M. Makic | University of Colorado (original) (raw)
Papers by M. Makic
Value in Health, 2013
and implementation results. RESULTS: Outpatient hemophilia treatment is covered by health insuran... more and implementation results. RESULTS: Outpatient hemophilia treatment is covered by health insurance schemes in more than 80% of the selected cities, yet with reimbursement caps and patient co-pay requirements. While there is significant variation by city, the average co-pay requirement is more than 50% and annual reimbursement is usually capped below USD16k (100k CNY). However, some cities have pioneered innovative policies to provide better coverage for hemophilia patients: Guangzhou health insurance bureau has decreased hemophilia co-payments to less than 10% after their extensive review of the economics of hemophilia treatment. The local health insurance bureau in Qingdao has decided to joint-fund prophylaxis treatment for pediatric patients together with a FVIII manufacturer. CONCLUSIONS: Hemophilia treatment reimbursement in China is still at a low level overall despite a few pioneer cities which have identified unique approaches to reducing the economic burden of patients living with hemophilia. There is significant room to increase reimbursement ratio and cap to reduce patients' economic burden, and meanwhile we expect tailored public-private partnerships to be a promising supplementing solution.
AACN Advanced Critical Care, 2012
Current guidelines support therapeutic hypothermia after cardiac arrest. An esophageal temperatur... more Current guidelines support therapeutic hypothermia after cardiac arrest. An esophageal temperature probe (ETP) provides a core temperature assessment; however, accurate placement is necessary. To demonstrate accurate placement of an ETP and evaluate the effectiveness of high-fidelity simulation with anatomic imaging. Registered nurses (RNs) were educated using 3-dimensional, high-fidelity simulation with VH Dissector technology (Touch of Life Technologies, Aurora, Colorado) to demonstrate ETP placement. The RNs provided survey responses on the effectiveness of simulation before and after using the simulator. : Thirty-two RNs participated and did not demonstrate difficulties with the skill; however, 53.1% required more than 1 attempt for accurate placement in the distal esophagus. Survey results found that participants had increased confidence and high satisfaction with simulation and 3-dimensional imaging (P < .001). Literature is lacking to guide ETP placement. In this study, RNs overestimated the depth for ETP insertion. Accurate temperature readings are highly dependent on accurate anatomical location placement. Providing skill competency training that incorporated anatomical imaging technology enhanced RNs' awareness for effective skill acquisition.
AACN Advanced Critical Care, 2011
Symptoms are subjective patient experiences that may negatively impact the patient&#3... more Symptoms are subjective patient experiences that may negatively impact the patient's hospitalization, treatment plan, and quality of life. Critically ill patients frequently experience nausea, vomiting, and diarrhea related to underlying disease, procedures, and medical interventions (eg, medication, enteral feeding, surgery). Optimally, the nurse performs a subjective assessment that explores the patient's perception and impact of these symptoms to develop a comprehensive plan of care. Unfortunately, little evidence is available to guide assessment of nausea, vomiting, and diarrhea in critically ill nonverbal patients. Understanding the disease processes, medical treatments, and pathophysiology of these symptoms will assist the critical care nurse in the anticipation of symptoms and development of a proactive plan to alleviate the symptom-associated discomfort.
The purpose of this research was to identify the relationships between 'Facebook' brand page user... more The purpose of this research was to identify the relationships between 'Facebook' brand page users' motivations, engagement behaviours and future behavioural intentions. For this purpose, a model of Facebook brand fan page user motivations, engagement and behavioural intentions was proposed. The model was tested via an online survey distributed to Facebook users in Bosnia and Herzegovina. A total of 504 usable surveys were considered for the data analysis. Following the exploratory factor analysis tests, four main motivational factors emerged; information, personal identity, leisure and social interaction. Then, the relationships between these four motivational factors and customer engagement and behavioural intentions were tested in a structural model. Model tests revealed that Facebook brand fan page users were most motivated by information needs in regards to stronger engagement with the fan pages and more positive intentions to buy products through these fan pages. Personal identity needs were also important reasons for customer engagement with brand fan pages on Facebook. Based on these results, practical recommendations were given to marketers and brand fan page administrators.
