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Healthcare
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Healthcare Practice in Community
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Healthcare Practice in Community

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Community Care".

Deadline for manuscript submissions: 30 November 2024 | Viewed by 4107

Special Issue Editors

Dr. Florence Mei Fung Wong

E-Mail Website
Guest Editor
School of Nursing, Tung Wah College, Hong Kong, China
Interests: nursing education; geriatric health; acute care; cardiac care; critical care; health-related quality of life; infection control
Prof. Dr. Wai Keung Leung

E-Mail Website
Guest Editor
Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
Interests: dentistry; oral health; oral health-related quality of life; periodontics; periodontal microbiology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Healthcare services have become more complex and multidisciplinary, with cost-effective care being provided by specific healthcare disciplines tailored to their clients' health needs. To alleviate the burden of healthcare services in hospital settings, many services have been switched to community-based care, including home-based care. High-quality healthcare services in community settings are crucial for maintaining health and promoting rehabilitative recovery. However, many studies have focused on clinical settings, and their results may not be applicable to healthcare services provided in community settings. To improve the healthcare practice in community settings, we need to conduct more research to disseminate knowledge and enhance the current services. Our journal welcomes all types of reviews or original articles related to the development of new technologies, policies, strategies, and their applications for raising awareness about the health of specific populations in community settings. By promoting and implementing preventive strategies, we can improve the healthcare practice in a specific population in a community. We invite all researchers to submit their papers and contribute to advancing healthcare services in community settings.

Dr. Florence Mei Fung Wong
Prof. Dr. Wai Keung Leung
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • healthcare service
  • community care
  • nursing
  • nursing education
  • older people
  • health-related quality of life
  • cardiac care and critical care
  • home-based care
  • multdisciplinary healthcare professionals

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (3 papers)

