4 results on '"Chattat, Rabih"'
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2. Care Plan Improvement in Nursing Homes: An Integrative Review
- Author
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Mariani, Elena, primary, Chattat, Rabih, additional, Vernooij-Dassen, Myrra, additional, Koopmans, Raymond, additional, and Engels, Yvonne, additional
- Published
- 2016
- Full Text
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3. Care Plan Improvement in Nursing Homes: An Integrative Review.
- Author
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Mariani, Elena, Vernooij-Dassen, Myrra, Chattat, Rabih, Koopmans, Raymond, and Engels, Yvonne
- Subjects
NURSING home patients ,DATA analysis ,OLDER people ,MEDICAL care ,DOCUMENTATION ,MANAGEMENT ,PSYCHOLOGY of caregivers ,MEDICAL protocols ,NURSE-patient relationships ,NURSES ,NURSING care facilities ,SYSTEMATIC reviews ,BIBLIOGRAPHIC databases ,EVALUATION of human services programs - Abstract
Background: Care planning nowadays is a key activity in the provision of services to nursing home residents. A care plan describes the residents' needs and the actions to address them, providing both individualized and standardized interventions and should be updated as changes in the residents' conditions occur.Objective: The aim of this review was to identify the core elements of the implementation of changes in nursing homes' care plans, by providing an overview of the type of stakeholders involved, describing the implementation strategies used, and exploring how care plans changed.Methods: An integrative literature review was used to evaluate intervention studies taking place in nursing homes. Data were collected from PubMed, CINHAL-EBSCO, and PsycINFO. English language articles published between 1995 and April 2015 were included. Data analysis followed the strategy of Knafl and Whittemore.Results: Twenty-six articles were included. The stakeholders involved were professionals, family caregivers, and patients. Only a few studies directly involved residents and family caregivers in the quality improvement process. The implementation strategies used were technology implementation, audit, training, feedback, and supervision. The majority of interventions changed the residents' care plans in terms of developing a more standardized care documentation that primarily focuses on its quality. Only some interventions developed more tailored care plans that focus on individualized needs.Conclusion: Care plans generally failed in providing both standardized and personalized interventions. Efforts should be made to directly involve residents in care planning and provide professionals with efficient tools to report care goals and actions in care plans. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
4. The Impact of a Shared Decision-Making Training Program on Dementia Care Planning in Long-Term Care
- Author
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Myrra Vernooij-Dassen, Raymond T.C.M. Koopmans, Rabih Chattat, Giovanni Ottoboni, Elena Mariani, Yvonne Engels, Mariani, Elena, Chattat, Rabih, Ottoboni, Giovanni, Koopmans, Raymond, Vernooij-Dassen, Myrra, and Engels, Yvonne
- Subjects
Male ,Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] ,Decision Making ,Care planning policy ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] ,03 medical and health sciences ,0302 clinical medicine ,Documentation ,All institutes and research themes of the Radboud University Medical Center ,Nursing ,Outcome Assessment, Health Care ,medicine ,Dementia ,Humans ,030212 general & internal medicine ,Competence (human resources) ,Aged ,Netherlands ,family caregiver ,Aged, 80 and over ,care planning regulation ,Family caregivers ,030503 health policy & services ,General Neuroscience ,shared decision-making ,General Medicine ,medicine.disease ,Long-Term Care ,elderly resident ,Psychiatry and Mental health ,Clinical Psychology ,Long-term care ,nursing home ,Caregivers ,Italy ,Health Occupations ,Job satisfaction ,Female ,Geriatrics and Gerontology ,0305 other medical science ,Training program ,Psychology ,Nursing homes ,care plan ,dementia resident - Abstract
Background: Shared decision-making (SDM) can be a way for staff to adopt international recommendations advocating the involvement of nursing home residents and their family members in care planning and the development of personalized care plans.Objective: The main aim was to analyze the effects of training nursing home staff in the implementation of SDM on agreement of residents' 'life-and-care plans' with the recommendations (primary outcome) and on family caregivers' quality of life and sense of competence, and staff's job satisfaction (secondary outcomes).Methods: In the intervention condition, staff attended a training program on the use of SDM with residents and family caregivers in the care planning process. In the control condition, care planning as usual took place. For the primary outcome, in-depth qualitative and quantitative analyses of the care plans were performed. Multivariate Permutation Tests were applied to assess the impact on secondary outcomes.Results: Forty-nine residents and family caregivers and 34 professionals were involved. Overall, many of the care plans developed during the intervention showed a high level of agreement with the care planning recommendations. Both Italian and Dutch care plans showed improvement in the number of clear problem statements (p < 0.001). In Italy, significant improvements (p < 0.05) were also found regarding specific care objectives, documentation of objectives met, and of residents and families' involvement. No impact was found on secondary outcomes.Conclusion: The involvement of residents and family caregivers in care planning contributed to an improvement of the residents' care plans, but it did not have an effect on family caregivers and staff outcomes.
- Published
- 2018
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