Qualitative Health Research, 2014
Critical Care Nurse, 2016
Critical Care Nurse, 2016
Critical care nurse, 2015
Practice habits continue in clinical practice despite the availability of research and other form... more Practice habits continue in clinical practice despite the availability of research and other forms of evidence that should be used to guide critical care practice interventions. This article is based on a presentation at the 2014 National Teaching Institute of the American Association of Critical-Care Nurses. The article is part of a series of articles that challenge critical care nurses to examine the evidence guiding nursing practice interventions. Four common practice interventions are reviewed: (1) weight-based medication administration, (2) chest tube patency maintenance, (3) daily interruption of sedation, and (4) use of chest physiotherapy in children. For weight-based administration of medication, the patient's actual weight should be measured, rather than using an estimate. The therapeutic effectiveness and dosages of medications used in obese patients must be critically evaluated. Maintaining patency of chest tubes does not require stripping and milking, which probably...
Critical Care Nurse, 2014
I n 2001, the Institute of Medicine challenged all health care professionals to decrease variatio... more I n 2001, the Institute of Medicine challenged all health care professionals to decrease variation in practice through adoption of practice interventions based on best evidence to improve patients' outcomes. 1 Current reviews of clinical practice suggest that only 10% to 15% of clinicians consistently implement evidence-based care 2 and indicate that it may take up to 2 decades for original research to be put into routine clinical practice. 3 It is well established that evidence-based practice (EBP) is associated with higher quality care and better outcomes for patients than care that is steeped in tradition. 4 Yet at times, clinicians continue to practice on the basis of tradition. 5
Critical Care Nurse, 2013
Critical Care Nurse, 2009
Critical Care Nurse, 2013
Critical Care Nurse, 2013
E vidence-based nursing practice involves integration of a problem-solving approach within the co... more E vidence-based nursing practice involves integration of a problem-solving approach within the context of caring, considering best evidence from studies, patient care data, clinical experience and expertise, and patients' preferences and values. 1 Health care agencies, government agencies, and national professional organizations such as the American Association of Critical-Care Nurses have all been supporters of evidence-based practice (EBP) as studies continue to show improved outcomes when best evidence is used in the delivery of patient care. 2,3 Despite the awareness of the importance of practice being based on best evidence, achieving and sustaining EBP within practice Feature Evidence-based nursing practice is essential to the delivery of high-quality care that optimizes patients' outcomes. Studies continue to show improved outcomes when best evidence is used in the delivery of patient care. Despite awareness of the importance of practicing by using best evidence, achieving and sustaining evidencebased practice within practice environments can be challenging, and research suggests that integration of evidence-based practice into daily clinical practice remains inconsistent. This article addresses 4 practice issues that, first, are within the realm of nursing and if changed might improve care of patients and, second, are areas in which the tradition and the evidence do not agree and practice continues to follow tradition. The topics addressed are (1) noninvasive measurement of blood pressure in children, (2) oxygen administration for patients with chronic obstructive pulmonary disease, (3) intravenous catheter size and blood administration, and (4) infection control practices to prevent infections. The related beliefs, current evidence, and recommendations for practice related to each topic are described. (Critical Care Nurse. 2013;33[2]:28-44) This article has been designated for CNE credit. A closed-book, multiple-choice examination follows this article, which tests your knowledge of the following objectives:
Critical Care Nurse, 2011
Value in Health, 2012
these hospitalizations, and in 26.4% of patients. Among all hospitalizations, not having an HbA1c... more these hospitalizations, and in 26.4% of patients. Among all hospitalizations, not having an HbA1c test in the previous 3 months was associated with twice the rate of those with a previous test (32.4% vs 16.2%), and hospitalizations with glucose values of 200 mg/dl or greater had a higher rate (27.7%) than did those with lower glucose levels (18.3%). Endocrinologist treatment during a hospitalization was associated with a higher HbA1c utilization rate (43.6%) compared to treatment from all other specialties (23.3%), including hospital medicine (21.1%). Among all patients, younger patients had a higher HbA1c utilization rate than did patients Ͼϭ65 years (47.2% Ͻ21, 29.5% 21-64, and 23.8% 65ϩ), as did male patients (28.3% vs 24.5%). Type 1 diabetics had a higher rate than did patients with pre-diabetes/ undiagnosed diabetes and type 2 diabetes (32.0%, 28.7%, and 25.4%, respectively). Among hospitalizations of pre-diabetes/undiagnosed patients who received an HbA1c test, 17.9% had values of 6.5% or greater. CONCLUSIONS: These data suggest that overall utilization of HbA1c tests in the hospital setting is low among prediabetic/undiagnosed and diabetic patients with hyperglycemia. The utilization rate differs significantly by patient characteristics and by physician specialty. These data highlight the potential to improve identification and diagnosis of diabetes within the hospital setting.
