The Permanente journal最新文献_第10页

2023 Reviewer Acknowledgment. 2023 审稿人致谢。

The Permanente journal Pub Date : 2024-03-15 Epub Date: 2024-02-20 DOI: 10.7812/TPP/24.014

引用次数: 0

Time to Move Forward: Resilience and Trauma-Informed Care. 是时候向前迈进了：韧性和创伤知情护理。

The Permanente journal Pub Date : 2024-03-15 Epub Date: 2023-10-20 DOI: 10.7812/TPP/23.076

Laurie Leitch, Brigid McCaw

引用次数: 0

Nurses' Experience After First Wave of COVID-19: Implications for a Trauma-Informed Workforce. 第一波COVID-19后护士的经历:对创伤知情劳动力的影响

The Permanente journal Pub Date : 2024-03-15 Epub Date: 2023-11-23 DOI: 10.7812/TPP/23.117

Annie Lewis-O'Connor, Pamela Brown Linzer, Ellen Goldstein

{"title":"Nurses' Experience After First Wave of COVID-19: Implications for a Trauma-Informed Workforce.","authors":"Annie Lewis-O'Connor, Pamela Brown Linzer, Ellen Goldstein","doi":"10.7812/TPP/23.117","DOIUrl":"10.7812/TPP/23.117","url":null,"abstract":"Background: The COVID-19 pandemic impacted nurses worldwide, increasing their risk of burnout and compassion fatigue. Although the literature on nurse deployment has been limited, this study describes nurses' experience and assesses their professional quality of life after the first phase of the pandemic and redeployment efforts.Methods: In 2020, nurses returning from their deployment to COVID-19 treatment units were invited to complete the Professional Quality of Life Survey and gather for debrief sessions, referred to as campfires, in which semistructured questions about their experiences were administered among clinical nurses and nurse leaders. Employing a mixed methods design, the authors conducted descriptive statistics for survey responses and inductive thematic analysis to identify emergent themes from open-ended questions.Results: A total of 19 campfires were held with 278 nurse participants. Of the 278 participants, 220 completed surveys. Of these, 194 (88%) represented 30 nurse leaders and 164 staff nurses. The majority of surveyed nurses in both groups reported compassion satisfaction despite reporting moderate levels of burnout and secondary traumatic stress. Qualitative themes from campfires with clinical nurses and nurse leaders revealed similarities, such as concern for safety and lack of choices and transparency, although each group faced unique challenges.Conclusions: Findings related to post deployment and adverse psychological health suggest that a trauma-informed approach (ie, staff autonomy, physical and psychological safety, transparency, offering choices, leveraging voices, and collaboration) by leaders could enhance a culture of wellness, build resilience, and mitigate empathic burnout and also proactively and strategically thinking about preventive measures for future catastrophic events.","PeriodicalId":23037,"journal":{"name":"The Permanente journal","volume":" ","pages":"124-134"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Trauma-Informed Care Implementation in Health Care Settings: Systematic Review of Reviews and Realist Synthesis. 在医疗机构实施创伤知情护理的有效性：系统性综述和现实主义综合。

The Permanente journal Pub Date : 2024-03-15 Epub Date: 2024-03-06 DOI: 10.7812/TPP/23.127

Ellen Goldstein, Binny Chokshi, G J Melendez-Torres, Anna Rios, Martina Jelley, Annie Lewis-O'Connor

