Few published reports describe symptom burden among older adults in nursing homes; none examine links between symptom burden and modifiable features of nursing home organizational context (work environment).
To examine the practice environment, nurse reported quality of care and patient safety, and nurse workforce outcomes in medical and surgical units in private and public hospitals in South Africa (SA), and determine the association of modifiable features of the hospital such as the practice environment and patient to nurse workloads on these outcomes.
Secondary outcomes are a) other modifiable features of care unit context (improved feedback, social capital, slack time) b) care aides' quality of worklife (improved psychological empowerment, job satisfaction), c) more use of best practices, and d) resident outcomes based on the Resident Assessment Instrument - Minimum Data Set 2.0.
We developed the ACT to have three characteristics: (1) a theoretical basis, namely the PARIHS framework, (2) parsimony, using the fewest number of items possible to reduce completion time, and (3) items that reflected modifiable features of context.
Translating Research in Elder Care (TREC) is a five year program of research seeking to identify modifiable features of context in residential long-term care (nursing home) settings associated with better resident and staff outcomes.
As part of the WHO burden of disease study [ 16], we used data on the burden of home injury in the WHO European Region to estimate the impact of modifiable features of housing on injury incidence, deaths, and Disability Adjusted Life Years (DALYs).
Applying ML to the resulting data revealed a set of both objective features and modifiable behavioral features that could classify self-reported high or low stress and mental health groups in a college student population better than previous studies and showed new insights into digital phenotyping.
Results: We identified the physiological sensor, phone, mobility, and modifiable behavior features that were best predictors for classifying self-reported high or low stress and mental health.
Recent advances in bioengineering have enabled the development of biomedical tools with modifiable surface features (small-scale architecture) to mimic extracellular matrices and aid in the development of well-controlled platforms that allow for the application of mechanical stimulation for studying cellular biomechanics.
For example, there is little to no information about a long list of risk factors for violence such as prior gun carrying (Dodson 2016), hyperactivity or drug use, poor parenting, income inequality (World Health Organization 2015) or modifiable neighborhood features such as street lighting and unmaintained vacant lots (Culyba et al. 2016).
Release features were modifiable depending on the degree of the crosslinking density.
