ABSTRACT
The integration of high-fidelity simulation can prepare nurses to respond to realistic patient situations and be ready for their roles as professional nurses. A learning framework such as Understanding by Design can be used to develop simulations that are cohesive with course and program outcomes. The authors discuss their use of this framework to develop a simulation in a community health course.
Subject(s)
Community Health Nursing/education , Education, Nursing/methods , Models, Educational , Patient Simulation , Humans , Nursing Education Research , Nursing Evaluation Research , Nursing Methodology ResearchABSTRACT
Novel strategies are needed to expand access to effective behavioral interventions for HIV prevention. Delivering effective group-based interventions to people living with HIV using video-conferencing technology is an innovative approach that may address this need, but has not been explored. Twenty-seven women living with HIV (WLH) who had just completed Healthy Relationships, a group-based behavioral program for WLH, participated in focus groups to share their thoughts about potentially participating in Healthy Relationships via a video-conferencing group. Overall, WLH supported the idea of video-group delivery of the program. They had numerous questions about logistics, expressed concerns about safety and confidentiality, and indicated a preference for accessing video-groups via special video-phones versus computers. Findings warrant further research into the feasibility, acceptability, and effectiveness of video-group delivery of HIV prevention interventions and suggest important considerations for researchers and practitioners who may employ video-conferencing for intervention delivery.
Subject(s)
Directive Counseling/methods , HIV Infections/psychology , Patient Education as Topic/methods , Patient Preference , Videotape Recording , Adult , Confidentiality , Female , Focus Groups , HIV Infections/prevention & control , Humans , Internet , Middle Aged , Program EvaluationABSTRACT
The transition process from pediatric to adult health care for adolescents with chronic diseases is always challenging and can be even more so for adolescents with HIV disease. The purpose of this study was to describe characteristics and current practices surrounding the transition of adolescents from the clinics of the Adolescent Trials Network for HIV/AIDS Interventions to adult medical care. This report focuses on the processes of transition, perceived barriers and facilitators, and anecdotal reports of successes and failures. Practice models used to assist adolescents during transition to adult medical care are described. Interviews were conducted with 19 key informants from 14 Adolescent Trials Network clinics. Findings revealed no consistent definition of "successful" transition, little consensus among the sites regarding specific elements of a transition program, and a lack of mechanisms to assess outcomes. Sites that viewed transition as a process rather than an event consistently described more structured program elements.
Subject(s)
Continuity of Patient Care , HIV Infections/drug therapy , Adolescent , Adult , Florida , Humans , Patient Care TeamABSTRACT
HIV prevention education and counseling efforts have historically been directed toward those individuals considered at risk for exposure to HIV and assumed to be uninfected with HIV. In the late 1990s, prevention efforts began to include individuals who were HIV-infected. In 2003, the Centers for Disease Control and Prevention recommended that HIV prevention be incorporated into the medical care of persons living with HIV. This domain of HIV prevention work is known as prevention with positives or positive prevention, and research within this domain has been ongoing for a decade. This article provides a review of the scientific evidence within the prevention with positives domain from 1998 to 2008. A discussion is provided regarding early descriptive and formative studies as well as more recent and ongoing intervention trials specifically designed for persons living with HIV. A summary of current knowledge, a description of ongoing research, and gaps in knowledge are identified. Topics for future research are suggested.
Subject(s)
Acquired Immunodeficiency Syndrome/prevention & control , HIV Infections/prevention & control , Health Education , Patient Education as Topic , Preventive Health Services/organization & administration , Acquired Immunodeficiency Syndrome/transmission , Female , HIV Infections/transmission , Humans , Male , Young AdultABSTRACT
The Rapid After Bypass Back Into Telemetry program is based on a simple clinical algorithm to predict same-day transfer of patients to the cardiac telemetry unit following cardiac surgery. This program proved to be an excellent predictor for decreased postoperative complications, shorter intensive care unit and hospital stay, and lower costs. We believe that any candidate for cardiac surgery should be screened for eligibility to participate in the program with special focus on female patients to further improve their outcomes.