{"title":"Effectiveness of Trauma-Informed Care Implementation in Health Care Settings: Systematic Review of Reviews and Realist Synthesis.","authors":"Ellen Goldstein, Binny Chokshi, G J Melendez-Torres, Anna Rios, Martina Jelley, Annie Lewis-O'Connor","doi":"10.7812/TPP/23.127","DOIUrl":"10.7812/TPP/23.127","url":null,"abstract":"Purpose: Given the ubiquity of traumatic exposures and the profound impact of trauma on health, a trauma-informed care (TIC) approach in health care is critical. TIC seeks to promote safety within health care and prevent retraumatization. The lack of systems-level data has been a major barrier to TIC implementation. This study aimed to understand the mechanisms and outcomes effective in implementing TIC across health systems using a systematic review of reviews and realist synthesis.Methods: A systematic search of MEDLINE, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Applied Social Science Index & Abstracts identified reviews addressing TIC in health care published in the last 10 years in peer-reviewed journals. Realist synthesis methodology was used to develop context-mechanism-outcome configurations. Thematic analysis was performed to generate a framework for the mechanisms of implementation that produce successful TIC outcomes.Results: Sixteen articles featuring varied review types were included. The results, highlighting the strategies that lead to improved outcomes for patients and systems, were mapped to SAMHSA's 10 TIC implementation domains, including engagement and involvement; training and workforce development; cross-sector collaboration; screening, assessment, and treatment services; governance and leadership; policy; evaluation; progress monitoring and quality assurance; financing; and physical environment.Conclusion: The findings support the use of SAMHSA's 10 implementation domains in varied health care contexts to facilitate effective TIC processes. Future work should continue to evaluate the effectiveness of TIC approaches and may consider how health equity and strengths-based approaches fit within SAMHSA's framework.","PeriodicalId":23037,"journal":{"name":"The Permanente journal","volume":" ","pages":"135-150"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mental Health Effects of the COVID-19 Pandemic on Aging Lesbian, Gay, Bisexual, Transgender, and Queer Populations. COVID-19 大流行对老年女同性恋、男同性恋、双性恋、变性人和同性恋人群的心理健康影响》（Mental Health Effects of the COVID-19 Pandemic on Aging Lesbian, Gay, Bisexual, Transgender, and Queer Populations）。

The Permanente journal Pub Date : 2024-03-15 Epub Date: 2023-12-29 DOI: 10.7812/TPP/23.050

Iliza Minaya, Samuel Raine, Arkene Levy, Chasity B O'Malley

{"title":"Mental Health Effects of the COVID-19 Pandemic on Aging Lesbian, Gay, Bisexual, Transgender, and Queer Populations.","authors":"Iliza Minaya, Samuel Raine, Arkene Levy, Chasity B O'Malley","doi":"10.7812/TPP/23.050","DOIUrl":"10.7812/TPP/23.050","url":null,"abstract":"Introduction: The COVID-19 pandemic affected numerous subpopulations of people in unique ways. This study evaluated the impact of the COVID-19 pandemic on the mental health status of Broward County's aging lesbian, gay, bisexual, transgender, and queer (LGBTQ) seniors and identified strengths, weaknesses, and opportunities for interventions to enhance positive mental health outcomes. The study was performed from April 2021 through July 2021.Methods: Online surveys measuring anxiety, depression, social support, and resilience were delivered by email to 47 residents of Wilton Manors, Florida. Study data were collected and collated using research electronic data capture tools with bivariate analysis using the Mann-Whitney test and generalized linear regression.Results: Bivariate analysis showed that males scored significantly higher on the social interactions subscale of the Duke Social Support Index, indicating greater social support, yet there was not a significant difference with sexual orientation or living situation. Multivariate analysis revealed differences for several dependent variables including anxiety and depression reporting being lower in LGBTQ individuals.Discussion: This study provides important insight into specific mental health challenges faced by Broward County's LGBTQ seniors, which can be applied to other LGBTQ populations across the globe.Conclusion: Using the results, targeted interventions can be developed to help improve mental health outcomes during periods of isolation for all individuals.","PeriodicalId":23037,"journal":{"name":"The Permanente journal","volume":" ","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Toward Integration of Trauma, Resilience, and Equity Theory and Practice: A Narrative Review and Call for Consilience. 实现创伤、复原力和公平理论与实践的融合：叙事回顾与韧性呼吁》。

The Permanente journal Pub Date : 2024-03-15 Epub Date: 2024-01-11 DOI: 10.7812/TPP/23.105

