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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.
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).
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Features of the HD setting as well as other modifiable factors should be further investigated to improve HRQOL for HD patients.
The modifiable factors include body alignment (posture), nature and duration of the tasks and job demands as well as physical features of the work [ 5, 6].
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).
Obesity is the most important modifiable risk factor for type 2 diabetes (Hauner 2004) and is a central feature of the metabolic syndrome (Table 2).
Determinants of HRQoL of the stroke survivors cover a wide spectrum of demographic, clinical, and psychological features, some of which are modifiable and can therefore be modulated to achieve improved HRQoL.
Sedentary behavior is a modifiable determinant of health.
Related(17)
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