healthcare needs and priorities for the region. Exemplars for the 22 nursing programs in South Texas counties may then be focused on the change in disease burden.</p>en
dc.subjectchronic diseaseen
dc.subjectdisease burdenen
dc.subjectnursing practiceen
dc.date.available2017-07-19T15:09:16Z-
dc.date.issued2017-07-19-
dc.date.accessioned2017-07-19T15:09:16Z-
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
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.