Stan Sonu, Kimberly Mann, Jennifer Potter, Patricia Rush, Audrey Stillerman

{"title":"Toward Integration of Trauma, Resilience, and Equity Theory and Practice: A Narrative Review and Call for Consilience.","authors":"Stan Sonu, Kimberly Mann, Jennifer Potter, Patricia Rush, Audrey Stillerman","doi":"10.7812/TPP/23.105","DOIUrl":"10.7812/TPP/23.105","url":null,"abstract":"Investigating the roots of health and illness has inspired unprecedented growth in research on trauma and adversity across academic and scientific disciplines. Can this science achieve its potential? How? Much of this research remains siloed and fragmented, limiting integrative approaches to translating science into a unified paradigm. From age-old traditions to the health, social, and basic sciences, this established and rapidly growing body of work has overwhelmingly found that experiences, both positive and negative, profoundly influence life course health. Such convergence across disciplines highlights the complex, intersectional nature and impact of experiences and reveals consilience: agreement of findings across diverse fields. This narrative review explored 400 sources to curate a representative sample of 98 tracing the evolution of trauma theory and practice from the 19th century to the present. It emphasizes research from 1970 to 2022, with a specific focus on adverse childhood experiences, everyday discrimination, sexual and gender minority stress, acculturative stress, and positive childhood experiences. This research reveals how experiences are a cause, catalyst, and key ingredient of health or of illness, disability, and disparities. The review also proposes steps toward a unified paradigm and showcases innovative integrated models and applications. These examples provide a more comprehensive and nuanced understanding and lead to more effective solutions. Recognition of consilience can connect multidimensional insights on trauma, resilience, and equity to spark further cross-sector innovations toward health, prevention, and justice. Realizing the promise of consilience will require a new era of radical intentionality, ongoing dialogue, and interdisciplinary collaboration to achieve necessary system transformation.","PeriodicalId":23037,"journal":{"name":"The Permanente journal","volume":" ","pages":"151-168"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Concurrent Sexually Transmitted Infections with Mpox Infections: A Brief Review. 并发性传播感染与 Mpox 感染：简要回顾。

The Permanente journal Pub Date : 2024-03-15 Epub Date: 2024-01-09 DOI: 10.7812/TPP/23.072

Jenna M Wick, Alex Pelliccione, H Nicole Tran, Jacek Skarbinski

引用次数: 0

Improving Diabetes Control in a Medicaid Managed Care Population With Complex Needs. 改善有复杂需求的医疗补助管理护理人群的糖尿病控制。

The Permanente journal Pub Date : 2024-03-15 Epub Date: 2023-12-20 DOI: 10.7812/TPP/23.106

Michael L Parchman, Kelsey Stefanik-Guizlo, Robert B Penfold, Erika Holden, Avni C Shah

{"title":"Improving Diabetes Control in a Medicaid Managed Care Population With Complex Needs.","authors":"Michael L Parchman, Kelsey Stefanik-Guizlo, Robert B Penfold, Erika Holden, Avni C Shah","doi":"10.7812/TPP/23.106","DOIUrl":"10.7812/TPP/23.106","url":null,"abstract":"Introduction: People enrolled in Medicaid managed care who struggle with diabetes control often have complex medical, behavioral, and social needs. Here the authors report the results of a program designed to partner with primary care teams to address those needs.Methods: A nonprofit organization partnered with a Medicaid managed care plan and a Federally Qualified Health Center in California to enroll people with A1cs >9% in a 12-month program. The program team included a community health worker, certified diabetes care and education specialist/registered dietitian, behavioral health counselor, and registered nurse. They developed patient-led action plans, connected patients to community resources, and supported behavior changes to improve diabetes control. Baseline assessments of behavioral health conditions and social needs were collected. Monthly A1c values were tracked for participants and a comparison group.Results: Of the 51 people enrolled, 83% had at least 1 behavioral health condition. More than 90% reported at least 1 unmet social need. The average monthly A1c among program participants was 0.699 lower than the comparison group post-enrollment (P = .0008), and the disparity in A1c between Hispanic and non-Hispanic White participants at enrollment declined.Discussion: Participants had high levels of unmet medical, behavioral, and social needs. Addressing these needs resulted in a rapid and sustained improvement in A1c control compared to non-enrollees and a reduction in disparity of control among Hispanic participants.Conclusion: By partnering with a primary care team, a program external to Federally Qualified Health Center primary care can improve clinical outcomes for people with complex needs living with diabetes.","PeriodicalId":23037,"journal":{"name":"The Permanente journal","volume":" ","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138801601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary Care as a Protective Factor: A Vision to Transform Health Care Delivery and Overcome Disparities in Health. 作为保护因素的初级保健：改革医疗服务和消除健康差距的愿景》。

The Permanente journal Pub Date : 2024-03-15 Epub Date: 2024-02-16 DOI: 10.7812/TPP/23.109

Edward L Machtinger, Alicia F Lieberman, Christina D Bethell, Marguerita Lightfoot

引用次数: 0

2023 Reviewer Acknowledgment. 2023 审稿人致谢。

The Permanente journal Pub Date : 2024-02-20 DOI: 10.7812/TPP/24.014

引用次数: 0