The findings yielded a direct correlation between poor inhaler use and poor literacy: Poor inhaler technique was found in 89% of patients reading at less than the third-grade level compared with 48% of patients reading at the high-school level (Nowlan, Williams, Baker, Honig, Lee 1991).
This study's result would have a direct impact upon traditional patient educational efforts, as health education still tends to rely heavily on printed materials. These materials might also be written at too high a level. Making use of pictorial materials and personal demonstrations, the authors concluded, might be more effective than using traditional verbally-based media. The study suggests that different approaches are needed, and more personalized intervention may be required for asthmatics, at least during early stages of treatment. However, there is an issue of correlation vs. causation -- individuals with low levels of literacy may have difficulty learning in general, regardless of the medium, because of less comfort with the concepts of the healthcare system. Also, English literacy, versus literacy in general, was not specifically examined -- cultural incomprehension about the seriousness of the illness amongst ESL speakers who are new immigrants might be an additional problem. Lower-level literacy subjects might also have the very poorest job prospects, and be more apt to be in housing or jobs that exacerbate asthma, even though the study was controlled for such factors as income.
Search items: "adult asthmatics education" in Medline
When I typed in "adult asthmatics" only a broad range of 235 entries in total were received through Medline, including information on asthma in general. I next chose the search teams "adult asthma education." The first page of results yielded a summary of a 2009 study: "Internet-based self-management plus education compared with usual care in asthma. A randomized trial" from the Annals of Internal Medicine. Meer et al. (2009) engaged in a cross-comparative research study of 200 individuals with asthma to see if Internet-based asthma programs in addition to regular care by a doctor could be a helpful,...
PICO Nursing theory informs nursing practice, and especially evidence-based practice. Theory offers a framework for decision-making and policy. Neuman's systems model provides the perfect theoretical framework with which to conduct my research and inform best practices. My PICO question is as follows: "For hospitalized patients who are susceptible to catheter associated Urinary Tract infection (CAUTI), if nurses and other assistive personnel develop an action plan with a systematic team approach of
PICO Question: Bariatric Surgery As the obesity rate continues to be an issue of great concern in America, the question arises as to the best ways to reduce the BMIs of individuals already suffering from the condition, as well as how to enact preventative means. Although the ideal is for people to never become obese at all, the fact remains that there is a need to develop proactive measures to facilitate
intervention for my PICO problem is changing the policies and procedures in hospital with the goal of reducing instances and severity of catheter-related urinary tract infections among affected patients. Although it is an administrative intervention, the outcomes are related to patient data. The independent variables in the research include structure of nursing staff teams; the specific policies that are implemented including catheter insertion and removal procedures and regulations; and finally,
Patient Falls and Nursing PICO Question -- Among acute care patients on a Medical-Surgical Unit, does hourly rounding, as opposed to only setting the bed alarm, significantly reduce patient falls (at least by 50%)? Modern healthcare and nursing are more complex than ever before. The nurse's role is far more than simply an assistant, and requires the understanding and application of a large toolbox to deal with many different situations within the
Summations by Supreme Court Justices Brennan and Blackmun clearly express why the court voted in favor of the plaintiffs in this important case. First of all, Justice Brennan maintains that the case "does not involve textbooks, or indeed any books that... students would be required to read. The only books at issue are library books (which) are optional rather than required reading." What Brennan is attempting to say is that
Man? Giovanni Pico della Mirandola asks the question as to what is man's highest calling. He finds it in the deepest of religious beliefs and offers rational spirituality as the way to perfection. He believed that man was the greatest of God's creations, the highest form of life, even rivaling the angels. His reason was based on his firm belief in God and man's relationship with God as the creator
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