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https://www.readbyqxmd.com/read/29935404/teaching-self-management-support-in-dutch-bachelor-of-nursing-education-a-mixed-methods-study-of-the-curriculum
#1
Susanne M van Hooft, Yvonne N Becqué, Jolanda Dwarswaard, AnneLoes van Staa, Roland Bal
BACKGROUND: Nurses are expected to support people to self-manage. Student nurses therefore need to master competencies that include the assessment of peoples' needs and preferences, and shared decision-making, whilst respecting and enhancing peoples' autonomy. Adapting nurse education programmes to meet this goal requires insight into the practice of teaching self-management support. In order to reveal this practice, one can distinguish between the intended, the taught, and the received curriculum...
June 8, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29933305/presurgery-and-postsurgery-quality-of-life-and-associated-factors-in-patients-with-malignant-neoplasms-of-the-head-and-neck-a-6-month-follow-up-study
#2
Zhiping Hu, Xiaoling Zhou, Weiwei Duan, Wenge Lei, Min Zhang, Lingxia Zeng
BACKGROUND: Maintenance of good functional status and improvement of quality of life (QOL) in patients with head and neck cancer help to determine the efficacy of anticancer therapies. OBJECTIVE: The aims of this study were to describe the profile of QOL changing over time and evaluate the correlation between anxiety, pain severity, and shoulder and neck function with QOL in patients. METHODS: A prospective cohort study was conducted. Quality of life, neck and shoulder function, anxiety, and pain were assessed at the time of presurgery, 1 week, and 3 and 6 months postsurgery...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933147/i-care-randomized-clinical-trial-integrating-depression-and-acute-coronary-syndrome-care-in-low-resource-hospitals-in-china-design-and-rationale
#3
Shenshen Li, James A Blumenthal, Chuan Shi, Danielle Millican, Xian Li, Xin Du, Anushka Patel, Pei Gao, Elizabeth Delong, Pallab K Maulik, Runlin Gao, Xin Yu, Yangfeng Wu
Depression and acute coronary syndromes (ACS) are both common public health challenges. Patients with ACS often develop depression, which in turn adversely affects prognosis. Low-cost, sustainable, and effective service models that integrate depression care into the management of ACS patients to reduce depression and improve ACS outcomes are critically needed. Integrating Depression Care in ACS patients in Low Resource Hospitals in China (I-CARE) is a multicenter, randomized controlled trial to evaluate the efficacy of an 11-month integrated care (IC) intervention compared to usual care (UC) in management of ACS patients...
May 21, 2018: American Heart Journal
https://www.readbyqxmd.com/read/29931391/pain-in-older-adults-with-dementia-a-survey-across-europe-on-current-practices-use-of-assessment-tools-guidelines-and-policies
#4
REVIEW
S Zwakhalen, R E Docking, I Gnass, E Sirsch, C Stewart, N Allcock, P Schofield
BACKGROUND: We aimed to explore the existing use of pain assessment tools and guidelines, and develop understanding of the practical considerations required to facilitate their use within the nursing home, hospital and community settings. METHODS: A self-administered web-based survey was conducted with nurses, health and social care workers with an interest in the assessment of pain in older adults with cognitive impairment. The survey was distributed to participants in Austria, Belgium, Denmark, Germany, The Netherlands, Switzerland and United Kingdom...
June 21, 2018: Der Schmerz
https://www.readbyqxmd.com/read/29929949/considerations-for-the-development-of-mobile-phone-apps-to-support-diabetes-self-management-systematic-review
#5
REVIEW
Mary D Adu, Usman H Malabu, Emily J Callander, Aduli Eo Malau-Aduli, Bunmi S Malau-Aduli
BACKGROUND: There is increased research interest in the use of mobile phone apps to support diabetes management. However, there are divergent views on what constitute the minimum standards for inclusion in the development of mobile phone apps. Mobile phone apps require an evidence-based approach to development which will consequently impact on their effectiveness. Therefore, comprehensive information on developmental considerations could help designers and researchers to develop innovative and effective patient-centered self-management mobile phone apps for diabetes patients...
June 21, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29929482/small-scale-implementation-with-pragmatic-process-evaluation-a-model-developed-in-primary-health-care
#6
Kirsti Malterud, Aase Aamland, Kristina Riis Iden
BACKGROUND: Research often fails to impose substantial shifts in clinical practice. Evidence-based health care requires implementation of documented interventions, with implementation research as a science-informed strategy to identify core experiences from the process and share preconditions for achievement. Evidence developed in hospital contexts is often neither relevant nor feasible for primary care. Different evidence types may constitute a point of departure, stretching and testing the transferability of the intervention by piloting it in primary care...
