Each year, approximately 234,000 teachers in the United States are victims of school-related violence. After a violent incident, school-based mental health professionals, psychologists from the community, and administrators appropriately intervene to provide counseling and other services for students. Unfortunately, many school personnel who have been victimized do not receive adequate treatment after such incidents occur. In this article, the authors argue that psychologists, school personnel, and mental health counselors must be aware of the needs of teachers and administrators who have been affected by these events and must, therefore, provide counseling for them as well.
Purpose/Objectives:
The purpose of this program was to provide health coaching to patients with a primary or secondary diagnosis of Type 2 diabetes mellitus (T2DM) to increase self-management skills and reduce 30-day readmissions.
Primary Practice Setting:
The setting was a 273-bed, acute care not-for-profit hospital in the southern region of the United States.
Findings/Conclusions:
Health coaching that emphasized self-management, empowered patients to set healthy goals, and provided support through weekly reminders to improve self-management for patients with T2DM in this pilot program. The majority of patients reported accomplishment of goals with 16 out of 20 patients who did not require inpatient stay 30 days after discharge from the acute care facility.
Implications for Case Management Practice:
The T2DM piloted program can easily be modified to fit other chronic illness that require routine monitoring and complex regimens to remain healthy. Case managers have the opportunity to coach on the importance of lifestyle modification and self-management support for patients with chronic illness with follow-up interactive phone visits after hospital discharge. Motivation and confidence through coaching may increase self-efficacy and better management of self-care and reduce the burden of unplanned hospital readmissions.
Background: Hematopoietic stem cell transplantation (HSCT) is currently the only cure for sickle cell disease (SCD), but only a fraction of eligible children proceed to transplantation. We aimed to understand parental awareness and perceptions as a contributor. Purpose: To discuss HSCT with parents of children with SCD and assess their awareness and perceptions. Methods: A standardized educational session and pre-post surveys were used. Results: Fifty-seven parents completed the educational session. Parental awareness of HSCT and independent search for information were poor; only 40% of parents were previously aware of HSCT as a treatment option in SCD. However, 91% reported that the information was valuable, and 67% that they would consider HSCT as a treatment option for their child. Parents' main concerns were death, isolation, and infertility. Discussion: Our results support the use of structured educational materials during routine SCD health visits to provide information to parents about HSCT and begin discussing complex treatment options. Translation to Health Education Practice: Our results are relevant to clinicians, health educators, and patient advocates responsible for counseling parents of children with chronic conditions about high-risk curative options. A patient education sheet was generated from this experience and will be used to standardize ongoing parental education at our institutions.
The shift report, a seemingly routine event, presents a paradox of contradictions for nursing staff. Beyond the acknowledged purpose of information exchange and socialization, intershift reports also include elements of cultural disarray and powerlessness among the nursing staff. This literature review explores the implications for staff development at the unit level and for management. Recommendations are made for enhancing self-esteem and collegial support and for setting priorities for the shift report.
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