Biomedical subjects

Ann Kuckelman Cobb

Publications and source records attributed to Ann Kuckelman Cobb.

5 recordsLinked to original sources

PubMed2006

Cameras and community health.

Photography projects are an alternative teaching method that can be easily integrated into community programs with adolescents and children. This article provides a brief review of the use of photography in documenting social and health issues. Two examples of community photography projects with easily ignored populations are described. These projects gave a voice to participants and allowed them to demonstrate their creativity with cameras. An implementation guide is presented to provide concrete suggestions for implementing community photography projects.

Adolescent↗

PubMed2002

Assessing clinical pathways use in a community hospital: it depends on what "use" means.

BACKGROUND: Many benefits have been associated with the use of clinical pathways, yet developing them can be costly, and implementing them is not always successful. A 300-bed Midwestern community hospital began a clinical pathways program in 1995, and by fall 1998, 15 pathways were in various stages of implementation, with 3 under development. Many challenges had been encountered, but hospital leaders were eager to find ways to increase pathway use. METHODS: A qualitative case study design was used to investigate four clinical pathways, two perceived as being "used" and two that were perceived as "not used". Each pathway was analyzed as a separate case, followed by cross-case analysis. Qualitative data were collected in 65 semistructured interviews with administrators, physicians, physicians' office staff, nurses, and allied health professionals at the hospital. Data were also collected through observation and document analysis. RESULTS: The two used pathways had been introduced as part of a larger change in care, whereas the two pathways not used had been introduced as stand-alone innovations. Confusing and inadequately developed aspects of the hospital's clinical pathways program included its purposes, the definition of pathway use, pathway procedures, accountability, education, and incentives. A new case management department, ongoing administrative support, and a sophisticated medical information system were viewed as supports for continued growth in the program. CONCLUSIONS: Implementation of clinical pathways was delayed and complicated by the varied perceptions of the program among stakeholders. Lack of clarity and consistency in how information about the program was communicated made it difficult for clinicians to develop a shared understanding of clinical pathways.

Attitude of Health Personnel↗

PubMed2002

Qualitative research: what does it have to offer to the gerontologist?

The growing challenges of promoting health and managing illness in an ever-changing health care system require an arsenal of research approaches. Qualitative methods have a long tradition in disciplines such as sociology and anthropology and are being used with greater frequency as interdisciplinary health-related disciplines attempt to understand and explain complex problems. The purpose of this article is to define and describe the main features of qualitative research and to examine ways in which this methodology is relevant and useful in gerontological studies. A concise comparison of quantitative and qualitative methods is made, and suggestions are provided for when qualitative approaches are useful. A review of the three most common approaches is provided. Most important, references are provided for those gerontologists interested in learning more about qualitative research methods.

Data Collection↗

PubMed2002

Faculty-agency partnering for improved client outcomes.

Implications for practice and education include recognition of the value of clinical outcome studies to clinicians and administrators in clinical agencies, as well as to nursing education. This project provides an example of the opportunity for mutually beneficial education and practice partnerships. Faculty, staff, and students demonstrated their ability to use the basic model for outcome studies developed by the United Way of America (1996). Teams of staff, faculty, and students were able to design small scale outcome studies that provided valuable information for clinicians and administrators about evaluating and improving the quality of clinical services, as well as for seeking continued funding. It is anticipated that further benefits may be discovered when faculty work with agencies to target program outcomes that will yield the most powerful effect for these agencies.

Clinical Nursing Research↗

PubMedDate not supplied

Barriers to successful implementation of a clinical pathway for CHF.

Clinical pathways represent a strategy for responding to the current healthcare environment with a focus on managing care, reducing costs, increasing patient satisfaction, and improving quality. However, many healthcare organizations have found that implementing clinical pathways is not entirely successful even when they are based on sound evidence. The purpose of this case study was to describe and explain factors related to the success or failure of implementing a clinical pathway for congestive heart failure (CHF) patients in a 300-bed community hospital. The key factors involved in the nonadoption of the CHF pathway were inconsistencies in procedures and the work group culture.

Attitude of Health Personnel↗