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https://www.readbyqxmd.com/read/28636745/a-practical-framework-for-encouraging-and-supporting-positive-behaviour-change-in-diabetes
#1
REVIEW
L Fisher, W H Polonsky, D Hessler, M B Potter
A wide range of diabetes-directed interventions - including novel medications, devices and comprehensive education programmes - have been shown to be effective in clinical trials. But in the real world of diabetes care their efficacy is often dependent upon on how well a clinician is able to support personal engagement and motivation of the person with diabetes to use these new tools and knowledge consistently, and as directed . Although many person-centred motivational and behavioural strategies have been developed, for example, action planning, motivational interviewing and empowerment-based communication, the sheer number and apparent lack of clear differences among them have led to considerable confusion...
June 21, 2017: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/28635451/delivering-person-centred-care-in-police-custody
#2
Matt Peel
The custody nurse role was introduced in 2003 following changes to legislation, which allowed nurses and paramedics to care for people in police custody. Before this, the work was done solely by doctors.
June 21, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28634734/exploring-the-digital-technology-preferences-of-teenagers-and-young-adults-tya-with-cancer-and-survivors-a-cross-sectional-service-evaluation-questionnaire
#3
Esha Abrol, Mike Groszmann, Alexandra Pitman, Rachael Hough, Rachel M Taylor, Golnar Aref-Adib
PURPOSE: Digital technology has the potential to support teenagers and young adults (TYAs) with cancer from the onset of their disease into survivorship. We aimed to establish (1) the current pattern of use of TYA digital technologies within our service-user population, and (2) their preferences regarding digital information and support within the service. METHODS: A cross-sectional survey was administered as a paper and online self-completed questionnaire to TYAs aged 13-24 accessing outpatient, inpatient, and day care cancer services at a regional specialist centre over a 4-week period...
June 20, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/28624761/factors-influencing-psychological-social-and-health-outcomes-after-major-burn-injuries-in-adults-cohort-study-protocol
#4
Martha Druery, Peter A Newcombe, Cate M Cameron, Jeffrey Lipman
INTRODUCTION: The goal of burn care is that 'the quality of the outcome must be worth the pain of survival'. More research is needed to understand how best to deliver care for patients with burns to achieve this aim. Loss of independence, function as well as loss of income for patients with burns and carers cause a significant burden at both individual and societal levels. Much is being done to advance knowledge in the clinical care field; however, there has been a paucity of research exploring psychosocial outcomes...
June 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28622348/factors-influencing-practitioner-adoption-of-carer-led-assessment-in-palliative-homecare-a-qualitative-study-of-the-use-of-the-carer-support-needs-assessment-tool-csnat
#5
Lynn Austin, Gail Ewing, Gunn Grande
INTRODUCTION: Informal caregivers play a pivotal role in supporting patients approaching the end of life. The Carer Support Needs Assessment Tool (CSNAT) is designed to facilitate person-centred assessment and support through a process that is practitioner-facilitated, but carer-led. This study explored practitioners' experiences of implementing the CSNAT in palliative homecare. METHODS: We conducted qualitative interviews/focus groups with 20 practitioners in one UK hospice homecare service (18 nurses, two healthcare assistants) before and after the implementation of the CSNAT...
2017: PloS One
https://www.readbyqxmd.com/read/28611090/a-qualitative-analysis-of-the-three-good-things-intervention-in-healthcare-workers
#6
Karin Rippstein-Leuenberger, Oliver Mauthner, J Bryan Sexton, Rene Schwendimann
BACKGROUND: Intensive care unit (ICU) personnel have an elevated prevalence of job-related burn-out and post-traumatic stress disorder, which can ultimately impact patient care. To strengthen healthcare workers' skills to deal with stressful events, it is important to focus not only on minimising suffering but also on increasing happiness, as this entails many more benefits than simply feeling good. Thus, the purpose of this study was to explore the content of the 'good things' reported by healthcare workers participating in the 'Three Good Things' intervention...
June 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28606729/person-centred-type-2-diabetes-care-time-for-a-paradigm-shift
#7
Guy E H M Rutten, Aus Alzaid
No abstract text is available yet for this article.
