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Exploring Acuity-Adaptable Care in a Rural Hospital
by
Gilbert, Valarie
, Newcomb, Patricia
, Hampton, Michelle
, Potter, Robert
, Sosebee, Tonya
in
Adult
/ Attitude of Health Personnel
/ Continuity of care
/ Efficiency, Organizational
/ Female
/ Focus Groups
/ Health care delivery
/ Hospitals
/ Hospitals, Rural - organization & administration
/ Humans
/ Intensive care
/ Intensive Care Units - organization & administration
/ Intensive Care Units - standards
/ Length of Stay
/ Male
/ Middle Aged
/ Models, Organizational
/ Nurse patient relationships
/ Nurse-Patient Relations
/ Nursing Staff, Hospital - organization & administration
/ Nursing Staff, Hospital - psychology
/ Patient Handoff - standards
/ Patient Handoff - statistics & numerical data
/ Patient Safety
/ Patient Satisfaction
/ Patient Transfer - standards
/ Patient Transfer - statistics & numerical data
/ Pilot Projects
/ Productivity
/ Program Evaluation
/ Rural health care
2017
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Exploring Acuity-Adaptable Care in a Rural Hospital
by
Gilbert, Valarie
, Newcomb, Patricia
, Hampton, Michelle
, Potter, Robert
, Sosebee, Tonya
in
Adult
/ Attitude of Health Personnel
/ Continuity of care
/ Efficiency, Organizational
/ Female
/ Focus Groups
/ Health care delivery
/ Hospitals
/ Hospitals, Rural - organization & administration
/ Humans
/ Intensive care
/ Intensive Care Units - organization & administration
/ Intensive Care Units - standards
/ Length of Stay
/ Male
/ Middle Aged
/ Models, Organizational
/ Nurse patient relationships
/ Nurse-Patient Relations
/ Nursing Staff, Hospital - organization & administration
/ Nursing Staff, Hospital - psychology
/ Patient Handoff - standards
/ Patient Handoff - statistics & numerical data
/ Patient Safety
/ Patient Satisfaction
/ Patient Transfer - standards
/ Patient Transfer - statistics & numerical data
/ Pilot Projects
/ Productivity
/ Program Evaluation
/ Rural health care
2017
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Do you wish to request the book?
Exploring Acuity-Adaptable Care in a Rural Hospital
by
Gilbert, Valarie
, Newcomb, Patricia
, Hampton, Michelle
, Potter, Robert
, Sosebee, Tonya
in
Adult
/ Attitude of Health Personnel
/ Continuity of care
/ Efficiency, Organizational
/ Female
/ Focus Groups
/ Health care delivery
/ Hospitals
/ Hospitals, Rural - organization & administration
/ Humans
/ Intensive care
/ Intensive Care Units - organization & administration
/ Intensive Care Units - standards
/ Length of Stay
/ Male
/ Middle Aged
/ Models, Organizational
/ Nurse patient relationships
/ Nurse-Patient Relations
/ Nursing Staff, Hospital - organization & administration
/ Nursing Staff, Hospital - psychology
/ Patient Handoff - standards
/ Patient Handoff - statistics & numerical data
/ Patient Safety
/ Patient Satisfaction
/ Patient Transfer - standards
/ Patient Transfer - statistics & numerical data
/ Pilot Projects
/ Productivity
/ Program Evaluation
/ Rural health care
2017
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Journal Article
Exploring Acuity-Adaptable Care in a Rural Hospital
2017
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Overview
OBJECTIVEThe objective of this study is to assess benefits of the acuity-adaptable (AA) care model in rural hospitals.
BACKGROUNDThe AA model aims to provide care in the same space from admission to discharge regardless of acuity. Evidence is lacking to support claims that AA care will improve patient safety, increase nurse productivity, and improve patient/staff satisfaction in rural hospitals.
METHODSPatients admitted to a rural intensive care unit (ICU) were allocated to an AA group or an ICU group. Patients in the AA group remained in the ICU room through discharge. Patients in the ICU group transferred out of ICU when acuity permitted. Patient anxiety, depression, and perception of emotional care were measured. Staff responses were assessed qualitatively.
RESULTSAcuity-adaptable patients reported significantly more anxiety and less perceived emotional care than ICU patients. Intensive care unit nurses resisted caring for less acute patients.
CONCLUSIONDisadvantages may outweigh benefits of AA care delivery in the rural ICU.
Publisher
Lippincott Williams & Wilkins, a business of Wolters Kluwer Health,Copyright Wolters Kluwer Health, Inc. All rights reserved,Lippincott Williams & Wilkins Ovid Technologies
Subject
/ Attitude of Health Personnel
/ Female
/ Hospitals, Rural - organization & administration
/ Humans
/ Intensive Care Units - organization & administration
/ Intensive Care Units - standards
/ Male
/ Nursing Staff, Hospital - organization & administration
/ Nursing Staff, Hospital - psychology
/ Patient Handoff - statistics & numerical data
/ Patient Transfer - standards
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