The Spirituality Index of Well-Being: A New Instrument for Health-Related Quality-of-Life Research

PURPOSE Despite considerable interest in examining spirituality in health-related quality-of-life studies, there is a paucity of instruments that measure this construct. The objective of this study was to test a valid and reliable measure of spirituality that would be useful in patient populations

Religion, Spirituality, and Health Status in Geriatric Outpatients

BACKGROUND Religion and spirituality remain important social and psychological factors in the lives of older adults, and there is continued interest in examining the effects of religion and spirituality on health status. The purpose of this study was to examine the interaction of religion and spirituality with self-reported health status in a community-dwelling geriatric population

A health services framework of spiritual care

To introduce a health services framework of spiritual care that addresses the empirical and applied issues surrounding spirituality and nursing practice

The Medical Home: Locus of Physician Formation

Family medicine is currently undergoing a transformation and, amid such change, the medical home has emerged as the new polestar. This article examines the medical home through the lens of philosopher Alasdair MacIntyre and offers a perspective, informed by Hubert Dreyfus and Peter Senge, about medical homes as practical sites of formation for family physicians. The intellectual past of family medicine points to contextually sensitive patient care as a practice that is particular to the discipline, with the virtue of “placing patients within contexts over time” as a commonly held virtue. Dreyfus provides a model of knowledge and skill acquisition that is relevant to the training of family physicians in practical wisdom. In this model, there is a continuum from novice to more advanced stages of professional formation that is aided by rules that not only must be learned, but must be applied in greater contextually informed situations. Senge’s emphasis on learning organizations— organizations where people are continually learning how to learn together—presents a framework for evaluating the extent to which future medical homes facilitate or retard the formation of family physicians

Development and Implementation of a COVID-19 Respiratory Diagnostic Center

THE INNOVATION In response to the COVID-19 pandemic, respiratory diagnostic centers (RDCs) have emerged as a health service model that offers symptom screening and provides diagnostic testing for patients

Development and Implementation of a COVID-19 Respiratory Diagnostic Center

In response to the COVID-19 pandemic, respiratory diagnostic centers (RDCs) have emerged as a health service model that offers symptom screening and provides diagnostic testing for patients. Primary care and outpatient medical directors as well as hospital leadership at the University of North Carolina Health Care System (UNCHCS) worked collaboratively to design and implement the UNC RDC. In this Innovation paper, the authors describe how these groups developed a “drive-through” model, which allowed assessment in personal vehicles. Important lessons are discussed.https://deepblue.lib.umich.edu/bitstream/2027.42/154737/1/Daaleman article Deep Blue.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154737/2/Daaleman appendix Deep Blue.pdfDescription of Daaleman article Deep Blue.pdf : Main articleDescription of Daaleman appendix Deep Blue.pdf : Appendi

A method to determine the impact of patient-centered care interventions in primary care

The implementation of patient-centered care (PCC) innovations continues to be poorly understood. We used the implementation effectiveness framework to pilot a method for measuring the impact of a PCC innovation in primary care practices

The Context of Religious and Spiritual Care at the End of Life in Long-term Care Facilities

Despite the increasing numbers of Americans who die in nursing homes (NHs) and residential care/assisted living (RC/AL) facilities, and the importance of religious and spiritual needs as one approaches death, little is known about how these needs are met for dying individuals in long-term care (LTC) institutional settings. This study compared receipt of religious and spiritual help in four types of LTC settings: NHs, smaller (<16 beds) RC/AL facilities, traditional RC/AL facilities, and new-model RC/AL facilities. Data were also available for religious affiliation of the facilities, size, and provision of religious and hospice services. Controlling for such factors, the importance of religion/spirituality to the decedent was the strongest predictor of the decedent's receipt of spiritual help. In addition, new-model RC/AL facilities were significantly more likely to provide help for religious and spiritual needs of decedent residents than other RC/AL types, but did not differ significantly from NHs

Preferences Versus Practice: Life-Sustaining Treatments in Last Months of Life in Long-Term Care

To determine the prevalence and correlates of decisions made about life-sustaining treatments among residents in long-term care settings, including how often decisions were honored and characteristics associated with decisions not being followed

An Exploratory Study of Spiritual Care at the End of Life

PURPOSE Although spiritual care is a core element of palliative care, it remains unclear how this care is perceived and delivered at the end of life. We explored how clinicians and other health care workers understand and view spiritual care provided to dying patients and their family members