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Dive into the research topics where Margaret J. Bull is active.

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Featured researches published by Margaret J. Bull.


Journal of Cardiovascular Nursing | 2000

Predictors of elder and family caregiver satisfaction with discharge planning.

Margaret J. Bull; Helen Hansen; Cynthia R. Gross

Client satisfaction is considered an important outcome measure in a managed care environment faced with escalating health care costs, shortened lengths of hospital stay, and competition among acute care hospitals. With shortened lengths of stay in acute care hospitals, discharge planning has assumed increased importance, particularly for elders who have chronic conditions, such as heart failure, that require follow-up care. Consequently, understanding the predictors of client satisfaction with discharge planning can help hospitals and their nursing staff to tailor services to meet client needs. Previous studies have focused on patient satisfaction with hospital care, with little attention given specifically to satisfaction with discharge planning and to family caregiver satisfaction with discharge planning. The purpose of this study was to determine whether there is a difference between elder and family member satisfaction with discharge planning 2 weeks after hospitalization and what factors predict satisfaction with discharge planning 2 weeks after hospitalization for elders hospitalized with heart failure and their family caregivers. Telephone interviews were conducted with 134 elder/family caregiver dyads 2 weeks after hospitalization. The results indicated that there were no statistically significant differences in discharge planning satisfaction of elders and their family caregivers. Continuity of care and extent to which they felt prepared to manage care following hospitalization were the best predictors of elders and family caregivers satisfaction with discharge planning.


Applied Nursing Research | 2000

Differences in family caregiver outcomes by their level of involvement in discharge planning

Margaret J. Bull; Helen Hansen; Cynthia R. Gross

Family caregivers play vital roles in assisting elders after they are released from the hospital. Although health care professionals advocate involving family caregivers in discharge planning for elders, little is known about the extent to which this involvement benefits or jeopardizes the caregivers health and their perceptions of the caregiving experience. The purpose of this study was to determine whether the level of family caregiver involvement in discharge planning for an elder made a difference in caregiver health, discharge planning satisfaction, perception of care continuity, preparedness to assist the elder, and acceptance of the caregiving role 2 weeks and 2 months postdischarge. The sample consisted of 130 family caregivers for elders hospitalized with heart failure. Telephone interviews were conducted 2 weeks and 2 months postdischarge. The findings indicated that family caregivers who reported more involvement in discharge planning had significantly higher scores on satisfaction, feelings of preparedness, and perception of care continuity 2 weeks following the elders hospitalization than those who reported little or no involvement in planning. Caregivers who reported more involvement in planning also were more accepting of the caregiving role. At 2 months postdischarge, caregivers who reported more involvement in discharge planning reported better health and more acceptance of the caregiving role than those who had little or no involvement in planning.


Journal of Applied Gerontology | 1996

Gaps in Discharge Planning

Margaret J. Bull; Robert L. Kane

Discharge from an acute care hospital stresses continuity, an important aspect of care for frail, older persons. Secondary analysis of qualitative data from two studies indicated that gaps in communication were a fundamental source of discontinuity. This article describes gaps in discharge planning, identifies the constraints encountered in planning for discharge, and discusses possible solutions.


Journal of Nursing Administration | 1998

Interdisciplinary collaboration and discharge planning communication for elders

Helen Hansen; Margaret J. Bull; Cynthia R. Gross

The effects of personal characteristics and perceptions of interdisciplinary collaboration on discharge planning communication were examined for nurses, physicians, and social workers in two hospitals. The model for the study explained 61.7% of the variance in discharge planning communication for nurses. For all 142 health professionals, communication openness with social workers, problem solving between nurses and physicians, and collaboration with social workers were important to discharge planning communication. For nurses, communication satisfaction with patients and families also was important.


Journal of Nursing Measurement | 2000

Measuring continuity of elders' posthospital care.

Margaret J. Bull; Danni Luo; Geoffrey Maruyama

Continuity of care is a critical component of quality patient care, yet the paucity of reliable and valid measures of continuity of care make it difficult to ascertain the extent to which continuity has been achieved. The purpose of this article is to describe the development of an instrument to measure continuity of care that incorporates the perspectives of elders hospitalized for a chronic illness and their family caregivers. The instrument was used, and its reliability and validity examined, in a series of studies related to elders’ posthospital transition. Elders in the studies ranged in age from 55 to 94 years. The findings supported content and construct validity, internal consistency reliability, and ability to detect changes in the same subjects at different points in time for the care management and services subscales. With further refinement, the continuity of provider and conflicting information subscales might also facilitate assessment of care continuity.


Journal of Nursing Measurement | 1994

Symptom Questionnaire Anxiety and Depression scales: Reliability and validity

Margaret J. Bull; Danni Luo; Geoffrey Maruyama

Many instruments have been developed with college students and used primarily with students or younger adults. Thus, researchers face challenges in selecting measures of psychological state that are valid and reliable for use with elders. This article describes a measure of psychological state, the Symptom Questionnaire; provides information about its reliability and validity; and details the steps used to evaluate reliability and validity of its anxiety and depression scales for elders hospitalized for an acute episode of a chronic condition. The findings suggest that a short version of the Symptom Questionnaire, consisting of the depression and anxiety scales, is valid and reliable for elders. The findings also revealed small differences between the means of data collected using the short version and those obtained using the full instrument.


Applied Nursing Research | 2000

A professional-patient partnership model of discharge planning with elders hospitalized with heart failure

Margaret J. Bull; Helen Hansen; Cynthia R. Gross


Western Journal of Nursing Research | 1990

Factors Influencing Family Caregiver Burden and Health

Margaret J. Bull; Joan E. Bowers; Jane Marie Kirschling; Anne Neufeld


Journal of Advanced Nursing | 1997

Strategies used by chronically ill older women and their caregiving daughters in managing posthospital care

Margaret J. Bull; Lori L. Jervis


Journal of Advanced Nursing | 1994

Use of formal community services by elders and their family caregivers 2 weeks following hospital discharge

Margaret J. Bull

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Helen Hansen

University of Minnesota

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Danni Luo

University of Minnesota

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Eileen P. Sheil

University of Wisconsin–Milwaukee

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Jennifer Marie Sjostedt

Marquette University College of Nursing

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Joan E. Bowers

University of Nebraska Medical Center

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Kristie L. Kroening

University of Wisconsin-Madison

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