Value in Health, 2013
and implementation results. RESULTS: Outpatient hemophilia treatment is covered by health insuran... more and implementation results. RESULTS: Outpatient hemophilia treatment is covered by health insurance schemes in more than 80% of the selected cities, yet with reimbursement caps and patient co-pay requirements. While there is significant variation by city, the average co-pay requirement is more than 50% and annual reimbursement is usually capped below USD16k (100k CNY). However, some cities have pioneered innovative policies to provide better coverage for hemophilia patients: Guangzhou health insurance bureau has decreased hemophilia co-payments to less than 10% after their extensive review of the economics of hemophilia treatment. The local health insurance bureau in Qingdao has decided to joint-fund prophylaxis treatment for pediatric patients together with a FVIII manufacturer. CONCLUSIONS: Hemophilia treatment reimbursement in China is still at a low level overall despite a few pioneer cities which have identified unique approaches to reducing the economic burden of patients living with hemophilia. There is significant room to increase reimbursement ratio and cap to reduce patients' economic burden, and meanwhile we expect tailored public-private partnerships to be a promising supplementing solution.
AACN Advanced Critical Care, 2012
Current guidelines support therapeutic hypothermia after cardiac arrest. An esophageal temperatur... more Current guidelines support therapeutic hypothermia after cardiac arrest. An esophageal temperature probe (ETP) provides a core temperature assessment; however, accurate placement is necessary. To demonstrate accurate placement of an ETP and evaluate the effectiveness of high-fidelity simulation with anatomic imaging. Registered nurses (RNs) were educated using 3-dimensional, high-fidelity simulation with VH Dissector technology (Touch of Life Technologies, Aurora, Colorado) to demonstrate ETP placement. The RNs provided survey responses on the effectiveness of simulation before and after using the simulator. : Thirty-two RNs participated and did not demonstrate difficulties with the skill; however, 53.1% required more than 1 attempt for accurate placement in the distal esophagus. Survey results found that participants had increased confidence and high satisfaction with simulation and 3-dimensional imaging (P < .001). Literature is lacking to guide ETP placement. In this study, RNs overestimated the depth for ETP insertion. Accurate temperature readings are highly dependent on accurate anatomical location placement. Providing skill competency training that incorporated anatomical imaging technology enhanced RNs' awareness for effective skill acquisition.
AACN Advanced Critical Care, 2011
Symptoms are subjective patient experiences that may negatively impact the patient&#3... more Symptoms are subjective patient experiences that may negatively impact the patient's hospitalization, treatment plan, and quality of life. Critically ill patients frequently experience nausea, vomiting, and diarrhea related to underlying disease, procedures, and medical interventions (eg, medication, enteral feeding, surgery). Optimally, the nurse performs a subjective assessment that explores the patient's perception and impact of these symptoms to develop a comprehensive plan of care. Unfortunately, little evidence is available to guide assessment of nausea, vomiting, and diarrhea in critically ill nonverbal patients. Understanding the disease processes, medical treatments, and pathophysiology of these symptoms will assist the critical care nurse in the anticipation of symptoms and development of a proactive plan to alleviate the symptom-associated discomfort.
The purpose of this research was to identify the relationships between 'Facebook' brand page user... more The purpose of this research was to identify the relationships between 'Facebook' brand page users' motivations, engagement behaviours and future behavioural intentions. For this purpose, a model of Facebook brand fan page user motivations, engagement and behavioural intentions was proposed. The model was tested via an online survey distributed to Facebook users in Bosnia and Herzegovina. A total of 504 usable surveys were considered for the data analysis. Following the exploratory factor analysis tests, four main motivational factors emerged; information, personal identity, leisure and social interaction. Then, the relationships between these four motivational factors and customer engagement and behavioural intentions were tested in a structural model. Model tests revealed that Facebook brand fan page users were most motivated by information needs in regards to stronger engagement with the fan pages and more positive intentions to buy products through these fan pages. Personal identity needs were also important reasons for customer engagement with brand fan pages on Facebook. Based on these results, practical recommendations were given to marketers and brand fan page administrators.
