{ "@context": "http://iiif.io/api/presentation/3/context.json", "id": "https://budc.barry.edu/iiif/manifest/AA00001577/00001", "type": "Manifest", "label": { "none": [ "Discharge alternative non-urgent care education (D.A.N.C.E.) protocol : addressing emergency department misuse" ] }, "metadata": [ { "label": { "en": [ "Abstract" ] }, "value": { "none": [ "Background: The misuse of the Emergency Department (ED) creates a substantial problem for the health care system, generating gaps in continuity of care, leaving little room for preventative care, and forcing a financial strain on the system. An increasing number of patients are using hospital EDs for non-urgent care despite the availability of alternative care sites such as retail clinics (RCs) and urgent care centers (UCCs). Purpose: The project\u2019s aim was to educate patients who utilize ED services as a source of care for non-urgent complaints with the use of the D.A.N.C.E. protocol. Enhancing the public\u2019s knowledge of the ED\u2019s purpose and the services available at alternative care sites could provide a potential solution to ED misuse and subsequent overcrowding. Theoretical Framework: The Andersen Framework of Health Utilization Services was used to guide this project, as it uses a systems perspective to integrate individual, environmental, and provider-related variables associated with decisions to seek care. Methods: The D.A.N.C.E. protocol was implemented in a pilot project with the use of an educational protocol delineating functions of alternative care sites and EDs. Face validity was established by a staff consensus panel, and the protocol was then distributed to lower acuity patients discharged from the ED. At the completion of the patient\u2019s review of the protocol, a survey card was provided evaluating which care site would be selected for the same or similar non-urgent complaint in the future and whether the protocol influenced this decision. Results: A sample size of 22 completed surveys were returned with 55% (12) selecting the ED, 36% (8) selecting UCC/RC, and 9% (2) selecting their PCP for future care site. The majority of the surveys showed that 91% (20) of the participants found the protocol influential and 9% (2) selected the protocol had no influence on their future care site decision. Conclusion: Despite more than half of the patients selecting the ED as their next potential source of non-urgent care, a post discharge intervention did seem to influence care site selection. Several factors presented during this project requiring further examination to better address these patients\u2019 health care seeking behaviors." ] } }, { "label": { "en": [ "Classification" ] }, "value": { "none": [ "RA645.5.L46 2015" ] } }, { "label": { "en": [ "Publication Date" ] }, "value": { "none": [ "2015" ] } }, { "label": { "en": [ "Genre" ] }, "value": { "none": [ "Academic theses" ] } }, { "label": { "en": [ "Holding Location" ] }, "value": { "none": [ "Barry University Archives and Special Collections" ] } }, { "label": { "en": [ "Resource Identifier" ] }, "value": { "none": [ "RA645.5.L46 2015_LeonSamantha" ] } }, { "label": { "en": [ "Language" ] }, "value": { "none": [ "English" ] } }, { "label": { "en": [ "Permanent Link" ] }, "value": { "none": [ "http://sobekcmsrv.barrynet.barry.edu/AA00001577/00001" ] } }, { "label": { "en": [ "Creator" ] }, "value": { "none": [ "Leon, Samantha C." ] } }, { "label": { "en": [ "Note" ] }, "value": { "none": [ "Thesis (DNP)--Barry University, 2015.", "Includes bibliographical references (leaves 71-76)." ] } }, { "label": { "en": [ "Physical Description" ] }, "value": { "none": [ "xiii, 88 leaves : illustrations ; 28 cm" ] } }, { "label": { "en": [ "Publisher" ] }, "value": { "none": [ "Barry University" ] } }, { "label": { "en": [ "Place of Publication" ] }, "value": { "none": [ "Miami, Fla." ] } }, { "label": { "en": [ "Type" ] }, "value": { "none": [ "Book" ] } }, { "label": { "en": [ "Rights Management" ] }, "value": { "none": [ "Copyright Samantha C. Leon. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder." ] } }, { "label": { "en": [ "Source Institution" ] }, "value": { "none": [ "Barry University" ] } }, { "label": { "en": [ "Subjects / Keywords" ] }, "value": { "none": [ "Emergency medical services", "Medically uninsured persons -- Medical care", "Health care reform -- United States" ] } }, { "label": { "en": [ "Degree Disciplines" ] }, "value": { "none": [ "Nursing" ] } }, { "label": { "en": [ "Title" ] }, "value": { "none": [ "Discharge alternative non-urgent care education (D.A.N.C.E.) protocol : addressing emergency department misuse" ] } }, { "label": { "en": [ "Series Title" ] }, "value": { "none": [ "Barry University Dissertations -- College of Nursing and Health Sciences" ] } }, { "label": { "en": [ "Format" ] }, "value": { "none": [ "Book" ] } }, { "label": { "en": [ "Digital Resource Creation Date" ] }, "value": { "none": [ "4/22/2020" ] } } ], "service": [ { "@context": "http://iiif.io/api/search/2/context.json", "id": "https://budc.barry.edu/iiif/manifest/AA00001577/00001/search", "type": "SearchService2", "profile": "http://iiif.io/api/search/2/search" } ], "seeAlso": [ { "id": "https://budc.barry.edu/content/AA/00/00/15/77/00001/AA00001577_00001.mets.xml", "type": "Dataset", "format": "application/mets\u002Bxml", "label": { "en": "METS" } }, { "id": "https://budc.barry.edu/content/AA/00/00/15/77/00001/marc.xml", "type": "Dataset", "format": "application/marcxml\u002Bxml", "label": { "en": "MARCXML" } } ], "items": [] }