Basic Nursing 1st Edition by Judith Wilkinson, Leslie Treas

تمرين 4

M., McGinnis, M.A., Hudson, L R., et al. (2006).A focused telephonic nursing intervention delivers improved adherence to A lc testing. Disease Management 9(5), 277-283.
This 6-month study investigated whether a focused telephone intervention would improve patient adherence to hemoglobin A I c testing (a test of diabetes control). Subjects were already enrolled in a diabetes disease management program and were receiving various types of phone calls and educational materials. During the study, when a routine call was made to a member of the program, the clinician determined whether the A I c had been tested in the past 6 months. If not, a specific goal was created with the member during the conversation (e.g., "I will make an appointment to follow up on my A I c test"); a copy was mailed to the member. Phone calls were repeated every 2 weeks to check on the person's progress in meeting the goal. Patient records were examined for evidence that an Alc test had been done. At the end of the 6 months, quantitative analysis of data was done. The number of group members who received an A I c test increased significantly, by 12%. Gender did not affect adherence to A I c testing, but age did. The greatest improvement was observed in the 0- to 19-year age group (14.9%), those ages 50 to 59 (12.7%), and those ages 60 to 69 years (I 3.4%). All other age categories showed increases ranging from 8.1% to 10.6%. Increases in the number of phone calls made to a member were associated with subsequent increases in Alc testing adherence.
Duhamel, F., Dupuis, F., Reidy, M., et al. (2007).A qualitative evaluation of a family nursing intervention. Clinical Nurse Specialist, 2I (1 ), 43-49.
In this qualitative study, a clinical nurse specialist met with each of four couples for four 60-minute therapeutic meetings. Meetings were also audiotaped. The patients were retired men with congestive heart failure (CHF), whose wives were their caregivers. Researchers used semi structured interviews before and after the intervention and analyzed them qualitatively. Results showed that both spouses were experiencing a high level of suffering, which was relieved through a family nursing meeting that allowed them to obtain a better understanding of each other's experience.
Using these two studies, write two nursing orders for a client who will be discharged tomorrow after being hospitalized for the fourth time for CHF. He will be cared for at home by his wife. (Assume that whatever services you recommend will be available and affordable.)