Qualitative Health Research, 2014
Critical Care Nurse, 2016
Critical Care Nurse, 2016
Critical care nurse, 2015
Practice habits continue in clinical practice despite the availability of research and other form... more Practice habits continue in clinical practice despite the availability of research and other forms of evidence that should be used to guide critical care practice interventions. This article is based on a presentation at the 2014 National Teaching Institute of the American Association of Critical-Care Nurses. The article is part of a series of articles that challenge critical care nurses to examine the evidence guiding nursing practice interventions. Four common practice interventions are reviewed: (1) weight-based medication administration, (2) chest tube patency maintenance, (3) daily interruption of sedation, and (4) use of chest physiotherapy in children. For weight-based administration of medication, the patient's actual weight should be measured, rather than using an estimate. The therapeutic effectiveness and dosages of medications used in obese patients must be critically evaluated. Maintaining patency of chest tubes does not require stripping and milking, which probably...
Critical Care Nurse, 2014
I n 2001, the Institute of Medicine challenged all health care professionals to decrease variatio... more I n 2001, the Institute of Medicine challenged all health care professionals to decrease variation in practice through adoption of practice interventions based on best evidence to improve patients' outcomes. 1 Current reviews of clinical practice suggest that only 10% to 15% of clinicians consistently implement evidence-based care 2 and indicate that it may take up to 2 decades for original research to be put into routine clinical practice. 3 It is well established that evidence-based practice (EBP) is associated with higher quality care and better outcomes for patients than care that is steeped in tradition. 4 Yet at times, clinicians continue to practice on the basis of tradition. 5
Critical Care Nurse, 2013
Critical Care Nurse, 2009
Critical Care Nurse, 2013
Critical Care Nurse, 2013
E vidence-based nursing practice involves integration of a problem-solving approach within the co... more E vidence-based nursing practice involves integration of a problem-solving approach within the context of caring, considering best evidence from studies, patient care data, clinical experience and expertise, and patients' preferences and values. 1 Health care agencies, government agencies, and national professional organizations such as the American Association of Critical-Care Nurses have all been supporters of evidence-based practice (EBP) as studies continue to show improved outcomes when best evidence is used in the delivery of patient care. 2,3 Despite the awareness of the importance of practice being based on best evidence, achieving and sustaining EBP within practice Feature Evidence-based nursing practice is essential to the delivery of high-quality care that optimizes patients' outcomes. Studies continue to show improved outcomes when best evidence is used in the delivery of patient care. Despite awareness of the importance of practicing by using best evidence, achieving and sustaining evidencebased practice within practice environments can be challenging, and research suggests that integration of evidence-based practice into daily clinical practice remains inconsistent. This article addresses 4 practice issues that, first, are within the realm of nursing and if changed might improve care of patients and, second, are areas in which the tradition and the evidence do not agree and practice continues to follow tradition. The topics addressed are (1) noninvasive measurement of blood pressure in children, (2) oxygen administration for patients with chronic obstructive pulmonary disease, (3) intravenous catheter size and blood administration, and (4) infection control practices to prevent infections. The related beliefs, current evidence, and recommendations for practice related to each topic are described. (Critical Care Nurse. 2013;33[2]:28-44) This article has been designated for CNE credit. A closed-book, multiple-choice examination follows this article, which tests your knowledge of the following objectives:
Critical Care Nurse, 2011
Value in Health, 2012
these hospitalizations, and in 26.4% of patients. Among all hospitalizations, not having an HbA1c... more these hospitalizations, and in 26.4% of patients. Among all hospitalizations, not having an HbA1c test in the previous 3 months was associated with twice the rate of those with a previous test (32.4% vs 16.2%), and hospitalizations with glucose values of 200 mg/dl or greater had a higher rate (27.7%) than did those with lower glucose levels (18.3%). Endocrinologist treatment during a hospitalization was associated with a higher HbA1c utilization rate (43.6%) compared to treatment from all other specialties (23.3%), including hospital medicine (21.1%). Among all patients, younger patients had a higher HbA1c utilization rate than did patients Ͼϭ65 years (47.2% Ͻ21, 29.5% 21-64, and 23.8% 65ϩ), as did male patients (28.3% vs 24.5%). Type 1 diabetics had a higher rate than did patients with pre-diabetes/ undiagnosed diabetes and type 2 diabetes (32.0%, 28.7%, and 25.4%, respectively). Among hospitalizations of pre-diabetes/undiagnosed patients who received an HbA1c test, 17.9% had values of 6.5% or greater. CONCLUSIONS: These data suggest that overall utilization of HbA1c tests in the hospital setting is low among prediabetic/undiagnosed and diabetic patients with hyperglycemia. The utilization rate differs significantly by patient characteristics and by physician specialty. These data highlight the potential to improve identification and diagnosis of diabetes within the hospital setting.