Renee R Shield
Affiliation: Brown University
- Why and how do nursing homes implement culture change practices? Insights from qualitative interviews in a mixed methods studyRenee R Shield
Brown University, Providence, RI, USA
J Appl Gerontol 33:737-63. 2014..Follow-up interviews with 64 NHAs were conducted and analyzed by a multidisciplinary team which reconciled interpretations recorded in an audit trail...
- Physicians "missing in action": family perspectives on physician and staffing problems in end-of-life care in the nursing homeRenee R Shield
Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
J Am Geriatr Soc 53:1651-7. 2005..To understand the roles of physicians and staff in nursing homes in relation to end-of-life care through narrative interviews with family members close to a decedent...
- Integrating geriatrics into medical school: student journaling as an innovative strategy for evaluating curriculumRenee R Shield
Alpert Medical School, Brown University, Box G 121 6, Providence, RI 02912, USA
Gerontologist 52:98-110. 2012....
- Teaching communication and compassionate care skills: an innovative curriculum for pre-clerkship medical studentsRenee R Shield
Brown University, Providence, RI 02912, USA
Med Teach 33:e408-16. 2011..Physicians require communications training to improve effective and compassionate care. Clinicians discuss challenging communication issues in existing hospital "Schwartz Rounds."..
- Gradual electronic health record implementation: new insights on physician and patient adaptationRenee R Shield
Department of Family Medicine, Warren Alpert Medical School of Brown University and Memorial Hospital of Rhode Island, Pawtucket, Rhode Island, USA
Ann Fam Med 8:316-26. 2010..The purpose of this research was to examine the effects of EHR implementation, especially regarding physician-patient communication and behaviors and patients' responses...
- Vigilant at the end of life: family advocacy in the nursing homeRenee R Shield
Center for Gerontology and Healthcare Research, Brown University, Providence, Rhode Island 02912, USA
J Palliat Med 13:573-9. 2010..Increasing numbers of Americans die in nursing homes. Little is known about the roles and experiences of family members of persons who die in nursing homes...
- Preparing for the silver tsunami: the integration of geriatrics into the new medical curriculum at the Warren Alpert Medical School of Brown UniversityRenee R Shield
Resource Center for Geriatrics Education, The Warren Alpert Medical School of Brown University, Providence, RI 02912, USA
Med Health R I 91:247-9. 2008
- Physicians' perspectives on end-of-life care: a qualitative inquiryRenee Shield
Center for Gerontology and Health Care Research, The Warren Alpert Medical School of Brown University, Providence, RI 02912, USA
Med Health R I 90:391-2. 2007
- Integrating and evaluating geriatrics in medical school: a novel approach for the challengeRichard W Besdine
Department of Geriatric Medicine, Warren Alpert Medical School, Brown University, Providence, Rhode Island 02912, USA
Gerontol Geriatr Educ 32:295-308. 2011..Evaluation includes "tracking" to compute the "dose" of aging content, and "journaling" and focus groups to evaluate students' responses. Integrating geriatrics across a broad range of courses and clinical experiences is feasible...
- Medical students' recognition and application of geriatrics principles in a new curriculumAman Nanda
Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA
J Am Geriatr Soc 61:434-9. 2013..Medical student reflective journaling allows medical educators to obtain timely feedback on curricular innovations and helps illuminate the process by which medical students learn to recognize and apply core geriatrics principles...
- Computers in the examination room and the electronic health record: physicians' perceived impact on clinical encounters before and after full installation and implementationRichard J Doyle
Department of Family Medicine, Warren Alpert School of Medicine of Brown University, Providence, RI 02908, USA
Fam Pract 29:601-8. 2012....
- Professional development and exposure to geriatrics: medical student perspectives from narrative journalsRenee R Shield
a Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA
Gerontol Geriatr Educ 36:144-60. 2015..Medical educators should consider journaling to help foster and gauge students' professional development. ..
- Overcoming resistance to culture change: nursing home administrators' use of education, training, and communicationDenise A Tyler
a Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, USA
Gerontol Geriatr Educ 35:321-36. 2014..Themes emerging around the concepts of communication and education indicate that these efforts should be ongoing, communication should be reciprocal, and that all stakeholders should be included. ..
- How valid are the responses to nursing home survey questions? Some issues and concernsDenise A Tyler
Department of Community Health, Center for Gerontology and Health Care Research, Brown University, Box G S121 6, Providence, RI 02912, USA
Gerontologist 51:201-11. 2011....
- Diffusion of palliative care in nursing homes: lessons from the culture change movementDenise A Tyler
Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island, USA Health Services Research Program, Providence Veterans Administration Medical Center, Providence, Rhode Island, USA Electronic address
J Pain Symptom Manage 49:846-52. 2015..However, a nationally representative survey we previously conducted found that some high Medicaid facilities have implemented these innovative approaches...