June 9, 2017: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/28602027/assistive-technology-for-memory-support-in-dementia
#8
REVIEW
Henriëtte G Van der Roest, Jennifer Wenborn, Channah Pastink, Rose-Marie Dröes, Martin Orrell
BACKGROUND: The sustained interest in electronic assistive technology in dementia care has been fuelled by the urgent need to develop useful approaches to help support people with dementia at home. Also the low costs and wide availability of electronic devices make it more feasible to use electronic devices for the benefit of disabled persons. Information Communication Technology (ICT) devices designed to support people with dementia are usually referred to as Assistive Technology (AT) or Electronic Assistive Technology (EAT)...
June 11, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28597986/tensions-in-the-personal-world-of-the-nurse-family-carer-a-phenomenological-approach
#9
Loretto Quinney, Trudy Dwyer, Ysanne Chapman
The incidence of chronic illness is growing globally. As a result, there are fiscal and social implications for health delivery. Alongside the increased burden on health resources is the expectation that someone within the family will assume the responsibility of carer for those who are chronically ill. The expectation to assume the role of carer may be amplified for family members who are also nurses. Currently, there is little research that investigates the impact of nurses who are carers for family with a chronic illness...
June 9, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28595618/the-prevalence-of-the-metabolic-syndrome-in-portugal-the-pormets-study
#10
Luís Raposo, Milton Severo, Henrique Barros, Ana Cristina Santos
BACKGROUND: The PORMETS study was designed to estimate the prevalence of metabolic syndrome and its determinants in the overall and administrative regions of the Portuguese mainland. METHODS: A cross-sectional study of a representative sample of non-institutionalized Portuguese adults selected from primary health care centres lists including 1695 men and 2309 women was conducted from February 2007 to July 2009. A structured questionnaire was administered, collecting information on personal medical history and socio-demographic and behavioural characteristics...
June 8, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28594483/effect-of-an-institutional-medication-adherence-program-for-long-acting-injectable-risperidone-on-adherence-and-psychiatric-hospitalizations-evidence-from-a-prospective-cohort-study
#11
Jessica J Jalbert, Michel Rossignol, Bernard Astruc, Franck Baylé, Clementine Nordon, Bernard Avouac, Frédéric Rouillon, Lucien Abenhaim, Lamiae Grimaldi-Bensouda
BACKGROUND: Long-acting injectable (LAI) atypical antipsychotics are associated with improved adherence and reduced relapse rates in schizophrenia but reminder-based interventions may further improve outcomes. OBJECTIVES: To assess an institutional medication adherence program's (IMAP) effectiveness on adherence and psychiatric hospitalizations among schizophrenia patients taking risperidone LAI (RLAI). METHODS: Between 2009 and 2010, we recruited patients meeting DSM-IV criteria for schizophrenia treated with RLAI receiving outpatient care from psychiatric centres in France...
May 30, 2017: Journal of Population Therapeutics and Clinical Pharmacology
https://www.readbyqxmd.com/read/28589825/effective-communication-with-older-adults
#12
Louise Daly
Communication is an essential aspect of life, yet it can be taken for granted. Its centrality to being in the world and in professional practice often becomes evident when nurses and older adults encounter communication difficulties. The factors that can affect nurses' communication with older adults relate to the older adult, the nurse, sociocultural considerations and the environment, and the interactions between these factors. In adopting a person-centred approach to communicating with older adults, it is necessary to get to know the person as an individual and ensure communication meets their needs and abilities...
June 7, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28589741/a-content-analysis-of-the-consumer-facing-online-information-about-my-health-record-implications-for-increasing-knowledge-and-awareness-to-facilitate-uptake-and-use
#13
Louisa Walsh, Sophie Hill, Meredith Allan, Susan Balandin, Andrew Georgiou, Isabel Higgins, Ben Kraal, Shaun McCarthy, Bronwyn Hemsley
BACKGROUND: Low health literacy, low levels of positive belief and privacy and security concerns have been identified as a significant barrier to personal electronic health record uptake and use. An important tool for overcoming these barriers is the consumer-facing information which accompanies the system. My Health Record (MyHR) is the Australian national e-health record system, for which a large suite of online resources exists to facilitate consumer registration and use. This study uses a number of different measures of health resource quality to assess the MyHR online consumer-facing information and identify any gaps or areas for improvement...
