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We assessed coverage of assessment and care plan delivery on a practice nurse level to allow for an investigation of inter-nurse variance.
Protocol 1 measured (1) coverage of assessment delivery, care plan delivery and MTC delivery, and (2) frequency of assessment delivery, care plan delivery, and MTC delivery.
A few gaps in entry-level rheumatology education were identified, including the coverage of assessment of assistive devices and orthoses, interpretation of basic investigative tests, and use of community and professional resources for arthritis management.
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Most main outcomes were assessed repeatedly in all cohorts, but EX2002 had a unique focus on occupational values; EX2004 was specifically oriented towards a complete coverage of assessments related to education, personality factors and research utilization; and EX2006 had an extended focus on psychosocial factors at work, and was suitable for comparison with another project on teaching students.
The introduction of balanced incomplete block (BIB) spiraling, where each student is administered only a small subset of the total item pool, was another important innovation as that made it possible to maximize the coverage of the assessment constructs while reducing the burden on the individual test taker.
The worldwide coverage of this assessment is unprecedented to date.
Table 2 shows coverage of geriatric assessment delivery per tranche and per 6-month interval.
In group 4, first 6-month coverage of geriatric assessment delivery and care plan delivery was lower than in the other three groups.
Coverage of geriatric assessment delivery was measured per 6-month interval, and calculated by dividing the number of older people who received at least one assessment by the total number of older people intended to receive at least one assessment.
Involvement and satisfaction of both nurses and physicians was only weakly or moderately associated with coverage of geriatric assessment delivery and care plan delivery, which suggests that there was little influence of participant responsiveness on nurses' or physicians' individual achievements.
Coverage of geriatric assessment delivery in group 1, 2 and 3 was high in the first 6 months of the intervention (ranging from 83.2% to 91.3%), but declined in the following months.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com