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Research

11 pages, 397 KiB  
Article
Adaptation of the Taiwan Version of the Supportive and Palliative Care Indicators Tool (SPICT-TW) and Its Association with Six-Month Mortality: A Multi-Center Validation Study in Older People
by Jung-Yu Liao, Hsiao-Ting Chang, Jen-Kuei Peng, Scott A. Murray, Chien-Yi Wu, Hisen-Cheng Chang, Chia-Ming Li, Shao-Yi Cheng, Wei-Zhe Tseng, Chao Agnes Hsiung, Hung-Yi Chiou, Sang-Ju Yu, Kirsty Boyd and Ping-Jen Chen
Healthcare 2024, 12(21), 2185; https://doi.org/10.3390/healthcare12212185 - 1 Nov 2024
Viewed by 902
Abstract
Background: The Supportive and Palliative Care Indicators Tool (SPICT) was developed for identifying, in a timely manner, patients who may benefit from supportive and palliative care for better treatment review, care-plan discussion, and end-of-life care. Although the SPICT has been validated in different [...] Read more.
Background: The Supportive and Palliative Care Indicators Tool (SPICT) was developed for identifying, in a timely manner, patients who may benefit from supportive and palliative care for better treatment review, care-plan discussion, and end-of-life care. Although the SPICT has been validated in different languages and for patients living in different settings, it has not been validated for patients receiving home-based medical care (HBMC), or in the context of using traditional Chinese characters. Objectives: The present study aimed to validate the Taiwanese version of the SPICT (SPICT-TW) and to measure its ability to predict six-month mortality in patients who received HBMC in Taiwan. Methods: Seven HBMC agents (five clinics and two hospitals) participated in this validation study. We recruited 129 patients aged ≥ 50 years who had been consistently receiving HBMC for >two months. Results: The results revealed that the SPICT-TW demonstrated similar reliability and validity compared to other language versions of the SPICT. It may be an appropriate tool for healthcare professionals to detect, in a timely manner, the needs for palliative care in older people who receive home healthcare. Furthermore, we found that a combination of four general indicators and one clinical indicator in the SPCIT-TW has the best prediction ability at predicting six-month mortality in these HBMC recipients. This multi-center study validated the SPICT-TW among HBMC recipients in Taiwan. Conclusions: The SPICT-TW demonstrated high reliability and validity through the Kuder–Richardson 20, an intraclass correlation coefficient, Cohen’s kappa, and receiver operating characteristic analysis, supporting its potential as a practical tool for identifying older adults at risk of dying within six months who have not yet received palliative care but may benefit from it. Full article
(This article belongs to the Special Issue Healthcare Practice in Community)
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11 pages, 213 KiB  
Article
Reflexive Views of Virtual Communities of Practice among Informal and Formal Caregivers of People with a Dementia Disease
by Sandra Lukic, Connie Lethin, Jonas Christensen and Agneta Malmgren Fänge
Healthcare 2024, 12(13), 1285; https://doi.org/10.3390/healthcare12131285 - 27 Jun 2024
Viewed by 972
Abstract
Knowledge seems to mitigate the consequences of dementia and new educational strategies are required. This study aimed to qualitatively explore the reflexive views and experiences of virtual Communities of Practice (vCoP) among informal and formal caregivers of people with dementia and explore vCoP [...] Read more.
Knowledge seems to mitigate the consequences of dementia and new educational strategies are required. This study aimed to qualitatively explore the reflexive views and experiences of virtual Communities of Practice (vCoP) among informal and formal caregivers of people with dementia and explore vCoP as a tool for learning and knowledge development. Data were collected in a sequence of virtual workshops and analyzed and synthesized using thematic analysis. For the informal caregivers, one main theme emerged: Learning and support, comprising three subthemes: Strategies for learning; Creating emotional support; and in need of professional support. Among formal caregivers, one main theme emerged: Professional development, comprising two subthemes: Sharing and gaining knowledge and Knowledge as a professional tool. vCoP and collaborative learning using an educational platform seem to support learning and professional development among informal and formal caregivers, respectively. As a collaborative, virtual activities seem to provide practical and emotional support and promote professional development; vCoP seem to have the potential to promote the resilience and sustainability of care. Further research is necessary to gain an understanding of the effects of Communities of Practice (CoP) and vCoP and their successful implementation in care practices as well as the potential of using CoP in continuing professional development, CPD. Full article
(This article belongs to the Special Issue Healthcare Practice in Community)
14 pages, 414 KiB  
Article
Validating an Assessment Tool for Oral Health and Oral Care Procedures Performed by Healthcare Workers for Older Residents in Long-Term Care Institutions
by Florence M. F. Wong, Anna Wong and Wai Keung Leung
Healthcare 2024, 12(5), 558; https://doi.org/10.3390/healthcare12050558 - 28 Feb 2024
Cited by 1 | Viewed by 1807
Abstract
Poor oral health is a growing concern among older populations. It is often caused by a failure to maintain proper oral hygiene and inaccessible dental care. Poor oral health in older individuals in long-term care institutions (LTCIs) can be attributed to the fact [...] Read more.
Poor oral health is a growing concern among older populations. It is often caused by a failure to maintain proper oral hygiene and inaccessible dental care. Poor oral health in older individuals in long-term care institutions (LTCIs) can be attributed to the fact that healthcare workers might be poorly trained in oral care assessment and practice. To address this issue, an assessment tool has been developed and validated to guide and evaluate healthcare workers’ oral care practices, ensuring the delivery of adequate care and early detection of dental diseases in LTCIs. The tool includes an oral health assessment and an assessment of oral care procedures. It was developed following a robust literature review, two stages of expert reviews, content validity checks, and a pilot study. A total of twenty-three items were developed and validated, with seven items related to oral health assessment and sixteen related to oral care procedures. The items were assessed for content validity and relevance, with high values of 1 obtained for all Item-level Content Validity Index (I-CVI), Scale-level Content Validity Index (S-CVI), and S-CVI/Universal Agreement (UA) scores. This indicates a high level of agreement among the experts (n = 12) regarding the relevance and importance of the items. A pilot study involving 20 nursing students confirmed the tool’s reliability, applicability, and feasibility, demonstrating its high appropriateness and applicability. The newly developed and validated assessment tool can effectively guide and evaluate healthcare workers’ oral care practices, enhancing their competence and improving the oral health of older residents. Full article
(This article belongs to the Special Issue Healthcare Practice in Community)
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