June 21, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29926473/nurse-led-versus-doctor-led-care-for-bronchiectasis
#7
REVIEW
Kathryn Lawton, Karen Royals, Kristin V Carson-Chahhoud, Fiona Campbell, Brian J Smith
BACKGROUND: Specialist nursing roles to manage stable disease populations are being used to meet the needs of both patients and health services. With increasing cost pressures on health departments, alternative models such as nurse-led care are gaining momentum as a substitute for traditional doctor-led care. This review evaluates the safety, effectiveness, and health outcomes of nurses practising in autonomous roles while using advanced practice skills, within the context of bronchiectasis management in subacute, ambulatory, and/or community care...
June 20, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29920873/strengthening-mental-health-nurses-resilience-through-a-workplace-resilience-programme-a-qualitative-inquiry
#8
Kim Foster, Celeste Cuzzillo, Trentham Furness
WHAT IS KNOWN ON THE SUBJECT?: Mental health nurses are affected by interpersonal, practice-related and organizational factors that can increase workplace stress and reduce their physical and mental health and well-being. Resilience programmes are a strength-based preventative approach to supporting individuals to overcome workplace adversities. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This qualitative inquiry is the first study to report mental health nurses' perspectives and experiences on a workplace resilience programme...
June 19, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29916416/need-for-ethics-support-in-clinical-practice-and-suggestion-for-an-ethics-consultation-service-views-of-nurses-and-physicians-working-in-italian-healthcare-institutions
#9
Cinzia Leuter, Cristina Petrucci, Valeria Caponnetto, Carmen La Cerra, Loreto Lancia
INTRODUCTION: Ethics Consultation Services (ECS) and Ethical Committees manage several aspects of clinical ethical issues. In Italy there are only Ethical Committees, and, although they should also perform ethical consultations, their activity is limited to approving clinical trial protocols. AIM: To analyse the opinions of a sample of Nurses and Physicians about their motivations to ask for an ethical consultation. METHODS: A cross-sectional study was conducted on a sample of Italian Nurses and Physicians...
April 2018: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29914436/treatment-in-the-stampede-era-for-castrate-resistant-prostate-cancer-in-the-uk-ongoing-challenges-and-underappreciated-clinical-problems
#10
Rosa U Greasley, Rebecca Turner, Karen Collins, Janet Brown, Liam Bourke, Derek J Rosario
BACKGROUND: This study aimed to explore the opinions of healthcare professionals regarding the management of men with advanced prostate cancer with particular emphasis on treatment timing and sequencing; treatment adverse-effects and exercise a supportive therapy. METHODS: Semi-structured interviews with a purposively selected group of healthcare professionals involved in prostate cancer care within the NHS, conducted over the phone or face to face. A total of 37 healthcare professionals participated in the interviews including urologists, clinical oncologists, medical oncologists, clinical nurse specialists, general practitioners, physiotherapists, exercise specialists, service managers, clinical commissioners and primary care physicians...
June 19, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29912027/evidence-based-practice-in-forensic-mental-health-nursing-a-critical-review
#11
Richard Byrt, Theresa A Spencer-Stiles, Ismail Ismail
METHOD: Literature searches of databases, particularly CINAHL, using key phrases were undertaken. RESULTS: Some authors argue that there is a lack of evidence in forensic mental health (FMH) nursing, with few randomized controlled trials and other methods providing definitive, generalizable evidence. However, literature searches revealed randomized controlled trials of relevance to FMH nursing, many qualitative studies by FMH nurses, and arguments for clinical experience and knowledge of service users, and the latter's views, as sources of evidence...
June 15, 2018: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29911631/the-effectiveness-of-a-nursing-staff-development-intervention-to-improve-pain-management-a-randomized-controlled-trial
#12
S Zoëga, S E Ward, R C Serlin, H Sveinsdottir, E Th Gretarsdottir, N Fridriksdottir, E J G Hafsteinsdottir, S Gunnarsdóttir
Aims To test the effectiveness of the Pain Resource Nurse (PRN) education program in a university hospital. Methods This was a randomized controlled trial. Two nurses from each of the 23 participating surgical and medical units were selected to participate in the PRN program. The program consisted of a three day course in pain management with a structured follow up. After a baseline measurement, the units were randomized to either receive the intervention or to serve as a wait-list control. The control group received the intervention following a second data collection 10 months from baseline...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29908875/managing-aesthetic-referrals-in-nhs-scotland-outcomes-from-1122-patients-in-the-east-of-scotland
#13
Abdulla Ibrahim, Mahmoud K Nassar, Daniel J Jordan, Manish Sinha, Fiona J Hogg
The Adult Exceptional Aesthetic Referral Protocol (AEARP) encompasses a series of aesthetic procedures which, as they do not treat an underlying disease process, are not routinely available within the National Health Service. Provision of these services can only be provided on an exceptional basis. In this prospective study, we evaluated the referral process and outcomes of 1122 patients referred under the AEARP over a 3.5-year period. Referrals were screened by a vetting panel comprising of a plastic surgeon, clinical nurse specialist, and clinical psychologist...
