Coaching older adults discharged home from the emergency department: The role of competence and emotion in following up with outpatient clinicians.
Coaching older adults discharged home from the emergency department: The role of competence and emotion in following up with outpatient clinicians.
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指导老年人从急诊科出院回家：能力和情感在门诊临床医生随访中的作用。
DOI：
10.1016/j.pec.2022.08.013
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发表时间：
2022
影响因子：
3.5
通讯作者：
Shah,DhavanV
中科院分区：
文献类型：
--
作者：
Mi,RanranZ;Jacobsohn,GwenC;Wu,Jiaxi;Shah,ManishN;Jones,CourtneyMC;Caprio,ThomasV;Cushman,JeremyT;Lohmeier,Michael;Kind,AmyJH;Shah,DhavanV
目的推动老年人在急诊科出院后向门诊医生进行随访是有益的，但也是具有挑战性的。我们的目标是回答护理过渡教练观察到的动机心理需求和离散情绪是否可以预测这一行为结果。方法从美国两个州的三个急诊室招募ED出院后居住在社区的老年人。我们检查了教练记录的家访笔记(N=725)。结果观察到的基于知识的能力预测在30天内门诊随访的可能性更高，而观察到的悲伤预测在出院后7天内随访的可能性较低。此外，表现出幸福感的参与者更有可能在7天内进行面对面随访，而那些表现出基于知识的能力的参与者更有可能在30天内进行电子跟踪。结论教练笔记中观察和记录的基于知识的能力和情绪可以预测老年人在出院后随后的门诊随访。实践暗示干预计划可能会鼓励教练检查基于知识的能力和观察情绪，除了提供内容之外。教练还可以为具有不同建议随访时间框架的患者定制策略。
ObjectiveMotivating older adults to follow up with an outpatient clinician after discharge from emergency departments (ED) is beneficial yet challenging. We aimed to answer whether psychological needs for motivation and discrete emotions observed by care transition coaches would predict this behavioral outcome.MethodsCommunity-dwelling older adults following ED discharge were recruited from three EDs in two U.S. states. We examined home visit notes documented by coaches (N = 725). Retrospective chart reviews of medical records tracked participants’ health care utilization for 30 days.ResultsObserved knowledge-based competence predicted higher likelihood of outpatient follow-up within 30 days, while observed sadness predicted a lower likelihood of follow-up within seven days following discharge. Moreover, participants who demonstrated happiness were marginally more likely to have anin-personfollow-up within seven days, and those who demonstrated knowledge-based competence were more likely to have anelectronic follow-upwithin 30 days.ConclusionsKnowledge-based competence and emotions, as observed and documented in coach notes, can predict older adults’ subsequent outpatient follow-up following their ED-discharge.Practice implicationsIntervention programs might encourage coaches to check knowledge-based competence and to observe emotions in addition to delivering the content. Coaches could also customize strategies for patients with different recommended timeframes of follow-up.
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影响因子：
2.2
作者：
Hastings, Susan N.;Barrett, Amanda;Schmader, Kenneth E.
通讯作者：
Schmader, Kenneth E.
急诊室的快速初级保健随访，以减少可避免的住院入院。
DOI：
10.5811/westjem.2017.5.33593
发表时间：
2017-08
期刊：
The western journal of emergency medicine
影响因子：
--
作者：
Carmel AS;Steel P;Tanouye R;Novikov A;Clark S;Sinha S;Tung J
通讯作者：
Tung J
影响因子：
6.2
作者：
Han, Jin H.;Bryce, Suzanne N.;Ely, Wesley;Kripalani, Sunil;Morandi, Alessandro;Shintani, Ayumi;Jackson, James C.;Storrow, Alan B.;Dittus, Robert S.;Schnelle, John
通讯作者：
Schnelle, John
影响因子：
1.5
作者：
Warren, Cheryl;Lemieux, Amy A.;Bittner, Nancy Phoenix
通讯作者：
Bittner, Nancy Phoenix
影响因子：
4.4
作者：
Biese, Kevin;LaMantia, Michael;Busby-Whitehead, Jan
通讯作者：
Busby-Whitehead, Jan