Search

The relationship between five older adults' demographic characteristics and their perceptions of five self-care actions for paying for health care are examined. Possible social determinants are identified underlying the perceived importance of and desire and ability to perform self-care actions. Solutions that consider social determinants of health related to paying for health care should be neighborhood-focused., Medical costs and expensive drugs have been highlighted as two significant financial concerns of retirees and older adults (Cheney & Stark, 2019). Based on a nationally representative survey of 3,537 [...]

Background Patients' self-care capacity could influence their quality of life and outcomes such as emergency room use. Purpose Explore the relationship between older adults' demographic characteristics (as possible social determinants of health) and their perceived importance and desirability of, and ability to perform, eight self-care behaviors for organizing personal health care. Method Authors conducted a secondary data analysis from a cross-sectional study that surveyed community-dwelling adults (N=123 adults age 65 or older) in the southern United States (2015-2016). Data were collected with the Patient Action Inventory for Self-Care. Univariate and multiple logistic regression analyses were conducted. Results Older adults' residence in an urban area, advancing age, separated marital status, and not having a high school education were associated with negative responses regarding the importance and desirability of, and ability to perform, at least one of five self-care behaviors related to organizing their health care. Limitations and Implications Findings may not be generalizable to other regions or other populations. Medical-surgical nurses should consider older adults may respond to medical and healthcare instructions and interventions based on their demographic characteristics and developmental life stage. Conclusion Older adults' advancing age, marital status, education, and residential area could be social determinants of health that influence their perceptions in performing self-care actions to organize their personal health care. Age, education, marital status, and residential area could be social determinants of health that result in adverse health perceptions related to performing self-care actions to organize older adults' health care. Medical-surgical nurses should be proactive in identifying social determinants of older adults' self-care behaviors., Among healthcare professionals, there is an emerging desire to create a purposeful clinical practice environment with workflow that supports implementation of an electronic health record-based social determinants of health screening [...]

* Operational costs and length of stay of patients who fall in hospitals are greater than those who do not fall. * The purpose of this study was to identify highly effective interventions to prevent fall injuries as perceived by registered nurse (RN) staff for adult inpatients in acute hospital settings. * A multihospital, cross-sectional design explored the underlying grouping structure of the nurse-perceived effectiveness items of preventive interventions in acute hospital settings. * Twenty-one highly effective interventions to prevent fall injuries were identified. * Ten interventions were related to improving patients' surrounding environment and 11 were related to increasing RN vigilance., IN A STUDY OF THREE U.S. hospitals, the operational costs for patients who fell with serious injury were $13,316 higher and length of stay 6.3 days longer than patients who [...]

Based on the 2011 Hospital Compare data, inpatient satisfaction measures and nurse staffing were associated negatively with injurious fall rates. Public data could help healthcare consumers comprehend the value of hospital infrastructure for preventing injurious falls., Beginning in FY2009, the Centers for Medicare & Medicaid Services (CMS) ended payment for care needed to treat certain preventable inpatient injuries that occur during hospitalization (e.g., fractures, dislocations, intracranial [...]