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29907508/using-a-real-time-location-system-to-measure-patient-flow-in-a-radiation-oncology-outpatient-clinic
#14
Kevin Conley, Chester Chambers, Shereef Elnahal, Amanda Choflet, Kayode Williams, Theodore DeWeese, Joseph Herman, Maqbool Dada
PURPOSE: Common performance metrics for outpatient clinics define the time between patient arrival and entry into an examination room as "waiting time." Time spent in the room is considered processing time. This characterization systematically ignores time spent in the examination room waiting for service. If these definitions are used, performance will consistently understate total waiting times and overstate processing times. Correcting such errors will provide a better understanding of system behavior...
May 5, 2018: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29907181/a-patient-presents-with-a-history-suggestive-of-potential-elder-abuse
#15
Ghislaine Young
Catherine is an Advanced Nurse Practitioner and runs clinics in primary care where she is qualified to assess and manage patients autonomously. Today Joan, an elderly woman in her mid-80s, attends for a general health check-up. She is hypertensive and has a history of coronary artery disease. Joan is widowed and lives with her only son.
June 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29906198/an-audit-of-chronic-oedema-within-the-care-home-setting
#16
Jackie Stephen-Haynes, Rosie Callaghan
This articles outlines the important issue of chronic oedema, its definition and the physiology of the three main categories. The care delivered in the care home (nursing) sector was the subject of a printed questionnaire and the results are presented here. They are discussed and the implications for practice and an evidenced-based approach to care delivery are considered. Several conclusions can be drawn from this study but would be strengthened by a larger study. Care for patients with chronic oedema could be enhanced and this would improve clinical outcomes; significantly fewer patients would need to be referred for GP management if an appropriate and timely first-line treatment was agreed and provided by nursing staff...
April 1, 2018: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29901820/systematic-review-with-meta-analysis-online-psychological-interventions-for-mental-and-physical-health-outcomes-in-gastrointestinal-disorders-including-irritable-bowel-syndrome-and-inflammatory-bowel-disease
#17
REVIEW
I Hanlon, C Hewitt, K Bell, A Phillips, A Mikocka-Walus
BACKGROUND: Online psychotherapy has been successfully used as supportive treatment in many chronic illnesses. However, there is a lack of evidence on its role in the management of gastrointestinal (GI) diseases. AIMS: To examine whether online psychological interventions improve mental and physical outcomes in gastrointestinal diseases. METHODS: We searched CINAHL Plus, MEDLINE, EMBASE, Health Management Information Consortium, PsycINFO, British Nursing Index, Cochrane Library, a specialised register of the IBD/FBD Cochrane Group, MEDLINE (PubMed) WHO International Clinical Trial Registry, ClinicalTrials...
June 14, 2018: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/29898653/does-implementation-of-an-enhanced-recovery-after-surgery-program-for-hip-replacement-improve-quality-of-recovery-in-an-australian-private-hospital-a-quality-improvement-study
#18
Nicole Lay Tin Tan, Justin Lindley Hunt, Stella May Gwini
BACKGROUND: Enhanced recovery after surgery programs may improve recovery and reduce duration of hospital stay after joint replacement surgery. However, uptake is incomplete, and the relative importance of program components is unknown. This before-and-after quality improvement study was designed to determine whether adding 'non-surgical' components, to pre-existing 'surgical' components, in an Australian private healthcare setting, would improve patient recovery after total hip replacement...
June 13, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/29898345/simulation-of-changes-on-the-psychosocial-risk-in-the-nursing-personnel-after-implementing-the-policy-of-good-practices-on-the-risk-treatment
#19
María Paula Bolívar Murcia, Joan Paola Cruz González, Luz Angélica Rodríguez Bello
OBJECTIVES: Evaluate the change over time of psychosocial risk management for the nursing personnel of an intermediate complexity clinic of Bogota (Colombia). METHODS: Descriptive and correlational research performed under the approach of risk management (identification, analysis, assessment and treatment). The psychosocial risk of the nursing personnel was studied through 10-year system dynamics models (with and without the implementation of the policy of good practices on the risk treatment) in two scenarios: when the nursing personnel works shifts of 6 hours (morning or afternoon) and when they work over 12 hours (double shift or night shift)...
February 2018: Investigación y Educación en Enfermería
https://www.readbyqxmd.com/read/29896763/renal-in-patient-ward-nurse-experience-and-job-satisfaction-a-qualitative-study
#20
Aisha Tamika McKenzie, Gulen Addis
AIMS AND OBJECTIVES: The aim of this study was to examine the experience of registered nurses working in renal inpatients wards at an acute National Health Service (NHS) hospital Trust. Nurse perceptions of their experience particularly in relation to job satisfaction was analysed. BACKGROUND: Increased understanding of workplace organisation and culture can contribute to improved nurse work experience and better patient care. Worldwide many studies conducted on nurse experience and job satisfaction show that job satisfaction level varies across work settings so analysis of job satisfaction at a local level such as in a ward is important for producing useful analysis and recommendations...
June 13, 2018: Journal of Clinical Nursing
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