January 1, 2017: HIM Journal
https://www.readbyqxmd.com/read/28588985/how-did-rapid-scale-up-of-hiv-services-impact-on-workplace-and-interpersonal-trust-in-zambian-primary-health-centres-a-case-based-health-systems-analysis
#14
Stephanie M Topp, Julien M Chipukuma
BACKGROUND: In sub-Saharan Africa, large amounts of funding continue to be directed towards HIV-specific care and treatment, often with claims of 'health system strengthening' effect. Such claims rarely account for the impact on human relationships and decisions that are core to functional health systems. This research examined how establishment of externally funded HIV services influenced trusting relationships in Zambian health centres. METHODS: An in-depth, multicase study included four health centres selected for urban, peri-urban and rural characteristics...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28587754/delirium-screening-in-intensive-care-a-life-saving-opportunity
#15
REVIEW
E Lamond, S Murray, C E Gibson
BACKGROUND: Delirium is described as 'acute brain failure' and constitutes a medical emergency which presents a hazard for people cared for in intensive care units. The Scottish intensive care society audit group recommend that all people cared for in intensive care units be screened for signs of delirium so that treatment and management of complications can be implemented at an early stage. CLINICAL IMPLICATION: There is inconsistent evidence about when and how the assessment of delirium is carried out by nursing staff in the intensive care setting...
June 3, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28585405/type-of-oral-solid-medication-packaging-and-medication-preparation-time-in-nursing-homes-a-direct-observation-study
#16
C M Cready, C Hudson, K Dreyer
WHAT IS KNOWN AND OBJECTIVE: Medication administration is a substantial portion of the workday in nursing homes, with the medication preparation step being the most time-consuming. However, little is known about how medication preparation time is affected by the type of packaging used for oral solid medications (ie, tablets/capsules). We examined the effects of two types of packaging. As fewer steps are associated with strip packaging compared to bingo card packaging, we hypothesized that the increase in medication preparation seconds per resident with each additional oral solid medication would be smaller when strip packaging was used...
June 5, 2017: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/28580790/one-year-functional-outcomes-following-major-trauma-experience-of-a-uk-level-1-major-trauma-centre
#17
Wail Ahmed, Rupali Alwe, Derick Wade
OBJECTIVE: To pilot a method for routine outcome data collection one year after admission to a major trauma centre, to determine current outcomes, and to identify possible methodological improvements. DESIGN: A postal questionnaire audit. SETTING: A major trauma centre in the United Kingdom. SUBJECTS: In total, 355 patients known to be alive 12 months after admission with major trauma (Injury Severity Score (ISS) of 9 or more)...
June 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28577548/depression-suicidality-and-alcohol-use-disorder-among-people-living-with-hiv-aids-in-nigeria
#18
Catherine O Egbe, Patrick S Dakum, Ernest Ekong, Brandon A Kohrt, John G Minto, Cynthia J Ticao
BACKGROUND: People Living with HIV/AIDS (PLHIV) face various day-to-day and long-term personal, interpersonal, social, physical and psychological challenges as a result of, and in addition to the health conditions they are susceptible to due to their HIV status. There is a dearth of large-scale research to provide robust prevalence estimates of mental health problems among PLHIV, especially in Nigeria. This study aimed to ascertain the prevalence and factors associated with major depressive episodes, suicidality, and alcohol use disorder among people living with HIV/AIDS in Nigeria...
June 2, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28577361/-it-is-a-difficult-topic-a-qualitative-study-of-midwives%C3%A2-experiences-with-routine-antenatal-enquiry-for-intimate-partner-violence
#19
L Henriksen, L M Garnweidner-Holme, K K Thorsteinsen, M Lukasse
BACKGROUND: Intimate partner violence (IPV) during pregnancy may jeopardize maternal and fetal health (IJFWM 49:159-164, 2004; IJGO 133:269-276, 2016). In recognition of the significant public health impact of IPV, the Norwegian Directorate of Health issued new guidelines in 2014, which recommend that health professionals routinely ask all women in antenatal care about their exposure to violence. The objective of this study was to gain an in-depth understanding of midwives' experiences with routine enquiry for intimate partner violence during the antenatal period...
June 2, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28569290/novel-combined-management-approaches-to-patients-with-diabetes-chronic-kidney-disease-and-cardiovascular-disease
#20
J Spaak
Most patients we care for today suffer from more than one chronic disease, and multimorbidity is a rapidly growing challenge. Concomitant cardiovascular disease, renal dysfunction and diabetes represent a large proportion of all patients in cardiology, nephrology and diabetology. These entities commonly overlap due to their negative effects on vascular function and an accelerated atherosclerosis progression. At the same time, a progressive subspecialisation has caused the cardiologist to treat 'only' the heart, nephrologists 'only' the kidneys and endocrinologists' 'only' diabetes...
March 2017: Journal of the Royal College of Physicians of Edinburgh
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